Chapter 7 Fetal Monitoring; Monitoring Fetal Heart Rate (Fhr) With Ultrasound; Parts Required; Fhr Monitoring Procedure - WALLACH FETAL2EMR 902300 User Manual

Chapter 7 Fetal Monitoring

 The monitor is not intended for use in intensive care units (ICU), operating rooms or
for home use.
 The monitor is not protected against defibrillation. Do not apply it during
electro-surgery or MRI; otherwise it might result in harm to the patient or the
operator.
 Always check that the alarm settings are appropriate for your patient before starting
monitoring.

7.1 Monitoring Fetal Heart Rate (FHR) with Ultrasound

Ultrasound monitoring is a method used to obtain FHR through the maternal abdominal wall,
which can be used for antepartum monitoring. By placing the FHR transducer on the maternal
abdomen, it will transmit a low energy ultrasound wave to the fetal heart, and receive the echo
signal.
Confirm fetal life by other means before using this monitor for FHR monitoring.

7.1.1 Parts Required

1. Ultrasound transducer
2. Ultrasound coupling gel
3. Belt

7.1.2 FHR Monitoring Procedure

1) Placing Transducer Belt
Place the transducer belts across the bed, ensuring that the belts will reach around the
patient's abdomen and be able to be fastened. Lay the patient on the bed.
Alternatively, the patient can take a sitting position. Arrange the belt around the abdomen.
2) Determining the Transducer Position
To acquire the FH signal, search for the location of the fetal heart using a handheld doppler
or a fetoscope. The best fetal heart signal can be obtained through the fetal back.
WARNING
WARNING
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Chapter 7: Fetal Monitoring