01/05/2026
Let's talk about monitoring a baby's heart rate without a CTG š©·
Having a home birth or a birth in a facility that doesn't have a CTG machine or may not use it as the primary option? Then perhaps you're wondering about how you'll know if your baby is okay during labour...
When people think of monitoring a baby in labour, they usually picture the CTG machine with straps and wires, but thatās not the only (or always the best) option. In a healthy, low-risk labour, midwives will often use a handheld Doppler, which is a small device that lets them listen to a babyās heartbeat at intervals without restricting your movement... And honestly, thatās one of the biggest benefits: mom can move freely, change positions, labour how and where she wants (including in water)⦠all the things that actually help labour progress.
What theyāre doing with the Doppler isnāt just āchecking a number.ā Theyāre listening before, during, and after contractions, tuning into how baby is responding. Theyāre looking for a heart rate sitting roughly between 110ā160 bpm, with a natural, slightly irregular rhythm (not flat or robotic), and also how quickly baby recovers after a contraction. Little dips in a heart rate can be normal, but recovery should be nice and quick, which is a really reassuring sign that a baby is coping well.
Thereās this idea that only a CTG is reliable, but thatās not actually true for low-risk labours. Intermittent monitoring with a Doppler is evidence-based and widely recommended, with similar outcomes for a baby (just without the added restriction and higher chance of unnecessary intervention). CTG absolutely has its place when itās needed, but MORE monitoring isnāt always better⦠APPROPRIATE monitoring is.
A Doppler not only allows midwives to keep a close, skilled ear on your baby, but it does so while also protecting the natural flow of your labour relating to your movement, position, and also location... and that balance is often exactly what both mom and baby need.