•  

               

    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

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

    Archive