Electronic Fetal Heart Monitoring: A Means for a Healthy Pregnancy
For most hopeful parents, when they discover that they’ll soon have a child, they tend to become over-excited: they immediately go to the grocery store and buy lots of nutritious food and proceed to the department store to purchase some appropriate dresses for the soon-to-be mother. Unfortunately, this excessive anticipation makes them neglectful of one important thing: fetal heart monitoring.
It is suggested that women must undergo electronic fetal heart monitoring while being pregnant, while going through labor, and while delivering her child. This procedure is important to observe the heart rate of the baby and the strength and duration of the contractions of the mother’s uterus. The results of fetal heart monitoring can indicate if the baby (or fetus) is healthy or if he has some problems.
A fetal heart monitor (usually called Doppler fetal monitor or Doppler fetal heart rate monitor by some users and manufacturers) is used to detect the heart beat of the fetus for prenatal care. It uses the Doppler Effect to give an audible reproduction of the baby’s heart beat. The term used to describe the general use of Doppler monitors is Doppler auscultation.
There are two types of fetal monitoring: the external and the internal.
External monitoring may be done by simply listening to the baby’s heartbeat using a special stethoscope. This stethoscope usually comes in the form of two flat devices, called sensors, which are held in place with elastic belts on the belly of the pregnant woman. One of these sensors uses ultrasound to observe and monitor the baby’s heart rate. The other sensor, on the other hand, measures the duration of the uterus’ contractions. Connected to a machine, these sensors transmit information which will be recorded and may be heard on an audio or be viewed on the screen.
While external monitoring may be done anytime during the pregnancy, internal monitoring, on the other hand, can only be conducted after the cervix has dilated to at least 2 centimeters (cm) and after the amniotic sac (inner membrane that surrounds the embryo) has burst. When these two conditions have begun, internal monitoring may be done continuously. In this procedure, a sensor is attached to the woman’s thigh using a strap. A thin wire, called electrode, is inserted through the vagina and cervix up to the uterus. The electrode will be connected to the scalp of the baby. Through this, his heartbeat may be heard. The information is transmitted to the machine which may either present it in an audio file or in a chart. Apparently, internal monitoring does not use ultrasound for monitoring unlike the other method.

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