•  

               

    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

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

    Archive