Where do you put a CTG?

Where do you put a CTG?

CTG is most commonly carried out externally. This means that the equipment used to monitor the baby’s heart is placed on the tummy (abdomen) of the mother. An elastic belt is placed around the mother’s abdomen.

What does a Tocodynamometer do?

Tocodynamometers are electronic devices for monitoring and recording uterine contractions during labor. They are applied to the lower part of the uterus using a belt. When the uterus contracts, it pushes against the intrauterine wall and makes internal pressure rise.

Where should you apply pressure to assess for uterine contractions?

To assess the frequency and duration of contractions, put your hand over the mother’s abdomen, around the fundus. You will sense the abdomen starting to tighten and become hard. The mother may make ‘pain’ sounds with the contraction.

Can you walk around with an IUPC?

Research has also shown that walking and upright positions positively influence the progress of labor. With IUPC, mobility is seriously hampered as these women are confined to bed because the catheter can fall out, when they walk around.

What is suspicious CTG?

8.3 Suspicious If the CTG trace is categorised as suspicious: • Correct any underlying causes, such as hypotension or uterine hyperstimulation. • Perform a full set of maternal observations. • Start one or more conservative measures. • Inform an obstetrician or a senior midwife .

What does contractions look like on monitor?

The monitor records the duration of contractions and the time between them but doesn’t tell you the strength of the contraction. Each contraction resembles a hill or a bell-shaped curve, starting low, rising slowly, and then returning to baseline.

What assessments must be completed to confirm the labor process?

Each evaluation should include:

• assessment of maternal status;
• description of uterine activity;
• assessment of fetal status;
• description of findings on vaginal exam, if performed, including cervical dilation and effacement, fetal station, change in status of membranes, and progress since last exam;

What is the intensity of a uterine contraction?

The duration of uterine contraction is about one min and the interval also one min, i.e. the contraction cycle expressed by contraction peak-to-peak time is about two min. The contraction intensity is 30 to 40 mmHg [3].

When do you put an IUPC?

IUPC use is associated with an increased risk for bacterial infection, maternal fever, and need for a surgical delivery. As a result, physicians generally use the IUPC only when external monitoring is difficult or when the cervix has stopped dilating.

When do you add IUPC?

The IUPC is used when labor is progressing slowly or is stalling to assess that the contractions are strong enough but not too strong by looking at the intrauterine pressure (IUP). Once it is used, it is typically left in place for the duration of your labor and is attached to your leg to secure it.

What do you need to know about the tocodynamometer?

The tocodynamometer measures the movement of the fundus against the device which is equiped with a pressure transducer.

Where is the best place to place a toco?

In order for it to be optimally effective you need to place it against the portion of the abdomen where the greatest amount of uterine “movement” with the contraction will be experienced by the transducer; that is typically the fundus.

When to leave tocodynamometer in place for uterine contractions?

Uterine contractions may appear at any time during the perioperative period but occur most frequently immediately after the discontinuation of CPB and in the early ICU period. It is therefore important to leave the tocodynamometer in place after the completion of surgery.

Where is the Toco fetal monitoring device located?

The TOCO device is situated under the band or belt just below the top of the fundus, according to Austin Community College, while the ultrasound device is placed over the site of strongest fetal heartbeat and may need to be moved as the fetus moves.