A PRESENTATION ON FETAL

MONITORING AND OXIMETER

P R E PA R E D B Y : A A I S H A K O I R A L A
P U S H PA D H A M A L A
B I PA N A K A F L E
CONTENTS

• Introduction of fetal monitoring and pulse oximeter

• Benefits
• types
• Risks
• specification
• Brand
• Costing
• List of equipments in the hospital
INTRODUCTION OF FETAL
MONITORING
• In pregnancy and during labor , health care provider will
want to check the health of unborn baby(fetus). This is
done by checking the baby’s heart rate and other functions.
• Fetal monitoring is very common procedures .
• Monitoring can be done on two ways . It can be done on
outside of the belly (external monitoring). Or it can be
done directly on the baby while inside uterus(internal
monitoring).
EXTERNAL MONITORING

• This cab be done with a special tool called a fetoscope. It’s

stethoscope that has a different shape . It may also be done
using doppler .This is an electronic tools that uses sound
waves and a computer.
INTERNAL MONITORING

• A small wire (electrode) is put on baby’s head while

he/she is inside uterus.
 FETAL MONITORING

Figure: well labelled diagram of electronic monitoring

USE OF FETAL MONITORING

• To listen the fetal heartbeat.

• It help to show problems in the baby during pregnancy and
labor.
• It is used to check the rate and rhythm of the heartbeat. It
looks for any increased or decreased in the baby’s
heartbeat.
RISKS OF FETAL
MONITORING
• There are no known physical risks for external monitoring with a
fetoscope or doppler . There may be a slight risk of infection with
internal monitoring. The scalp electrode may also cause a mark or
small cut on the baby’s head. But this often heals quickly.
 SPECIFICATION OF FETAL
MONITOR
Physical characteristics
 weight: 6 kg approx
Display
10.2 inches color TFT-LCD
Auto Fetal Movement(AFM)
Technique: pulsed doppler ultrasound
Range :0-100 (%)
Marking
Manual fetal movement mark
INTRODUCTION TO
OXIMETER
• Pulse oximeter measures the percentage of oxygen in
hemoglobin proteins, called oxygen saturation.
• Oxygen saturation usually indicates how much oxygen is
getting to the organs.
• Normal oxygen saturation levels are between 95 and 100%
.
• Oxygen saturation levels below 90% are considered
abnormal low .
TYPES OF PULSE OXIMETER

• Finger tip
• Hand held
• Table top
SPECIFICATION OF PULSE
OXIMETER
 Battery life: lead acid battery
internal rechargable
fully charged in 6 hours

 Display and indications : LED display

BENEFITS OF PULSE
OXIMETER
• Monitoring oxygen saturation overtime.
• Alerting to dangerously low oxygen level , particularly in
new borns.
• Assessing the need of supplemental oxygen .
• Monitoring oxygen saturation levels in people under
anesthesia.
RISKS OF PULSE OXIMETER

• The main risk of pulse oximeter is false reading .

• Its provide inaccurate reading in minor changes in the
positioning of correct fit.
COSTING

 The price of fetal monitor in Nepal is around 80

thousand.
The price of oximeter
 BRAND

FETAL MONITOR OXIMETER

• F1 ultra fetal monitor • Po 30 pulse oximeter

• Contec • Geratherm
• Philips
• Bistos
LIST OF EQUIPMENTS IN THE
HOSPITAL
• Anesthesia machine
• Aspiration / suction machine
• Autoclave /sterilizer
• Blood chemistry analyzer
• C-arm system – unit, monitor , table
• Cast saw
• Centrifuge
• Coagulation analyzer
• Colposcopy equipment
• Computer equipment
• CPAP/ Humidifier
• Defibrillator
• Endoscopy system
• Exam light
• Exam table
• Feeding pump
• Fetal Doppler
• Infant incubator
• Infant warmer
• Infusion pump
• IV pole
• Lab equipment-incubator, shaker, washer , scale
• Lab microscope
• Lab refrigerator
• Laryngoscope
• Nerve stimulator
• Ophthalmic equipment –slit lamp , surgical scope
• Otoscope / opthalmoscpoe
• Oxygen concentrator
• Oxygen cylinder and regulator
• Patient scale
• Portable glucose monitor
• Pulse oximeter
• Sequential compression device
• Sphygmomanometer
• Stethscope
• Surgical microscope
Thank you