Page 77 - 2023 Elctronic Book (3) Normal Labor_Neat

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.

* 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.

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