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improving tocodynamometer readings

Ob/Gyn   (1,760 Views 4 Comments)

ragingmomster has 25 years experience as a BSN, MSN, RN and specializes in many.

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So, has anyone heard of or seen a nickel taped to the underside of the toco as a method of improving tracings? How about an alcohol pad placed between the toco and the patient's skin?

Why do it, does it work?

Thanks in advance.

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shortstuff31117 specializes in OB.

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It applies more pressure to the Toco. I've done it and it works okay. I think it works better with some brands of fetal monitors more than others. There something that can be bought and put on the stock that is supposed to work well. Look up The Addition, I found her on Facebook. You can get free samples.

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quazar has 20 years experience.

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I just always try to find a bony prominence on the baby that is presenting on highest part of the fundus, and place it there. It's hard when you have either an OP baby or a mom with a lot of adipose tissue on the abdomen to get a good tracing, but usually if I can find that one bony little knee or butt or hip poking out and put the toco there, I get a good read.

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ashleyisawesome is a BSN, RN and specializes in LDRP.

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I've heard of the alcohol pad but never tried it. On overweight women I try using straps instead of a belly band so I can make them really tight, or using a belly band and sticking a few washcloths, roll of tape, etc on top of the toco (and/or the fetal monitor).

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