Top
10
Doctor insights on: Fetal Monitoring

Share
Dr. Susan Almquist
212 doctors shared insights

Fetal Monitoring (Overview)

Your health care provider will monitor you and your baby throughout your pregnancy. These tests may be done anytime during your pregnancy, especially if you have a high-risk pregnancy, a medical condition, or have had complications with a previous pregnancy. Sometimes a test may be repeated at intervals to show the well-being of the baby over time. Finally, tests may be done if you have reached 41- 42 weeks or are considered postdate, or "overdue."


1

1
I don't have time to take off work for all those fetal monitoring tests but know they are important. Cant I just go to l&d?

I don't have time to take off work for all those fetal monitoring tests but know they are important. Cant I just go to l&d?

See ACOG guidelines: Maternal-fetal medicine or OB doctors or nurses spend a lot of time assessing with ultrasound or with fetal heart monitoring tracings to see if there is a regular and normal heart rate, typical variability, absence of decelerations. They might order additional monitoring if high-risk mom or abnormalities that can be associated with fetal problems parents should feel free to ask what's best for all. ...Read more

Dr. Susan Almquist
212 doctors shared insights

Fetal Monitoring (Overview)

Your health care provider will monitor you and your baby throughout your pregnancy. These tests may be done anytime during your pregnancy, especially if you have a high-risk pregnancy, a medical condition, or have had complications with a previous pregnancy. Sometimes a test may be repeated at intervals to show the well-being of the baby over time. Finally, tests may be done if you have reached 41- 42 weeks or are considered postdate, or "overdue."


2

2
Is internal fetal monitoring require an invasive procedure?

Is internal fetal monitoring require an invasive procedure?

Yes: Internal monitoring requires that the bag of water is broken. If it is intact, the doctor will break the bag of water with a tiny plastic hook. If contractions need to be monitored, a small plastic tube (iupc) is slid into the uterus, it gets squeezed during contractions and monitors intensity. If the baby needs to be monitored a small heart rate monitor is attached to the baby's scalp. ...Read more

See 1 more doctor answer
3

3
Does internal fetal monitoring cause the baby to feel any discomfort? One was placed on my baby during l & d.

Does internal fetal monitoring cause the baby to feel any discomfort?  One was placed on my baby during l & d.

No: We can't ask the baby if he or she feels anything so it is impossible to answer. But, the monitor wire is only attached to the skin of the scalp and does not extend any deeper. Since the internal fetal electrode is placed to give a more accurate reading of the baby's heart rate during labor, the benefit of placing it in certain situations is strongly felt to outweigh any risk. ...Read more

See 1 more doctor answer
4

4
If I am taking labetolol should I not request additional fetal monitoring?

Perhaps: Labetolol can cross the placental barrier, so perhaps more frequent monitoring is warranted. ...Read more

See 1 more doctor answer
5

5
Is it ok to request intermittant fetal monitoring in labor?

Is it ok to request intermittant fetal monitoring in labor?

If low-risk only!: There is good evidence to suggest that intermittent fetal heart rate monitoring in labor is safe for low-risk pregnancies. The problem with that approach is that it is more labor-intensive for your nurse and does not make much sense to leave your fetus in the dark during the most tumultuous period of its intrauterine existence - labor and delivery. Exercise caution and talk with your obstetrician! ...Read more

6

6
Can abnormal heart rhythms be detected with weekly fetal monitoring?

Can abnormal heart rhythms be detected with weekly fetal monitoring?

Often: If the arrhythmia is intermittent, it may be difficult to detect with weekly monitoring. Most of the significant fetal arrhythmias are sustained and should be detected by an examination that includes an assessment of fetal heart rate and rhythm. ...Read more

See 1 more doctor answer
7

7
My ob scheduled me for weekly fetal monitoring. I am 31weeks pregnant & at risk of preeclampsia due to proteinurua. What does fetal monitoring consist of?

My ob scheduled me for weekly fetal monitoring. I am 31weeks pregnant & at risk of preeclampsia due to proteinurua. What does fetal monitoring consist of?

Observing the baby.: Typically this means that you will have an nst. This is when we put monitors on your belly to hear the baby's heart beat and also to follow for contractions. This is done for at least 20 minutes. We are watching the baby's heart beat to show us that your baby is "happy.". ...Read more

8

8
Heartbeat randomly jumps on fetal monitor .Why ?

Heartbeat randomly jumps on fetal monitor .Why ?

PACs.: Skipped beats are not uncommon in fetal heart rate monitoring; they are likely (>95%) due to benign premature atrial contractions of the fetal heart (no clinical significance). Alternatively, fetal hiccups can be at play (good prognostic sign). ...Read more

9

9
What does "bpm/cm" fetal monitor printer for fhr mean?

What does "bpm/cm" fetal monitor printer for fhr mean?

Beats per minute/cm: Ob doctors or nurses and parents spend a lot of time assessing condition of the fetus (and mom) with fetal heart monitoring tracings to see if there is a regular and normal heart rate, typical variability, absence of decelerations. Baby's parents should feel free to ask what's being done and why. They could also ask experienced providers for explanation of the testing and interpretation of results. ...Read more

10

10
When I look at the fetal monitor, what am I actually seeing?

When I look at the fetal monitor, what am I actually seeing?

FHR and UCs: Ob doctors or nurses and parents spend a lot of time assessing condition of the uterus and fetus with fetal heart monitoring tracings to see if there are contractions, labor and if there is a regular and normal fetal heart rate, typical variability, absence of decelerations. Baby's parents should feel free to ask experienced providers for explanation of the testing and interpretation of results. ...Read more