Mobile Telemetry Fetal Heart Monitors
We are hoping to raise £59,727 to purchase four mobile telemetry monitors for our delivery ward so that women in labour can keep mobile and walk around freely.
The majority of women giving birth on the delivery suite at Great Western Hospital require continuous fetal heart rate monitoring (CTG). They have risk factors which mean they are not suitable for home birth or mid-wife lead delivery. Currently our monitors connect to the woman via wires. This restricts mobility and often means that women will labour on beds instead of being upright and mobile, increasing the likelihood of an instrumental birth or caesarean section.Simple activities like finding a comfortable position or even just walking around can be quite challenging.
Our solution is to offer mobile telemetry CTG monitors to women giving birth. Mobile telemetry is a form of wireless fetal heart rate monitoring (CTG) that is also waterproof. It enables women to walk around freely, use the birthing ball or use a birthing pool for pain relief, thereby improving patient choice and experience. There is evidence that mobility during labour brings benefits including shorter labours, less severe pain and less intervention.
Each monitor connects wirelessly to a base station showing all the vital information that the clinical team need to keep mum and baby safe.
Women at risk of complications will have greater choice over their birth experience without compromising their safety.
It will enable staff to promote normality for those women for whom it is important.
Increased mobility during labour will mean that women are less likely to have an instrumental birth or a caesarean section.
Birthing Bed for use in the Delivery Suite’s Pool Room
In Great Western Hospital’s Delivery Suite, we are trying to promote normality alongside safety. We have a new Pool room located on the Delivery Suite to enable “high-risk” women choice when it comes to birth.
When the pool is not in use, this room still needs to be used for labouring women and women post birth; a multi-functional birth bed is required in these scenarios.
As the birthing pool takes up a considerable amount of space within this room, there is limited room for the standard delivery bed.
The Delivery Suite would like to offer patients in this room the benefits of using a “birthing bed” – of the same type used successfully in our White Horse Birth Centre for mums with a lower risk of complications.
Promoting an Active Birth
The Croyde Medical AVE 2 birthing bed has a smaller footprint than a standard bed, but also has multiple functions which promote normality in labour; it maximises the floor space to promote active movement, use of mats and birth balls. It ensures that the bed is not the focal point and removes the presence of visible stirrups to help normalise the birth environment.
The bed moves into lots of positions to support women in upright and active positions (kneeling/all fours/lateral position) during labour, but also facilitating use of stirrups when required (e.g. for instrumental birth or suturing). It can also be used to evacuate women from the pool in an emergency.
Feedback has demonstrated that high-risk women feel that their choice is restricted; we regularly have high-risk women asking to birth on the White Horse Birth Centre and have to decline their request for safety reasons. We want to create a similar environment and birth facilities on the Delivery Ward as on the White Horse Birth Centre.
A birthing bed would:-
Create choice to help improve patient experience
Support upright and active positions during labour, which in turn facilitates natural birth
Give a less clinical appearance (improving the release of oxytocin & facilitating natural birth)
Maximise floor space to enable mobility during labour
Be used for different types of birth (natural/instrumental) and suturing.