I FIND THIS ******** AND NO NEED PROCEDURE TO BE AWFUL. I HAVE STARTED THIS THREAD SO PREGNANT WOMEN CAN READ ABOUT ONE OF THESE INTERVENTIONS WHICH I FEEL IS NOT MENTIONED A LOT..
MIGHT BE SOMETHING TO PUT ON YOUR BIRTH PLAN AS A PROCEDURE YOU DO NOT WANT
HOW CAN A NEEDLE WHICH IS IN THE SHAPE OF A CORKSCREW BE GENTLY PLACE INTO THE BABY'S SCALP????...Internal monitoring differs from external monitoring. Instead of both leads being strapped to the outside of the woman's body, the Doppler lead is replaced by a smaller lead that is placed inside the woman's vagina and attached to the head of the baby. The internal lead is called a 'fetal scalp electrode' (or FSE). It is only used to monitor the baby's heart rate during labour, usually if external monitoring is not being reliable (but sometimes if the caregiver prefers internal to external monitoring).
A fetal scalp 'clip', or electrode, is a small, circular, corkscrew-shaped needle attached to a coated wire. The clip is covered with a long, protective, flexible, plastic covering and guided up through the mother's vagina by the caregiver doing an internal examination. This procedure should not be any more uncomfortable than a normal vaginal examination. The waters need to be broken to attach an FSE to the baby's head. If they are not already broken, this will need to be done to allow the electrode to be attached.
The needle is gently rotated into the skin on the baby's scalp (or bottom if the baby is breech). The internal electrode monitors the baby's heart rate more accurately than an external Doppler. Once the clip is attached, the plastic cover is removed, leaving just the wire.
The lead is then plugged into the monitor to produce the readouts.
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