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The Three Types of Fetal Heart Monitoring

1. Home Fetal Doppler (HeartBeats™)

Purpose: Bonding, reassurance, personal monitoring between appointments Technology: Continuous wave (CW) Doppler ultrasound at 2.5 MHz Output: Audible heartbeat + BPM display Who uses it: Expectant parents at home Cost: $79

2. Clinical Handheld Doppler (OB Office)

Purpose: Quick fetal heart rate check during prenatal visits Technology: CW Doppler ultrasound at 2–3 MHz — same technology as HeartBeats™ Output: Audible heartbeat + BPM display Who uses it: OBs, midwives, labor nurses Cost: $200–600

3. Hospital CTG / NST Monitor (Non-Stress Test)

Purpose: Clinical assessment of fetal wellbeing, contraction monitoring Technology: External tocodynamometry + Doppler ultrasound Output: Paper/digital tracing of heart rate variability over time, uterine contractions Who uses it: Hospital staff, high-risk OB monitoring Cost: $3,000–15,000+

HeartBeats™ Is Functionally Equivalent to Clinical Handheld Dopplers

The HeartBeats™ device operates at the same fundamental technology as the handheld dopplers used by your OB during prenatal visits. Both use:
  • 2–2.5 MHz continuous wave Doppler ultrasound
  • A single probe transducer
  • Output of audible heartbeat signal and BPM reading
The primary differences between HeartBeats™ and a clinical handheld doppler are price point, build quality, and regulatory classification. The underlying acoustic technology is equivalent.

What Only Clinical Equipment Can Do

CapabilityHeartBeats™Clinical HandheldCTG/NST Monitor
Detect heartbeat and BPM
Assess heart rate variability (HRV)
Detect non-reassuring patternsLimited
Monitor uterine contractions simultaneously
Assess amniotic fluid levelsVia ultrasound only
Diagnose fetal distressPartial
Provide biophysical profileRequires imaging ultrasound
The key clinical capability that home dopplers lack is heart rate variability assessment. A normal NST shows “reactive” patterns where the fetal heart rate accelerates with movement. A CTG tracing can show this variability over 20–40 minutes. A home doppler gives you a snapshot BPM — not a pattern over time.

When Each Is Appropriate

SituationAppropriate Tool
Listening for baby between appointments (bonding)HeartBeats™ ✅
Counting fetal heartbeat at OB appointmentClinical handheld
36-week growth scan and presentation checkHospital ultrasound
High-risk pregnancy monitoringCTG/NST
Decreased fetal movementHospital evaluation (not home doppler)
Post-dates management (41+ weeks)NST and clinical evaluation

The Complementary Approach

HeartBeats™ and clinical monitoring are complementary, not competitive. Regular OB appointments with clinical equipment provide the diagnostic depth that home monitoring cannot. HeartBeats™ fills the space between appointments — providing the emotional connection and simple reassurance that a heartbeat is present, without replacing any clinical monitoring.
Never use HeartBeats™ to delay or replace a scheduled OB appointment or a call to your provider when you have a clinical concern.

Related: Safety · FDA Clearance · Product Overview