This can help make your baby more active. The amniotic sac must be broken and your cervix must be dilated several centimeters before the internal device can be put in place. Follow any other instructions your provider gives you to get ready. What happens during fetal heart monitoring? Generally, fetal heart rate monitoring follows this process: External fetal heart monitoring Depending on the type of procedure, you may be asked to undress from the waist down.
Or you may need to remove all of your clothes and wear a hospital gown. You will lie on your back on an exam table. The healthcare provider will put a clear gel on your abdomen. The provider will press the transducer against your skin. The provider will move it around until he or she finds the fetal heartbeat. You will be able to hear the sound of the fetal heart rate with Doppler or an electronic monitor. During labor, the provider may check the fetal heart rate at intervals or nonstop, based on your condition and the condition of your baby.
For continuous electronic monitoring, the provider will connect the transducer to the monitor with a cable. A wide elastic belt will be put around you to hold the transducer in place.
The provider will record the fetal heart rate. With continuous monitoring, the fetal heart pattern will be displayed on a computer screen and printed on paper. You may not be able to get out of bed with nonstop external fetal heart rate monitoring. Once the procedure is done, the provider will wipe off the gel. Internal fetal heart monitoring You will be asked to remove your clothes and put on a hospital gown. You will lie on a labor bed.
Your feet and legs will be supported as for a pelvic exam. Your healthcare provider will do a vaginal exam with a gloved hand to see how far you are dilated.
This may be slightly uncomfortable. If the amniotic sac is still intact, your healthcare provider may break open the membranes with a tool. This is still considerably faster than your own heart rate. Your baby's brain, lungs and digestive system are formed but not fully mature and are still developing. Nosebleeds are quite common in pregnancy because of hormonal changes.
Often there's nothing to worry about and they usually stop with a treatment you can do yourself. EFM using the two external transducers is a non- invasive method. If you have had problems during your pregnancy and the midwives or doctors have some concerns about how your baby will cope with labour, they may recommend the use of EFM as soon as you have regular contractions and your labour is becoming established.
In these instances your midwife will recommend EFM. EFM in itself has no known risks, but when internal EFM is used they may be a very small risk of infection. EFM may also restrict your mobility in labour which may not be helpful, although there is no need for you to be immobile. This test is performed during an internal examination and it is recommended as being the most accurate way of detecting whether your baby is in difficulty.
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