The following is a listing of the Perinatal procedures and therapies where our medical devices can help you to provide accuracy in perinatal monitoring and safe, effective care for your patients.
Follow the product links below the procedure descriptions to get additional information on that product. For more specific clinical information on all our products please visit the Clinical Support Materials page.
Amnioinfusion
- Intrapartal amnioinfusion, a procedure that allows the replacement
of amniotic fluid inside the uterus is specifically indicated in situations
of oligohydramnios or variable fetal heart rate decelerations. The
dual lumen design of the Intran® Plus intrauterine pressure catheter
allows uninterrupted monitoring of intrauterine pressures while amnioinfusing.
Intran® Plus Transducer-Tipped Intrauterine
Pressure Catheters
Intrauterine
Pressure Monitor Interface Cables
Amniotomy
- The artificial rupture of membranes (AROM), known as an amniotomy,
is a procedure to induce labor or facilitate birth. The AROM-Cot®
finger cot for amniotomy is an effective tool for AROM and subsequent
induction or augmentation of labor. When using AROM-Cot®, the
finger becomes the instrument which aids in correct placement while
reducing patient anxiety. The AROM-Cot® is particularly useful
in cases where the cervix is posterior.
AROM-Cot® Amniotomy Finger Cots
Fetal
Heart Rate Monitoring - According to ACOG, “Intrapartum
fetal heart rate (FHR) monitoring can help the physician identify
and interpret changes in FHR patterns that may be associated with
such fetal conditions as hypoxia, umbilical cord compression, tachycardia,
and acidosis. The ability to interpret FHR patterns and understand
their correlation with the fetus’ condition allows the physician
to institute management techniques, including maternal oxygenation,
amnioinfusion, and tocolytic therapy.” (ACOG Technical Bulletin
No. 207—July 1995)
External monitoring involves the use of elastic belts wrapped around the mother's abdomen that hold two monitoring devices against the skin. A Doppler device is used to detect the fetal heart rate and a tocodynamometer is used to track the frequency and duration of contractions. This data is sent to the fetal monitor where it is graphically recorded on chart paper.
When it is difficult to detect the fetal heart rate externally, or the heart rate is non-reassuring, a spiral scalp electrode may be used to monitor the FHR internally. The fetal scalp electrode is attached to the fetal occiput and electronically transmits the FHR to a fetal monitor, producing a fetal electrocardiogram (EKG).
Toco Abdominal Belts
Fetal
Scalp Electrodes
Fetal
Monitor Chart Paper
Intrauterine
Pressure Monitoring - The clinical need to accurately assess uterine
contraction frequency, duration, peak intrauterine pressure, and resting
tone, while actively managing labor progression or performing amnioinfusion,
has resulted in the widespread use of Intran® Plus; a family of
reliable and accurate transducer-tipped intrauterine pressure catheters.
Invasive pressure monitoring is indicated in any high risk delivery
and is commonly prescribed in cases of dystocia where augmentation
of labor may be required.
The pre-calibrated, single use transducer in the tip of each Intran® Plus unit converts intrauterine pressure to an electical signal at the source of pressure. This process ensures accurate tracings of uterine pressures, allowing clinicians to base intervention decisions on precise data rather than approximations. By relying on the transducer-tipped Intran®Plus, clinicians avoid unnecessary interventions, reducing the total cost of patient care.
Intran® Plus Transducer-Tipped Intrauterine
Pressure Catheters
Intrauterine
Pressure Monitor Interface Cables
Oropharyngeal
and Nasopharyngeal Aspiration - Muc-X™ meconium aspirators
are used to suction the MSAF from the nose and mouth in order to reduce
the potential for the development of respiratory problems. The smooth
beveled design of the Muc-X™ suctioning tip is gentle on the
oral and nasal tissues of the neonate, and the DeLee style design
eliminates risk of direct oral contact with meconium.
Uterine
Tamponade - Despite significant medical advances, postpartum hemorrhage
(PPH) remains a leading cause of maternal mortality worldwide. It
is an emergent situation which quickly escalates and often requires
invasive surgical intervention.
According to ACOG:
• “When treating postpartum hemorrhage,
it is necessary to balance the use of conservative management techniques
with the need to [timely] control the bleeding and achieve hemostasis.”
(ACOG Practice Bulletin No. 76, Oct. 2006)
• “When uterotonics fail to cause sustained uterine contractions
and satisfactory control of hemorrhage after vaginal delivery, tamponade
of the uterus can be effective in decreasing hemorrhage secondary
to uterine atony.” (ACOG Practice Bulletin No. 76, Oct. 2006)
A systematic, stepwise approach to managing primary PPH includes the use of the BT-Cath® Balloon Tamponade Catheter. The advantages of using a balloon catheter for tamponade rather than traditional uterine packing include; timely utilization, ability to continuously monitor lost fluids, and less invasive removal procedure. The unique BT-Cath® features a soft silicone balloon that contours to the uterine wall. BT-Cath® is designed with check valves and is packaged with a bag-spike and two sterile syringes to aid in timely catheter utilization.
BT-Cath® Balloon Tamponade Catheter
Vacuum
Assisted Delivery - The technique of vacuum extraction, or vacuum-assisted
delivery (VAD) is an effective alternative to forceps delivery that
has been practiced for more than 150 years. Although clinician indications
are the same for the two methods of operative vaginal delivery, practitioner
training required is quite different. In recent years, VAD has become
increasingly popular in medical schools as the preferred choice and
UTMD estimates that vaginal operative techniques are currently attempted
in 10-15% of U.S. births.
Using a two-person VAD system creates a consultative procedure where patient safety and best outcome remain the primary focus. The two-person system allows the physician maximum control over the extraction and frees the nurse to properly document the procedure.
UTMD manufactures a variety of different cups designed for specific fetal positions that meet clinician preference. In the optimal OA (occiput anterior) low or outlet fetal positions representing about 90% of cases where VAD is indicated any cup (bell or mushroom shaped) that fits on the fetal occiput will provide the physician with sufficient traction for successful delivery. In these cases, the best cup choice is the Tender Touch® Cup; a tissue friendly silicone, bell shaped cup that is safest for mother and fetus. Since mushroom shaped cups are capable of more aggressive traction, they should be reserved for more difficult deliveries by highly trained surgeons. Specifically, mushroom cups are indicated when the fetus is at a low OP (occiput posterior) position. UTMD’s Flex Cup® is designed for the low OP position and features a flexible stem which allows the physician to easily place the cup at the proper pivot point of the fetal occiput.
Tender Touch® Disposable Silicone
Bell-Shaped Vacuum Delivery Cups
Soft
Touch™ Disposable Polyethylene Bell-Shaped Vacuum Delivery Cups
Secure
Cup™ Disposable Mushroom-Shaped Vacuum Delivery Cups
Flex
Cup™ Disposable Mushroom-Shaped Vacuum Delivery Cups
Velvet
Touch™ Reusable Silicone Vacuum Delivery Cups
CMI®
Manual Vacuum Delivery Pumps
CMI®
Tube and Accessory Sets
CMI®
Trumpet Valve Sets
