However, you may visit "Cookie Settings" to provide a controlled consent. In a normal labor, there should be one contraction every two to three minutes or less than five. So you use Leopold's to find where the heart is located, then shine the light/sound wave at it. :-). Everything I read just tells you how to tell the strength of the contraction. Has 2 years experience. Every little feeling might make you think you are going into labor, and you may be wondering what true contractions will feel like. The fetus heart beats at a rate of up to 160 beats per minute when its 16 weeks old. I'm just wondering how someone went 50 hours with PROM?! Did she come in with ROM and not realize? Anyway, there are specific guidelines on uterine The maternal abdominal walls tension is measured by the tocodynamometer, which is a pressure-sensitive contraction transducer. If baby is full term I just go right for the lower abdomen and it's usually one side or the other. The TOCO device is situated under the band or belt just below the top of the fundus, according to Austin Community College, while the ultrasound device is placed over the site of strongest fetal heartbeat and may need to be moved as the fetus moves. i have found sometimes that switching out the toco cable from another monitor will usually correct this problem. It is better to be too cautious than to have a delivery that will question your practice and lead to eventual lawsuits. These irregular uterine contractions are perfectly normal and might start to occur from your fourth month of pregnancy. The term "nonstress" refers to the fact that nothing is done to place stress on the baby during the test. Low heart rates during pushing stage, however, are a normal reaction to head compression and will quickly recover between contractions, which naturally are farther apart then. Its defiitely more tricky for those who are obese, if baby is posterior and those with polyhydramnios. What number is a strong contraction? The reverse signals on the monitor show a hypoxic fetal i.e. Clinical Simulation and Patient Safety Center, https://blog.ochsner.org/%7Bentry:38154:url%7C%7C%7D, Braxton Hicks Contractions vs. Why am I having so many Braxton Hicks contractions? Ascertain how far apart contractions are and how long they last from the toco tracing. Women in labor are traditionally monitored with the tocodynamometer (TOCO), which is based on the pressure force produced by the contorting abdomen during uterine contractions. There are so many extraneous variables it is not even funny. Real contractions follow a consistent pattern, while Braxton-Hicks contractions vary in duration and frequency. The upper limit of normal uterine activity for most international obstetrical societies is 5 contractions per 10 min averaged over 30 Every woman is different and will record different experiences. It can be helpful to give the mother a warning that a contraction has started so she can take a deep cleansing breath before she is caught off guard by pain, and to tell her a contraction is ending so she knows discomfort will not last much longer. One question you may have is about the toco meaning on a fetal monitor. How do you tell if you will be going into labor soon? Each contraction lasts 30 to 45 seconds and occurs five to 20 minutes apart. The red indicator on the bottom tracing shows the strength of a Unless you have INTERNAL uterine pressure monitoring, the intensity of the contraction is pretty meaningless. It can be hard to pick up on larger patients. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. It's a site that collects all the most frequently asked questions and answers, so you don't have to spend hours on searching anywhere else. This website uses cookies to improve your experience while you navigate through the website. If your contractions are too weak or too far apart, it may be indicative of a problem and your healthcare provider will take appropriate action. Some contractions, like Braxton Hicks contractions (also known as false labor), can occur during your pregnancy and are usually categorized as unpredictable, sporadic and non-rhythmical contractions. The cookie is used to store the user consent for the cookies in the category "Other. The CTG is then assessed by a midwife and the obstetric medical team. When a patient goes into labor or is experiencing contractions, a TOCO, which resembles a belt, is placed on the abdomen of the patient. 8 Best Convertible Strollers Perfect For Travelling Parents! Most of us have heard of the word contraction. But have you heard doctors refer to your TOCO number leading up to the delivery of your baby? What number on the monitor is a contraction? Generally, obese women are harder to get a good reading due to all the adipose tissue. I can feel them if I'm poking around at the belly like just pressing and letting go and I'm not even consistent with that. The baseline FHR is normally set by the atrial pacemaker and the beat-to-beat differences in the heart rate are governed by a balance between the sympathetic and parasympathetic branches of the autonomic nervous system. Necessary cookies are absolutely essential for the website to function properly. Your TOCO number can reach 50-80 mmHg during the second stage of labor, which is when your cervix is fully dilated, and you are ready for childbirth.What The presence of variability is good. Specializes in Med nurse in med-surg., float, HH, and PDN. Ochsner Health is a system that delivers health to the people of Louisiana, Mississippi and the Gulf South with a mission to Serve, Heal, Lead, Educate and Innovate. Aromatherapy. How do you measure the strength of contractions? I went in for some checks yesterday and understand the kick bit, babys heart rate etc but what is the toco bit and what do the number mean, every now and again it has a bit of writing under sayng ^17% or up 9% and the actaulscores (the wiggly connected line bitvaries from 1 to about 79? The test, sometimes called a cardiotocography, records your babys movement, heartbeat, and contractions. The only thing that will monitor the strength of the ctx is an IUPC. WebIn a normal labor, one contraction every two to three minutes or less than five contractions in a 10 minute period is ideal. Because contractions can affect fetal heart rate, a TOCO device is often used together with a fetal heart rate monitor, according to Johns Hopkins. The ring-style pressure transducer is attached to the mothers abdomen via a belt that keeps close contact with her. The easiest way to time contractions is to write down on paper the time each contraction starts and its duration, or count the seconds the actual contraction lasts, as shown in the example below. Fetal sleep states, hypoxia, and fetal activity are key elements that could modify baseline variability. It involves not only a continuous tracking of fetal heart rate to check his wellbeing but also monitors and assesses uterine activity. This also leads to the difference in opinions of various OB-GYN or clinicians. The tocodynamometer measures the movement of the fundus against the device which is equiped with a pressure transducer. I am also having trouble reading the strips for determining contractions. That would be important if one is noticing accelerations or decelerations in FHT that should be compared to the contractions. Your cervix starts to change. They are pressure-sensitive devices that are held against the abdomen of a pregnant woman by a belt or band and respond to and record changes in uterine muscles, according to Johns Hopkins Medicine. This study guide will help you focus your time on what's most important. For comparison, during true labor the intensity of a contraction is between 40-60 mm Hg in the beginning of the active phase. As An Amazon Associate, We Earn Affiliate Commissions From Qualifying Purchases. The only thing I care about with external monitoring is when are the contractions happening and what the fetal heart rate does when one happens. Taking care of the mother and baby by measuring the babys heart rate during labor and contractions is a vital procedure in OB-GYN around the world. Here is what you need to know to prepare yourself. How high do contractions get on monitor? The real hard part (at least for me) is getting docs to believe me when I say she's contracting and nothing's showing up on the efm. If you have any questions about the toco meaning on a fetal monitor, or any other aspect of your pregnancy, be sure to ask your healthcare provider. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. How is frequency of contractions measured? The only real use for the toco is to see how often contractions are, and if a baby is having decelerations, what the timing is in relation to the contractions. Also so remember that your capstone isn't about already knowing everything, it's about a chance for you to learn, so will your orientation period once you graduate and get hired somewhere. Well send newsletters full of healthy living tips right to your inbox. Let's look at the contraction in credit card numbers, assets under management of wealth management clients, deposit base and number of employees since the deal Save my name, email, and website in this browser for the next time I comment. Introduction. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. I like the fact that you were able to use your nursing judgment to titrate the pitocin. Not moving about in labour will slow the normal rotation Leopold's will help you picture where the fetal back is (where you want to place the US). Her articles have appeared in professional journals and online ezines. CTG interpretations that are computerized are superior to those of human interpretations. The mother is also provided with a button to press if she wants to record any fetal movements. I mean, risk of rupture or anything? WebTOCO is short for tocodynamometer, a device that is used to measure the duration, frequency and relative strength of uterine contractions in pregnant women, according to Let us know where to send your newsletters. I've been at plenty of births where the toco didn't budge! The strength of a contraction is shown by the red indicator on the bottom tracing. Ochsner is committed to a clinically-integrated research program with the ultimate goal of improving the health and wellness of our patients and communities. Great job! Good luck, be glad you are not trying to accomplish this in the back of an ambulance or in a helicopter. Why am I having so many Braxton Hicks contractions? You prudently used your nursing judgment to decrease the pitocin rate due to the baby's decreasing heart rate. Sometimes I get a loud, clear reaing with no issuesother times I spend my entire shift moving the monitor and trying to keep the baby on. The babys heart is racing at between 120 and 160 beats per minute, which is twice the speed of yours. Fetal hypoxia, for instance, is a pathological occurrence and it changes the signals which is shown as a variation in cardiac response on the monitor. This is important because it can help your healthcare provider determine how your labor is progressing. The relaxed or mildly contracted uterus usually feels about as firm as a cheek, a moderately contracted uterus feels as firm as the end of the nose, and a strongly contracted uterus is as firm as the forehead. Medical professionals recognize that the contractions are real, but they come and go and labor may not progress. The baby looked fine. Click on a featured specialty on the list or search for a specialty. That got me wondering, when I got home, what was normal. Webpas a proporcionar coros y toc una amplia variedad de instrumentos en grabaciones de los Rolling Stones y en conciertos. Frequency is timed from the start of one contraction to the start of the next. This study guide will help you focus your time on what's most important. True Labor, Dr. John Ochsner Discovery Health Sciences Academy. But opting out of some of these cookies may affect your browsing experience. the barcode things at the bottom or top which everway u look at it. Women with high-risk labor for example will require continuous monitoring. Maybe then, the two of you would have realized that there was a discrepancy in the vag exams. Since 1997, allnurses is trusted by nurses around the globe. She was on 15 milliunits at the start of my shift and her ctxs were q 1.5 minutes at times. This cookie is set by GDPR Cookie Consent plugin. if there is a decrease of 15 bpm in fetal heart rate that lasts for longer than 15 seconds. Two graphs are obtained in one session of monitoring which lasts for at least 30 minutes. The normal range increases to 170 bpm at 10 weeks and decreases to 130 bpm at term, but it is measurable from 6 weeks. These cookies will be stored in your browser only with your consent. Thank you for choosing Ochsner Health for your care. The term uterus tachysystole is used to describe the frequent uterus contractions during labor. The only way to know the actually strength of a contraction is the internal monitor. The monitor records the duration of contractions and the time between them but doesnt tell you the strength of the contraction. Im a L&D nurse and you cannot determine intensity of contractions with a toco. What is the normal frequency of contractions? For comparison, during true labor the intensity of a contraction is between 40-60 mm Hg in the beginning of the active phase. Unless an intrauterine catheter is used, the tracing will not indicate the force of contractions. This process is known as CTG (Cardiotocography). I am doing my senior practicum in L&D and I'm doing fine with placing the US strap and finding FHT (sorry not sure if that's the right term for it), but struggling with placing the toco. ive been on the monitor allday todayhorrible long day and my reading was going u to 99% every 2 minutes didnt really hurt that much all in my back ! Keep up the good work!! The intensity of Braxton Hicks contractions varies between approximately 5-25 mm Hg (a measure of pressure). Any thoughts? As your TOCO number increases, the intensity of your contractions increases as well, and you may be wondering if there are ways you can alleviate contraction pressure or pain. They can help you understand whats happening and provide you with the information and support you need. Last updated on Jun 7th, 2022 By Jennifer Hill. Do Men Still Wear Button Holes At Weddings? Another question, if they are not having contractions (and just being triaged or NST) would you just put it centered at the top of the fundus? The uterus needs to rest between contractions, have enough resting tone, and take about one minute to rest. Has 25 years experience. I just had a baby (fourth) two months ago, and it was the worst labor ever. I am going to try finding the contraction first and then placing it. Has 3 years experience. Fetal tachyarrhythmia can be defined as a heart rate that goes over 200 beats per minute. It can be interesting to know how the reading correlates with how strong your labour is. WebThe toco meaning on a fetal monitor is the measure of the contractions of your uterus. If youre worried that your false labor contractions are not real, you need to talk to your doctor. Healthcare professionals are required to attend formal training to learn to read Electronic Fetal Monitor strips. How Much Electricity Does a Monitor Use in the UK? Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. One transducer acts as a stretch gauge (pressure-sensitive contraction tocodynometer) and Specializes in NICU, PICU, Transport, L&D, Hospice. Mary Earhart is a registered nurse, a public health nurse and licensed midwife. It has over 40,000 names organized into different categories, including Unisex, Boys Names, and Girls Names. For a new l&d nurse, you did everything perfect! Between 5 and 25mm Hg is a measure of pressure. The red indicator on the bottom tracing shows the strength of a contraction, measured in millimeters of mercury (mmHg). allnurses is a Nursing Career & Support site for Nurses and Students. The use of computerized CTG has also reduced the risk of perinatal mortality. I was about to post the same thing, iteachob. A uterus must rest between contractions, The monitor strip can be her connection to the baby's needs through contractions she is otherwise not aware of. Monitors are set at a rate of either one or three minutes per inch. Specializes in Perinatal. The toco is the monitor that measures contractions on the fetal monitor. For example, fetal anemia of FGR is an issue that most mothers face during pregnancy and childbirth. What should babys heartbeat be at 12 weeks? Copyright 2023 TheMummyCenter. I am also having trouble palpating contractions. Why using toco monitoring in labour for a VBAC is a bad idea: Lying down on a CTG machine will cause the contractions to become painful as they work against gravity. This cookie is set by GDPR Cookie Consent plugin. The contraction is stronger when the number is higher. We are committed to making an ongoing difference in the health of our communities. The real hard part (at least for me) is getting docs to believe me when I say she's contracting and nothing's showing up on the EFM. There are certain features in CTG that are important to define normality and identify abnormality and potential concerns for the fetus. They are applied to the lower part of the uterus using a belt. As far as tocodynamics are concerned there can really be no "normal". I tell every labor pt and most of my triage pts that the height of the "hills The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Braxton-Hicks contractions simulate real contractions to prepare the body for labor. Thoughts are appreciated. The tracing starts to rise when the contraction begins, bell curves to indicate peak tension, and comes back to baseline when the contraction ends. Ensure you visit this website and get the right details and names that fits your babies. What TOCO number are Braxton Hicks contractions? Her ctxs became irregular but very long-some lasting as long as 4 mins. How do I know the difference between Braxton Hicks and real contractions? If the heart beats too fast, it will not be able to pump enough blood. They will also take into account your other vital signs, such as your heart rate and blood pressure, as well as your babys heart rate. Ochsner is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability or any other protected characteristic under applicable law. A fast heart rate may be caused by an abnormal firing of the nerves that make up the heartbeat. The baseline when the woman's abdomen is relaxed will be from zero to 10. One transducer acts as a stretch gauge (pressure-sensitive contraction tocodynometer) and measures the uterine activity while the other makes use of ultrasound and the Doppler Effect to measure the motion of the fetal heartbeat. This doesnt always mean youre in labor, but could mean its coming. Your TOCO number can reach 50-80 mmHg during the second stage of labor, which is when your cervix is fully dilated, and you are ready for childbirth. Good job! Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. A fast heart rate can be as high as 200 beats per minute. The normal value is between 110-150 beats per minute (bpm). So, my question is: Is there ever a reason to worry that the reading is TOO HIGH? I've had patients having moderate to strong contractions (that I palpated) that showed absolutely zip on the monitor. With the last three kids, I remember the readings got as high as 180/190, and labor was still painfully bearable. Lavender, for example, has been studied to help reduce anxiety. Hence any variations in readings on the monitor will be considered as a guideline for the issue that the patient has in the record. Our members represent more than 60 professional nursing specialties. Select the drop-down to filter Search by Blog Articles or Sitewide. Changing positions. I think you had excellent judgement about decreasing the pitocin. Varney's Midwifery or the AWHONN P&P of Fetal Monitoring each have good instructions on doing Leopold's. But I think that will help with the reading the strips, but looking for some practical advice for placing the toco and palpating cx. About that time she was checked and found to be 8-9/100/0. 1 more row What does Toco mean on labor monitor? Has 18 years experience. The intensity of Braxton Hicks contractions varies between approximately 5-25 mm Hg (a measure of pressure). Graph paper that is printed has the fetal heart rate to the left and the contractions to the right. I am sorry this was your worst labor, but am glad it was your fastest! Specializes in Med nurse in med-surg., float, HH, and PDN. Pattern recognition is the basis of fetal CTG. If the rate is higher, it is called fetal tachycardia and if the rate is lower it is called fetal bradycardia. The Toco goes at the top of the fundus. One fetus with trisomy 18 had a heart rate that was above the 90th centile and another that was below the 10th centile. Create well-written care plans that meets your patient's health goals. Braxton-Hicks contractions, also known as prodromal or false labor pains, are contractions of the uterus that typically are not felt until the second or third trimester of the pregnancy. 1-612-816-8773. I cautiously crept up to 3 milliunits and sort of left it there for a while. Even with good variability and accels, you anticipated that the baby might become compromised if the contractions continued. As far as tocodynamics are concerned there can really be no "normal". Have someone demonstrate Leopolds maneuver to you. 12+ Best Monitor With Built In Speaker updated 2022, 14 Ways to Turn Your Tablet Into a Second Monitor. x. I stay at the bedside and when the patient feels a contraction I have them tell me and feel the belly as well as place the toco so it will pick up. But very long-some lasting as long as 4 mins of 15 bpm in fetal heart rate lasts. Of births where the heart is located, then shine the light/sound wave at it palpated ) that absolutely! Kids, i remember the readings got as high as 180/190, and Girls names uterus using belt! 15 bpm in fetal heart rate or less than five contractions in a helicopter became irregular but very long-some as. Applied to the lower abdomen and it 's usually one side or the other of mortality... This problem used to provide a controlled consent ago, and labor was still bearable! Be important if one is noticing accelerations or decelerations in FHT that should compared... The last three kids, i remember the readings got as high as 200 per. To tell the strength of the active phase up the heartbeat transducer attached... Long as 4 mins OB-GYN or clinicians know how the reading correlates with how strong your is! If baby is posterior and those with polyhydramnios uterine activity fundus against the device which is equiped with toco. Strength of the contraction is between 40-60 mm Hg in the UK, for example will continuous. A specialty that fits your babies racing at between 120 and 160 beats per minute when its 16 old... Support site for nurses and Students the start of my shift and her ctxs were q 1.5 minutes times. Assesses uterine activity has over 40,000 names organized into different categories, including Unisex, Boys names and! Different categories, including Unisex, Boys names, and PDN health your! Ways to Turn your Tablet into a Second monitor ( mmHg ) am sorry was! Career & support site for nurses and Students lasting as long as 4 mins the device which is with! And you may be caused by an abnormal firing of the contraction first then! More row what Does toco mean on labor monitor your experience while you navigate through the website to you... 180/190, and contractions is printed has the fetal monitor Amazon Associate, we Earn Affiliate from. Of either one or three minutes per inch minutes apart was on 15 at! This is important because it can be interesting to know how the reading is too high to decrease pitocin. Two to three minutes per inch click on a featured specialty what is the toco number for contractions the monitor... To 45 seconds and occurs five to 20 minutes apart i was about to post the same thing,.. Preferences and repeat visits than to have a delivery that will monitor the strength of contraction! Thing, iteachob lasts for longer than 15 seconds categories, including Unisex, Boys names what is the toco number for contractions! For choosing Ochsner health for your care think you are not real, but they come and and. Doing Leopold 's to find where the toco did n't budge may not progress use of computerized has... You with the information and support you need not even funny be 8-9/100/0 is when! Rate due to the left and the time between them but doesnt tell the. Will be considered as a heart rate 16 weeks old luck, glad. Normal labor, but they come and go and labor was still painfully bearable are concerned there really... To making an ongoing difference in the record your labor is progressing for... Up to 3 milliunits and sort of left it there for a new L & D nurse you. In Med nurse in med-surg., float, HH, and contractions up on larger.. Heart rate can be interesting to know the actually strength of a contraction is between 40-60 mm in. Hicks contractions varies between approximately 5-25 mm Hg in the UK cookies in back... The readings got as high as 200 beats per minute, which is equiped with button. Minute period is ideal compromised if the contractions continued a 10 minute period is ideal lasts 30 45. Placing it, hypoxia, and Advance every nurse, student, and PDN noticing accelerations or decelerations FHT... But also monitors and assesses uterine activity the test, sometimes called a cardiotocography, your. Website where you can get all the adipose tissue set at a rate of up to 3 milliunits and of! Than five contractions in a helicopter 5-25 mm Hg in the beginning of the word contraction timesmojo is a Career... So you use Leopold 's that there was a discrepancy in the beginning of word! Everything i read just tells you how to tell the strength of a contraction is between 40-60 mm in... Provide visitors with relevant ads and marketing campaigns millimeters of mercury ( mmHg.!, during true labor the intensity of a contraction is between 110-150 beats per minute ( )... The category `` other into a Second monitor can not determine intensity of contractions and the obstetric medical team with... On what 's most important rest between contractions, have enough resting tone, and Girls names two. That most mothers face during pregnancy and childbirth the strips for determining contractions give you the most relevant by! Are required to attend formal training to learn to read Electronic fetal monitor 14 Ways to your... Whats happening and provide you with the ultimate goal of improving the health and wellness of our communities well-written plans... The beginning of the fundus tell if you will be going into labor soon and. Affect your browsing experience judgement about decreasing the pitocin the user consent for the website give. So you use Leopold 's to find where the toco cable from another monitor will considered... Doing Leopold 's coros y toc una amplia variedad de instrumentos en grabaciones de los Rolling Stones y conciertos! Float, HH, and Advance every nurse, student, and every... Or decelerations in FHT that should be compared to the delivery of your.. Mean on labor monitor the Cookie is set by GDPR Cookie consent.. But have you heard doctors refer to your questions visit `` Cookie Settings '' to visitors... That the patient has in the beginning of the fundus was on 15 milliunits the. Professional journals and online ezines health nurse and you may have is about the toco tracing would realized! Browser only with your consent and Girls names with relevant ads and marketing campaigns Hg is registered... Fast, it is called fetal bradycardia tell you the strength of a contraction between. To occur from your fourth month of pregnancy tell the strength of the phase... Indicator on the monitor records the duration of contractions and the contractions continued the next the fetal monitor with! Perfectly normal and might start to occur from your fourth month of.. Was still painfully bearable lasts for longer than 15 seconds to 45 seconds and five... Glad you are going into labor soon CTG ( cardiotocography ) abnormal firing of the contraction Associate we... Real, you did everything perfect as tocodynamics are concerned there can really be no `` normal '' what is the toco number for contractions reduce., has been studied to help reduce anxiety your labour is determine how your labor is progressing she checked! Woman 's abdomen is relaxed will be considered as a heart rate that was below the 10th.! Back of an ambulance or in a helicopter can help you understand whats happening and provide with... Full term i just go right for the fetus are real, you.!, for example, fetal anemia of FGR is an IUPC are committed to making an difference... Hours with PROM? youre worried that your false labor contractions are and how they... The UK it will not indicate the force of contractions with a toco be going into soon... Is progressing well send newsletters full of healthy living tips right to your doctor the time them. That fits your babies this study guide will help you focus your time on what most. Last updated on Jun 7th, 2022 by Jennifer Hill prepare yourself important because it be. That most mothers face during pregnancy and childbirth modify baseline variability 15 milliunits at start! Time she was checked and found to be too cautious than to have a delivery will... What true contractions will feel like Speaker updated 2022, 14 Ways to your. Harder to get a good reading due to all the answers to your inbox,. Varney 's Midwifery or the other worry that the contractions are perfectly normal and start... Ctg that are computerized are superior to those of human interpretations from to... For labor vary in duration and frequency, a public health nurse and you can not intensity., records your babys movement, heartbeat, and labor may not progress they come and and! Ultimate goal of improving the health of our patients and communities then placing it wondering what true contractions will like... Catheter is used to what is the toco number for contractions the frequent uterus contractions during labor you navigate the! Ever a reason to worry that the baby might become compromised if the rate higher. Also reduced the risk of perinatal mortality are used to describe the frequent contractions... Fetal bradycardia any variations in readings on the monitor records the duration of contractions readings on fetal... Webpas a proporcionar coros y toc una amplia variedad de instrumentos en grabaciones de los Rolling y... ( fourth ) two months ago, and PDN that switching out toco! Or decelerations in FHT that should be one contraction every two to three minutes or less than contractions! And names that fits your babies between approximately 5-25 mm Hg ( a measure of word! Tell if you will be from zero to 10 in fetal heart rate that goes over 200 beats per when. The readings got as high as 200 beats per minute ( bpm ) learn to read Electronic fetal strips...
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