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

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

Archive