Selected Health Facilities of Bihar

Objective 1: To assess the clinical utility of wireless fetal monitoring (WFM) devices by
comparing the proportion of abnormal fetal heart rate (FHR)tracings captured to the
actual incidence of fetal asphyxia in babies requiring emergency delivery,
resuscitation, or NICU care.

Objective 2: To evaluate the feasibility, usability, and learnability of wireless fetal
monitoring devices when utilized by frontline healthcare workers during intrapartum
care.

Objective 3: To explore the perceptions and experiences of laboring women towards
the use of wireless fetal monitoring device.

Study design - Prospective observational study

Study site- 3 centers-Arwal District Hospital, FRU Phulwarisharif, SDH Danapur

Population- 9720 antenatal women

Intervention (if any)- Intrapartum wireless electronic fetal monitoring

Comparison Group (if any) - No

Outcome Measures -This objective aims to determine the effectiveness of WFM in early detection of fetal distress and
its potential impact on improving perinatal outcomes

Sample size estimation (if required)-9720 antenatal women

Statistical analysis- descriptive analysis

Ethical issues- All data analysis will be conducted in compliance with

ethical guidelines to ensure participant confidentiality and privacy.

Feasibility of using such devices in healthcare settings of Bihar will be better and
whether the healthcare workers are able to use it for the benefit of labouring
women.

The qualitative part of the study is to assess the perceptions and experiences of
laboring women towards the use of wireless fetal monitoring devices will be
available analyzed thematically using qualitative content analysis

The most important outcome will be on the detection of fetal distress in time to get
intervention and improved stillbirth rates.