Page 81 - 33Elctronic Book (3) Normal Labor

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.

* tell the women that she will feel worm water in vagina
* the nurse will insert the fetus electrodes on fetal scalp. The nurse should avoid apply
the electrodes on fontanelle or gentile area.
*the nurse will insert the other catheter "intra uterine pressure catheter. * Fix the

electrodes around the thigh with a bond.
* Observe fetal heart rate and Record.

81

Contents