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
    Post has no trackbacks.

    Recent Posts


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