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Citation, DOI and article data. Weerakkody, Y. Fetal heart rate in the first and second trimester. Reference article, Radiopaedia. URL of Article. It is connected to the monitor. But it can only be done if the fluid-filled sac that surrounds the baby during pregnancy amniotic sac has broken and the cervix is opened. Your provider may use internal monitoring when external monitoring is not giving a good reading. Or your provider may use this method to watch your baby more closely during labor.
Your provider will note how often you are having contractions and how long each lasts. Because the fetal heart rate and contractions are recorded at the same time, these results can be looked at together and compared. Your provider may check the pressure inside your uterus while doing internal fetal heart monitoring. To do this, he or she will put a thin tube catheter through your cervix and into your uterus.
The catheter will send uterine pressure readings to a monitor. Fetal heart rate monitoring is especially helpful if you have a high-risk pregnancy.
Your pregnancy is high risk if you have diabetes or high blood pressure. It is also high risk if your baby is not developing or growing as it should. Fetal heart rate monitoring may be used to check how preterm labor medicines are affecting your baby. These are medicines are used to help keep labor from starting too early. You may find the elastic belts that hold the transducers in place slightly uncomfortable. These can be readjusted as needed. You must lie still during some types of fetal heart rate monitoring.
You may need to stay in bed during labor. With internal monitoring, you may have some slight discomfort when the electrode is put in your uterus.
Note: You should not have internal fetal heart rate monitoring if you are HIV positive. This is because you may pass the infection on to your baby. You may have other risks depending on your specific health condition.
Be sure to talk with your provider about any concerns you have before the procedure. Certain things may make the results of fetal heart rate monitoring less accurate. These include:. You may have fetal heart rate monitoring in your healthcare provider's office or as part of a hospital stay.
The way the test is done may vary depending on your condition and your healthcare provider's practices. You do not need any special care after external fetal heart monitoring. You may go back to your normal diet and activity unless your healthcare provider tells you otherwise. The provider will clean the site with an antiseptic.
Health Home Treatments, Tests and Therapies. Why might I need fetal heart monitoring? Internal monitoring In this method, an electrode attached to a wire is placed directly on the baby. What kind of monitoring do I need? Auscultation is generally considered an acceptable form of monitoring if: Your pregnancy is low-risk. You will need continuous monitoring if: You have a high-risk pregnancy.
Complications develop during labor. You have an epidural for pain. Indications that everything with the baby is fine include: Heartbeat between and beats per minute. Heart rate increases when baby moves. Heart rate increases during contractions. Heart rate returns to normal after baby moves or after a contraction. Your contractions are strong and regular during labor. Signs that there could be a problem include: Heartbeat is less than beats per minute.
Heartbeat is more than beats per minute. What if my doctor detects a problem? Giving you more fluids through an IV. Giving you supplemental oxygen. Giving you medicine to relax your uterus. This decreases your contractions. Infusing sterile fluid into your uterus if your water has broken. Questions to ask your doctor Do you require fetal heart rate monitoring during labor? What are the advantages and disadvantages of it? Do I need continuous electronic fetal monitoring? Why would I need internal monitoring?
How is this performed? Last Updated: October 20, This article was contributed by familydoctor. Tags: female , Labor Delivery Postpartum , Management of normal labor , Management of threatened abortion , Pregnant Women , women's health. Related Articles. Pain is part of labor. It occurs because of the things your body has to do to give birth….
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