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Fetal scalp electrode

Continuous FHR when the external trace is poor.

Source: Unit guidelines
Avoid with maternal HIV, hepatitis B/C, active genital herpes, fetal bleeding disorder, face presentation, suspected fetal death, prematurity.

Steps

  1. Consent; VE confirms membranes ruptured and presenting part.
  2. Guide tube to vertex — avoid face, fontanelles and sutures.
  3. Rotate clockwise ~1 turn.
  4. Remove guide; attach leg plate; confirm trace.
  5. Remove anticlockwise before birth or theatre.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.