{"id":1379,"date":"2023-02-19T15:06:51","date_gmt":"2023-02-19T15:06:51","guid":{"rendered":"https:\/\/www.toplinemd.com\/novac-md\/?p=1379"},"modified":"2023-02-27T15:11:55","modified_gmt":"2023-02-27T15:11:55","slug":"everything-you-should-know-about-fetal-monitoring-efm","status":"publish","type":"post","link":"https:\/\/www.toplinemd.com\/novac-md\/everything-you-should-know-about-fetal-monitoring-efm\/","title":{"rendered":"Everything You Should Know About Fetal Monitoring &amp; EFM"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Fetal heart rate monitoring or simply fetal monitoring is a technique used in medicine to monitor the fetus&#8217;s heart rate and development rhythm during pregnancy. This technique usually involves putting a fetal heart rate monitor on the mother&#8217;s stomach to observe the fetal heart rate and show it on a display.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This test is most often done during the late stage of pregnancy and during labor. The typical fetal heart rate ranges between 110 and 160 beats per minute; the variations can include 5 to 25 beats per minute. The uterine environment can affect the heart rate results, which can change depending on the in-utero conditions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">When the results of the fetal monitoring are seen as abnormal, the baby is lacking oxygen or facing some other issues. Whatever the case might be, you need to consult your chosen medical provider immediately to start working on resolving the problems and normalizing the fetal heart rate as soon as possible.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">There are two main types of fetal heart rate monitoring, internal and external, which will be elaborated on in more detail later in the article.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As mentioned, any type of irregularity in this test results means you have to consult your doctor and work on resolving the issue. This means that your chosen medical professional needs to be an experienced expert who is knowledgeable enough to help you in addressing the problem. There are different clinics offering guidance and support, such as <\/span><a href=\"\/novac-md\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">ACE OBGYN<\/span><\/a><span style=\"font-weight: 400\">, where the team is experienced and ready to help you with this particular situation.\u00a0<\/span><\/p>\n<h2><b>Types of Fetal Heart Monitoring\u00a0<\/b><\/h2>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-1381\" src=\"https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring-.jpg\" alt=\"Fetal Monitor or Non Stress Test Printing the Baby\u2019s Heart Beats\" width=\"1000\" height=\"750\" srcset=\"https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring--200x150.jpg 200w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring--300x225.jpg 300w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring--400x300.jpg 400w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring--600x450.jpg 600w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring--768x576.jpg 768w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring--800x600.jpg 800w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Types-of-Fetal-Heart-Monitoring-.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">As previously noted, there are two ways to monitor the fetal heart rate, i.e., the external and the internal method.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">External fetal monitoring is when the doctor uses a device to listen to the baby&#8217;s heartbeat via the mother&#8217;s abdomen. Ultrasound technology is used in this method. It is a non-invasive approach used most often during labor and delivery to monitor the baby&#8217;s health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">One of the most popular types of monitors is the Doppler ultrasound device, where the transducer or the probe is fastened to the mother&#8217;s stomach, and in that way, the heartbeat sounds are directly sent to the computer screen. The screen shows the fetal heart rate and pattern, and the results are printed on a piece of paper. The Doppler ultrasound is used because it includes very low to no risks to the safety of the mother and the baby.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">When it comes to preparation and the exam itself, here is some information and a few tips, so you can feel more confident and relaxed:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The monitoring can take place in the doctor&#8217;s office or as part of your hospital visit or stay.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The doctor will explain the process to you step by step, and you can ask any questions you want.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sometimes patients sign a consent form, which allows the doctors to perform the procedure.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">It is crucial that you share information about any allergies you might suffer from, such as medicines, anesthesia, latex, etc., with your doctor.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If you are doing an internal FHM, your cervix must be dilated so that the device can be inserted.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sometimes, depending on the type of monitoring test, you will be asked to eat a meal before the exam so the baby becomes more active.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">When you come to the exam, you might be asked to take off your clothes from the waist down or remove all of your clothes and wear a hospital gown.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">You may be asked to lie on your back on the examination table.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The doctors use a clear gel, and place it on the abdomen.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The transducer gets pressed on the skin, and the medical professional will move it around until they find the fetal heartbeat.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">You will also hear the sound of the beat during this exam.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The heartbeat is recorded and displayed on a screen that you can most often see.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">After you are done, the doctor will clean the gel of your stomach, and if this is only an exam rather than labor and delivery, you will be free to go home.\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Internal fetal monitoring is a method where thin wires i.e. electrodes are put on the baby&#8217;s head to monitor the heartbeat. The wires connected to a monitor are placed through the mother&#8217;s cervix, and this method is seen as more accurate because no external factors, such as movement, interfere with the results.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The issue with the internal monitoring approach is that it cannot be done if the amniotic sac is not broken and if the cervix is not sufficiently open. Most often, this approach is used during labor so that the doctor can monitor the baby more closely. In these situations, the doctor observes the contractions in the uterus and the baby&#8217;s heartbeat and compares the results.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The exam itself is a bit different from external fetal monitoring, and here is some basic information:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The patient removes all their clothes and wears a hospital gown.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">They lay on the labor bed and lift their legs as they do during a pelvic exam.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">A vaginal examination is performed to check how much the patient is dilated.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sometimes, if the amniotic sac is not broken, the doctor opens it with medical tools.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If the baby&#8217;s position is typical, then the doctor feels the head of the baby with their hand and inserts the catheter in the vagina, through which a small wire is placed directly on the baby&#8217;s head.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The wire is connected to the monitor, and it is taken off after the baby is born, so the patient will not be able to move from the bed until they deliver the baby.\u00a0<\/span><\/li>\n<\/ul>\n<h2><b>Electronic Fetal Monitoring\u00a0<\/b><\/h2>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-1382\" src=\"https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring-.jpg\" alt=\"Printing of Cardiogram Report Coming Out From Electrocardiograph Iin Delivery Room\" width=\"1000\" height=\"586\" srcset=\"https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring--200x117.jpg 200w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring--300x176.jpg 300w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring--400x234.jpg 400w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring--600x352.jpg 600w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring--768x450.jpg 768w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring--800x469.jpg 800w, https:\/\/www.toplinemd.com\/novac-md\/wp-content\/uploads\/sites\/211\/2023\/02\/Electronic-Fetal-Monitoring-.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">EFM, or electronic fetal monitoring, is another way of tracking the baby&#8217;s heartbeat before or during labor and delivery. This approach is often recommended only in high-risk pregnancies because EFM increases the risks of cesarean sections and other complications such as neurologic injuries, <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/cp\/features\/cerebral-palsy-11-things.html\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">cerebral palsy<\/span><\/a><span style=\"font-weight: 400\">, etc. On the other hand, if the mother is suffering from preeclampsia, diabetes, bleeding during pregnancy, etc., this approach is advised. EFM can also help with distinguishing if the labor is true or false.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">There are external and internal electronic fetal monitoring, where the internal is actually similar to the method described above, while external electronic fetal monitoring includes elastic strips instead of a transducer.\u00a0<\/span><\/p>\n<h2><b>We Are Here!<\/b><\/h2>\n<p><span style=\"font-weight: 400\">In the article above, you can find some basic information on tracking your future baby&#8217;s heartbeat and overall health. This examination is most often stressful for mothers, but our expert team has plenty of experience to offer informed support and guidance. Contact us and schedule an appointment, so you and your baby can continue to be safe and healthy. We are here for you, so call us! <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fetal heart rate monitoring or simply fetal monitoring is a technique used in medicine to monitor the fetus&#8217;s heart rate and development rhythm during pregnancy. This technique usually involves putting a fetal heart rate monitor on the mother&#8217;s stomach to observe the fetal heart rate and show it on a display.\u00a0 This test is most  [&#8230;]<\/p>\n","protected":false},"author":3,"featured_media":1380,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[5],"tags":[121,123,122,120,119],"class_list":["post-1379","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pregnancy","tag-doppler-ultrasound","tag-efm","tag-electronic-fetal-monitoring","tag-fetal-heart-rate","tag-fetal-monitoring"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/posts\/1379","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/comments?post=1379"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/posts\/1379\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/media\/1380"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/media?parent=1379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/categories?post=1379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.toplinemd.com\/novac-md\/wp-json\/wp\/v2\/tags?post=1379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}