Babies Tale

Once labor is established, the baby’s heartbeat and the strength of your contractions can be measured electronically. It can be reassuring to be able to hear and actually see throughout the delivery that the baby is well and not in distress, though this can also be checked using an old-fashioned ear trumpet or a fetal stethoscope. The disadvantage of electronic fetal monitoring is, you will be attached to a machine during labor. You may feel it is getting more attention than you are! You will not be free to move around. Sometimes the machines do not work well. Some women have noticed that the slightest change in the baby’s heartbeat will lead to intervention, which may not have been necessary.

There is now evidence that continuous electronic fetal monitoring does not make any difference to the labor outcome as far as the baby’s health and safety are concerned, although it results in a higher risk of intervention. However, in any individual case in which monitoring was not performed and a baby dies, the doctor or staff may be sued. For that reason, monitoring is almost always done to protect them, even though there may be no evidence that it is necessary.

Monitoring can be done with an external monitor strapped to your abdomen. Most women find this is awkward because they have to remain still. Also, the monitor has a tendency to slip off during a contraction:

“They kept fussing around; trying to put it back on… I couldn’t concentrate on what I was doing. Most of the time it wasn’t in the right place and we just heard a lot of noise, not the baby’s heartbeat.”

An internal monitor works better and is less restrictive for the mother. However, the waters must be broken and the cervix must be at least 2cm to 3cm dilated for this to be attached to the baby’s head. A tiny scar, like a pinprick, will be left after the monitor is removed but it is unlikely to cause the baby much discomfort. In cases where it is thought the baby may be distressed, a blood sample may be taken from the baby’s head and analyzed.

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