•  

               

    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

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

    Archive