Electronic Fetal
Monitoring.
A contraction strip is the tracing
that records the fetus' heart rate in response to uterine
contractions.
It is otherwise called fetal heart
monitoring tracing.
Cardiotocography is the technique of
recording the fetal heartbeat and the uterine contractions.
The Electronic Fetal Monitor has two
devices that detect pressure called transducers.
How to interpret the
strip
- The interval between two vertical
red lines represent one minute.
- Fetal heart sound displayed on the
top line
- Uterine activity displayed on the
lower line
- The top line spikes up or dips down
to reflect changes in baby's heart rate.
- The bottom line of the strip shows
the mother’s uterine contractions.
- The two lines are looked at in
conjunction with one another.
- During normal labour the duration
of contractions should be about 40-60 seconds.
- Contractions that last longer than
two minutes are abnormal and are referred to as hypertonus.
- The frequency of contractions
should be about two to three minutes apart. When the contractions
that come more frequently than one every two minutes it is called
tacysystole.
- The normal baseline for a healthy
fetus is between 110 to 160 beats per minute. The heart rate above
160 beats per minute known as tachycardia and the heart rate below
110 beats per minute is called bradycardia.