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Int J Environ Res Public Health. 2018 Feb 9;15(2). pii: E302. doi: 10.3390/ijerph15020302.

"I Was Relieved to Know That My Baby Was Safe": Women's Attitudes and Perceptions on Using a New Electronic Fetal Heart Rate Monitor during Labor in Tanzania.

Author information

1
Institute of Health and Society, Faculty of Medicine, University of Oslo, Forskningsveien 3A, 0373 Oslo, Norway. s.r.lafontan@medisin.uio.no.
2
Institute of Health and Society, Faculty of Medicine, University of Oslo, Forskningsveien 3A, 0373 Oslo, Norway. johanne.sundby@medisin.uio.no.
3
Department of Anesthesiology and Intensive Care, University of Stavanger, 4036 Stavanger, Norway. hege.ersdal@safer.net.
4
Temeke Regional Referral Hospital, Dar es Salaam, Tanzania. amuzdalifat29@gmail.com.
5
Ministry of Health Community Development Gender Elderly and Children, Dodoma, Tanzania. hkidanto@gmail.com.
6
School of Nursing and Midwifery, Aga Khan University, Dar es Salaam, Tanzania. kokumbekenga@gmail.com.

Abstract

To increase labor monitoring and prevent neonatal morbidity and mortality, a new wireless, strap-on electronic fetal heart rate monitor called Moyo was introduced in Tanzania in 2016. As part of the ongoing evaluation of the introduction of the monitor, the aim of this study was to explore the attitudes and perceptions of women who had worn the monitor continuously during their most recent delivery and perceptions about how it affected care. This knowledge is important to identify barriers towards adaptation in order to introduce new technology more effectively. We carried out 20 semi-structured individual interviews post-labor at two hospitals in Tanzania. A thematic content analysis was used to analyze the data. Our results indicated that the use of the monitor positively affected the women's birth experience. It provided much-needed reassurance about the wellbeing of the child. The women considered that wearing Moyo improved care due to an increase in communication and attention from birth attendants. However, the women did not fully understand the purpose and function of the device and overestimated its capabilities. This highlights the need to improve how and when information is conveyed to women in labor.

KEYWORDS:

(electronic) fetal heart rate monitoring; Moyo; Tanzania; health literacy; informed consent; labor care; labor monitoring; laboring women’s attitudes; low-resource setting; wireless fetal heart rate monitor

PMID:
29425167
PMCID:
PMC5858371
DOI:
10.3390/ijerph15020302
[Indexed for MEDLINE]
Free PMC Article

Conflict of interest statement

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

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