3.3. Types of fetal heart rate Monitoring
There are two methods of fetal heart monitoring and each has two types.
• Auscultation is a method of listening and record the baby’s heartbeat, it also capture the contraction of a mother in labor. It can be done at a set time during pregnancy and can be nonstop depending on the mother’s choice.
1. A Doppler: is a small device that is pressed against the stomach. This device uses a form of ultrasound to convert sound waves into signals of the baby's heart and can be heard.
2. A pinards is placed at the ear of the midwife and he/she can be able to listen to the baby’s heartbeat. The open end of the pinards is pressed on the abdomen.

• Electronic Fetal Monitoring uses some special equipment
Changes needed in the current system in the rural area of South Africa
4.1. Description of the current features on the system in South Africa
The current system that is utilized at the hospital is not that of latest technology however, it is sufficient for the midwife’s as they have reported not having any problems with it and also to the public it is cost free as it is administered at a public hospital. The current system can only be used by nurses, midwifes and interns under strict supervision. The current system takes an average of 30min to capsulate the fetal heart monitoring from every pregnant patient.
Currently, there are three features used on the system:
1. Intermittent auscultation: is a method of sampling and counting the fetal heart rate at specified intervals which can be heard. This is a method of monitoring the fetal heart rate periodically through either a fetoscope or a Doppler
Cardiotocography (CTG): also known as Electronic Fetal Monitoring (EFM), which can monitor both the fetal heart rate and uterine contractions. This method provides a paper recording of the fetal heart rate and the uterine contractions, but prevents the mother from leaving the hospital bed and restricts general movement. This method of fetal monitoring is the most expensive and such machines typically cost around R90.000 for a base model. Electronic fetal monitoring can be administered externally through the use of an ultrasound transducer belt placed around the mother’s abdomen and, when closer surveillance is needed, internal monitoring can be conducted through the use of a wire electrode passed through the cervical opening and connected to the fetal scalp. A review of electronic fetal monitoring studies conducted in developed countries found no benefit to electronic fetal monitoring for low-risk women upon admission to the hospital in labor and that admission CTG increases the caesarean section rate by approximately