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It uses the Doppler effect to provide an audible simulation of the heart beat. Some models also display the heart rate in beats per minute (BPM). Use of this monitor is sometimes known as Doppler auscultation. The Doppler fetal monitor is commonly referred to simply as a Doppler or fetal Doppler.
A Doppler device detects a heart tone further away from the location of origin. A Pinard horn must be pressed to a location very close to the fetal heart in order to detect it, providing a more accurate indication of fetal position. A doctor, nurse, or midwife can also use palpation and auscultation to determine fetal position. [4]
Cardiotocography sound Schematic explanation of cardiotocography: heart rate (A) is calculated from fetal heart motion determined by ultrasound, and uterine contractions are measured by a tocodynamometer (B). These numbers are represented on a time scale with the help of a running piece of paper, producing a graphical representation.
Funic souffle (also known as funicular or fetal souffle), is a blowing sound heard in synch with fetal heart sounds, and may originate from the umbilical cord. It has also been described as a sharp, whistling sound that is synchronous with the pulse of the foetus, usually heard during the second trimester of pregnancy (13–28 weeks). [3]
Doppler fetal monitors, although usually not technically -graphy but rather sound-generating, use the Doppler effect to detect the fetal heartbeat for prenatal care. These are hand-held, and some models also display the heart rate in beats per minute (BPM). Use of this monitor is sometimes known as Doppler auscultation.
Sonicaid developed a range of fetal monitors, notably the portable Doppler ultrasound products D102, D104 ("Pocket Sonicaid", winner of a Design Council Award for medical equipment in 1976 [2]), D205 [3] [4] and D206 which provided audible output of fetal heart sounds. The original design was due to Frederick (Doug) Fielder who was Sonicaid's ...
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Doppler techniques can be used to visualize blood flow through the heart, great vessels, and umbilical vessels. Assessment of fetal arrhythmias is best accomplished by using a combination of M-mode and Doppler recordings. When these arrhythmias are present, a careful search for structural heart disease is mandatory.
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