•  

               

    Huntleigh Diagnostics Blog

    Maternity Unit Adopts Latest Technology

    Monday, April 30, 2018 Huntleigh-Healthcare Diagnostics Comments (0)

    The maternity unit at University Hospital of Wales (UHW), Cardiff, UK, adopts the latest technology to enhance routine antenatal screening of fetal heart rate.

    Senior midwifery staff at the hospital have been working with local industry to develop a new handheld fetal Doppler which, in addition to the conventional numeric display of fetal heart rate, now has a trace view screen which it was felt would add value in enhancing the process of intermittent auscultation, and in allowing the procedure to be documented electronically in the maternity record.

    The hospital has now invested in a number of these new Dopplers and the value of the trace view was highlighted in a recent case at the hospital.

    It was being used routinely to auscultate the fetus in the normal numeric display mode, with a baseline rate of 130bpm being documented. They switched to the trace view and this was reported as showing good variability and the presence of accelerations. A “stretch & sweep” was performed with auscultation being repeated afterwards. The Doppler was still in trace mode and this showed a baseline rate of 100 with noticeable shallow decelerations and reduced variability. This can be normal after such a procedure, but in this case there was sufficient concern that they kept the trace view running until they were able to transfer mum onto a CTG – this showed a bradycardia, triggering a grade 1 emergency C-section, with the baby being delivered within 21 minutes. The baby spent a short time on NICU but made a full recovery.

    The midwife involved believed that this new trace view feature alerted her to this situation earlier than would have been the case with a traditional Doppler, enabling her to take appropriate action resulting in a positive outcome.

    It is important to note that this trace view is not a substitute for CTG, but it does provide a more robust picture than a simple single “baseline” rate. It can give an indication of baseline rate and an indication of other trace features including variability, accelerations & decelerations, as witnessed by this case. However, there is not enough resolution to measure these details and where any concern arises about fetal condition from using this trace view mode, a full CTG should always be used to confirm this. The trace view can also show maternally sensed fetal movements and this trace record can be stored and transferred to the patient’s electronic maternity record to document the auscultation procedure – another benefit of the trace view, as just storing a random heart rate value to document this would be of little clinical significance.

     

    Trackback Link
    http://www.huntleigh-diagnostics.com/BlogRetrieve.aspx?BlogID=342&PostID=800455&A=Trackback
    Trackbacks
    Post has no trackbacks.

    Recent Posts

    Tags

    Huntleigh Healthcare Events L&R Innovative Peter Cashin Managing Director Mercy Ships Cllr Huw Thomas Leg Club Industry Partners Diagnostics Cardiff City FC Finalists Indications Vascular Assessment Huntleigh Diagnostics Limited Outcomes Dezines Internet Solutions Limited Germany Huntleigh Healthcare Limited Automation Life Saving Frankfurt Innovation Business of the Year 2020 England Intermittent Compression System Sponsor Staff Lymphoedema Awareness Week Dzines Dawes-Redman CTG Analysis Cape Town International Convention Centre Intermittent Auscultation Physiology Arjo Huntleigh Wound Management Winner Handheld Dopplers Clinically Effective Lymphoedema Treatment University Hospital of Wales Commercial Photography St George's University Hospital Fetal Heart rate Her Majesty’s Lord Lieutenant of South Glamorgan Morfudd Meredith Avoiding CTG Misinterpretation Strong Return on Investment Fetus Manager SonicAid LymphAssist™ Homecare IPC System SC1500 Handheld Fetal Doppler Designs Compression Management Wales Smartsigns SC1200 Huntleigh Wins Queen's Award for Innovation Study Days Google Accounts Wrexham Business Websites Consultant Mustafa Sadiq Maternity Unit Stuttgart Cancer Charity USA Getinge NHS Fetal Monitoring World Congress 2017 Free Medical care Home Operation SEO Africa Mercy Dusseldorf Neil Warnock Careers South Africa Maquet Website Development Theoretical Patient Monitoring Floating Hospital Bluebirds Integrated Enterprise Solutions Queens Awards for Enterprise Innovation 2019 Lymphatic Drainage Stretch & Sweep Royal College of Obstetricians & Gynaecologists Scotland Professor Christopher Redman UHW Cardiff Sales Specialist Newport Diagnostic Products Division Venus Leg Ulcer Munich Web Industry Collaboration Study Day Automatic ecommerce Search Engine Optimisation Prof Chris Redman Reduced Variability Berlin Medical Leg Club Software as a Service Operating Theatre Google Adwords CTG Huntleigh Wins Prestigious IF Design Award Treatment PaaS 20 - 22 March 2017 Cardiff City Council LCIP Dawes-Redman Testimonial ISUOG 13th International Symposium Cardiff Business Awards 2020 Team Huntleigh Healthcare Film Production SC300 Hypoxaemia Los Angeles Smartsigns Compact 300 Monitor Trace View Screen National Health Service Players Computerised FHR Monitoring Vascular Treatment 2017 Leader New York Lymphoedema Donations of Medical Equipment Dawes Redman Fully Integrated Website Platform Antenatal Wound Express Cardiff Leading Brands WoundExpress Volunteer Bonn Visual Assessment Successful Clinical Outcomes Media RCOG Professor Sir Arulkumauran Patient Monitoring Range Healthcare Professionals Midwives Reports CTG Analysis Platform as a Service Maternity Records Clinically proven Medical Device Design Agency Video Commerce SmartSigns Lymph Flow Dopplex Dopplers Ireland Interactive Automated ROI Medical Equipment Obstetrics Worlds Poorest People IF Design Award 2017 DezinesUK Huntleigh Diagnostic Products Division Smartsigns MP1 Pulse Oximeter Intelligent Intermittent Auscultation Cape Town Scientific Programme Tenovus Graphical Display Dopplers Warrington & Halton Hospital Professional Photographer www.dezines.co.uk Computerised Scientific Rationale for Antenatal Computerised CTG’s Masterclass San Francisco Self Management of Lymphoedema High Quality Interpretation Customer Conversion Dezines Senior Midwifery Staff London SaaS Decelerations Digital Marketing Agency Clinicians Patient Blood Bank Masterclass Training Day

    Archive