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


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