Page 228 - ترم ثاني كتاب تمريض صحة الام الكتروني

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move the sensors until a clear signal's heard.
9) Place the uterine activity sensor in the fundal area or the area where contraction

feel strongest when palpate
10) Apply belts; slide both belts under the women's back
11) Observe the strip for baseline fetal heat rate and contraction frequency and

duration
12) Record any abnormalities

II-Internal monitoring:
• There are two electrode (fetal spiral electrode and intrauterine pressure catheter)
• fetal spiral electrode (FSE) application occur once the amniotic membranes have

been ruptured.
Contraindication:

1- Planned application to fatal head, fontanels, or genitilia
2- Presence or suspicions of placenta previa
3- Presence of active herpes lesion or HIDV
4- Maternal infection with hepatitis B or C

5-Inability to identify the portions of the fetus where the applications id applied.
Equipment:
1) Two transducer "fetal scalp electrode and intrauterine pressure catheter " 42

Fetal monitoring
2) Paper strip
3) Electronic fetal monitoring

4) Gloves
5) Kocher's forceps
Procedure:

1-Hand washing
2-Keep the privacy
3- Facing the mother
4- Explain the procedure 

5- Ask the patient to undress completely and put on a hospital gown and lie on
labor bed with her feet separated and knee flexed as for pelvic exam

* If the amniotic sac still intact, the doctor use Kocher and rupture the
membranes but we should make sure that there is cervical dilatation through PV
to insert the sensors.

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