Foetal and Maternal Well Being

Promote health and wellness at every stage of pregnancy and the early life with the help of GE Healthcare. From anetpartum care, to labour and delivery and beyond, our solutions in foetal and maternal well-being help achieving an exceptional level of safety with flexibility and immediacy in monitoring, assessment and documentation of vital health information.

Overview

Experience the benefits of high-tech, high-touch care with foetal and maternal monitoring from GE Healthcare. Designed for accurate, flexible, timely assessment and information delivery, our clinical monitoring and information systems support mother and foetus at each point of care—from antepartum to intrapartum to postpartum.  

This brings you:   

Exceptional technology in foetal-maternal monitoring 

  • GE healthcare Corometrics* platform to monitor the progress of mother and foetus during pregnancy and delivery: 
    • Nautilus* U/S transducers** with 9 crystals technology 
    • Remarkable maternal parameters like the DINAMAP* technology with blood-pressure-monitoring and Smart BP 
    • Full set of maternal parameters at hand with NIBP, SpO2, ECG, Temp 
  • Mobile patient monitoring from Mini Telemetry System, a simple and complete wireless mobile monitoring solution for efficient, enhanced workflow and a more comfortable birthing experience   
  • Voluson* technology that brings foetal monitoring to the doctor’s office 
    • Distinguishing the tiniest structures with remarkable clarity, it allows you to confidently explore foetal images, to detect abnormalities at early stage of pregnancy, and to scan patients with ease.   

Powerful IT technology for all stages – from pregnancy to birth  

  • Our fœtal and maternal monitors are compatible with any clinical information systems enabling the capture and storage of a comprehensive patient record. Access to the entire history of events helps you with quality decision-making.   
  • Trium CTG Online automates documentation of patient data throughout perinatal care   
  • Viewpoint* IT collects data from US scanners, creates reports, offers long-term archiving and works with HIS   
  • Trium CTG Online combined with the Viewpoint* IT system automates documentation of patient data throughout perinatal care. The result is a single, continuous file of the entire patient record allowing clinicians to easily review and document the patient’s care and gain full access to a patient’s history, including ultrasound images from the pregnancy   


** GE Healthcare Nautilus U/S transducers are not cordless

Clinical Needs

Clinical Needs in Foetal & Material Monitoring  

Because pregnancy sometimes brings unexpected challenges, and some mothers may be high risk, we offer a comprehensive solution helping you face situations in Antepartum, Intrapartum and Postpartum   

Antepartum: 

  • Decreased neonatal and infant mortality1 
  • Detecting high-risk pregnancy (maternal, foetal and obstetrical risk factors)  
  • Identify foetus with congenital abnormalities 
  • Identify foetus at risk for injury due to disrupted oxygenation 
  • Help giving prediction on foetal status like metabolic acidosis, hypoxic, and anaemia, impending IU death, impairment of foetal central nervous system, foetal infections or arrhythmias    

1 Per ILCOR 2012, Pediatrics Vol 126 number 5, page 1405.     

Intrapartum: 

  • Establish foetal and maternal well-being 
  • Assess foetal physiological changes caused by disrupted oxygenation during labour 
  • Identify FHR patterns - basic elements of foetal oxygenation: 
  • Assess effects of treatment 
  • Provide a permanent record of labour events    

Postpartum: 

  • Resuscitating and monitoring of mother 
  • Resuscitating and monitoring of the baby 
    • Thermal needs 
    • A,B,C’s   
    • APGAR score

Practice Recommendations

Practice Recommendations for Foetal-Maternal Monitoring  

Monitoring mother after delivery: 

There are no high-level studies that investigate appropriate maternal observations post delivery2 

  • Recommendations on initial assessment of mother post normal delivery should include temperature, NIBP, uterine contraction, lochia and examination of placenta 
  • Recommendations post C-section may include temperature, NIBP, pulse oximetry, uterine contraction, wound observation, lochia and placental examination 

2 Intrapartum care of healthy women and their babies during childbirth – NICE 2007    

Resuscitating newborn after delivery: clinically focused resuscitation platforms 

  • Early indications from ultrasound scans and foetal monitoring will give good clinical information to the clinician of a foetus who is in distress or may require resuscitation or have special needs at birth 
  • Continuity of care from transition from foetal state to newborn achieved 
  • Meeting clinical needs from one point at birth 
    • Adaptation from foetus to newborn:  thermal management 
    • Lung inflation: positive pressure resuscitation 
    • Assessment of transition: Apgar timer 
    • Ability to make thorough assessment: lighting 
    • Meeting ERC/ILCOR Guidelines: blended gas & pulse oximetry     

Monitoring newborn after delivery 

  • Respiratory/cardiovascular 
    • Resuscitation of full-term newborn: always start in air – and blend upwards % of oxygen as required; if oxygen is given use pulse oximetry to guide 
    • Solution: Panda* iRes Warmer with integrated blender and pulse oximetry   
  • Temperature control 
    • Infants <28 weeks: cover with polyethelene (writer’s note: should this be polyethylene?) wrap; place under radiant heater; delivery room at least 260C and avoid hypothermia during transportation to NICU; use skin temperature monitoring to guide, especially in transport situation 
    • Solution:  Lullaby* or Panda* warmers with temperature monitoring  
  • Exhaled CO2 
    • In addition to clinical assessment, exhaled CO2 is recommended as the most reliable method to confirm tracheal placement in neonates with spontaneous circulation – monitoring with end tidal CO2 capacity