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Learn More. With Family Sharing set up, up to six family members can use this app. App Store Preview. Screenshots iPad iPhone. For internal monitoring, a small, thin device called an electrode is used. This is inserted through the vagina and neck of the womb which will be opening during labour and placed on the baby's scalp.
This device records the baby's heart rate. If you have a twin or higher multiples pregnancy, internal monitoring can only be used on the baby closest to the neck of the womb. Additionally internal monitoring can only be used when the baby is going to be delivered head first. Internal monitoring will not work on a breech bottom or foot first presentation.
CTG uses sound waves called ultrasound to detect the baby's heart rate. Ultrasound is a high-frequency sound that you cannot hear but it can be sent out emitted and detected by special machines.
Ultrasound travels freely through fluid and soft tissues. However, ultrasound bounces back as 'echoes' it is reflected back when it hits a more solid surface. For example, the ultrasound will travel freely through blood in a heart chamber. But, when it hits a solid valve, a lot of the ultrasound echoes back. Another example is that when ultrasound travels though bile in a gallbladder it will echo back strongly if it hits a solid gallstone.
So, as ultrasound 'hits' different structures in the body, of different density, it sends back echoes of varying strength. This type of ultrasound is used to measure structures that are moving, making it useful for monitoring heart rate. The other plate on the CTG measures how tense the mother's tummy abdomen is. This measurement is used to show when the uterus is contracting. Many different things can be recorded on a CTG; your baby's heart rate, the baby's movements and your contractions.
These are all shown on the image below. It is normal for a baby's heart rate to vary between and beats a minute. This is much faster than your own heart rate, which is about beats per minute.
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