Neonatal monitoring involves high-acuity observation of neonates in an intensive care setting. Neonate patients most commonly result from premature births and require access to specialized equipment and resources such as temperature support, feeding, respiratory assistance and isolation to prevent infection.
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Traditionally, antepartum fetal monitoring was performed mostly through the mother’s experience and judgment of fetal movements. Heart sounds were monitored through a fetal stethoscope as well.
As technology evolved within this market, phonocardiographs (PCG), with the use of sensors, were developed to monitor fetal heart rate (FHR) electronically and more accurately.
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The main purpose of intrapartum fetal monitoring is to monitor FHR in order to assess brain injury. During labor, severe complications such as brain damage can occur.
A cardiotocograph measures FHR, beat-to-beat, as well as uterine contractions in order to properly monitor for brain injury. This technique uses ultrasound probes or an external contraction sensor.
Invasive techniques allow the physician direct exposure to intra-uterine pressure, and are performed using a catheter-tipped pressure sensor or an external transducer connected to a water-filled cannula. Monitors with ST waveform analysis capabilities allow physicians to analyze fetal electrocardiographs (ECG) in addition to heart rate.
It is important to note that the introduction of fetal electrocardiographs (ECG) has improved calculations, detection of FHR variations and reliability of readings.
Neonatal monitors are standard high-acuity monitors that employ specialized algorithms, different alarm limits and measurements as well as event and alerting packages specific to neonates.
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There are both invasive and non-invasive methods for fetal and neonatal monitoring and both methods have advantages and disadvantages. Invasive methods for fetal monitoring have traditionally been used and are able to directly reveal genetic abnormalities in the fetus.
However, these methods are not without complications. They can cause damage to fetal and maternal tissues, trauma, pain and, in some cases, miscarriage.
The advantages of non-invasive techniques are significant, ranging from decreased trauma and decreased pain and tissue damage to lower costs for patients.
Moreover, neonatal monitoring is shifting towards more non-invasive methods. Due to neonates’ small size, invasive techniques are usually harmful and damaging to them.
Recent advances in monitoring technologies allow for a greater number of physiological parameters, such as blood gas, cerebral blood flow, electroencephalography (EEG), end-tidal CO2 and biochemical characteristics, to be monitored non-invasively.
Mindray Philips Healthcare CONTEC Medical GE Healthcare Sonoscape Biolight Beijing Choice Omron Healthcare Edan A&D Medical Medtronic Nihon Kohden NCC Medical COMEN Masimo Boston Scientific Natus Medical Luckcome Perlong Medical St.Jude Medical Others include: A&D Medical, Alliance Technology, Ambu, AMD Global Telemedicine, Antecheng Technology, AOEOM Technology, Bestran Technology, Biolight, Bionet, Biotronik, Bistos, Carejoy Technology, Charmcare Co., CONTEC Medical, Creative Medical, Dawei Electronic, DM Systems, Draeger Medical, Draegerwerk, Edan, Everycom Technology, Fitcare Electronics, Fukuda Denshi, Guangdong Biolight Meditech, Healicom, HUATO Systems, Henso Medical, Idothink, Joymed Tech, King Pigeon, Konsung Homecare, Leyte Electronic, Maya Medical, Medsinglong, Mediana, MT Medical, Proway, Rainbow Technology, Refine Medical, Ro-Chain, Rossmax International, Saikang Medical, Sejoy Electronics, Shinylink, Smiths Medical, Spacelabs Healthcare, Sunbright, Transtek Medical, YKD Technology, Yongkang Electronic, Welch Allyn, Zencro Industrial, etc.
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