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 antepartum care, to labor 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.

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