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Participant will be able to list three (3) benefits of using the Monica Novii
Participant will be able to understand the limitations and capabilities of this technology
Participant will be able to take information learned during this presentation and apply it to their own practice.
The Monica Novii is a wireless fetal heart rate monitoring device. It uses abdominal surface electrodes to pick up the fetal heart rate, maternal heart rate, and uterine activity. The device uses Bluetooth technology and adhesive electrodes to accurately display the FHR and MHR in relation to uterine contractions without the hassle of multiple wires.
-The Monica Novii uses cardiotocography to monitor the heart rates and activity of the uterus.
-The patch system is adhesvie, so it is able to stick to the mother's abdomen without slipping or falling off.
-The device is able to use bluetooth to relay the information to the hospital's monitoring system, so the nurse is then able to watch what's happening on the screen.
Used for women who want more mobility during labor and less invasive monitoring.
Used for women who are obese or have high BMI- device can be more effective in monitoring FHR than wired monitor.
Used to monitor mother's heart rate without adding extra monitoring devices.
-Monitor FHR, MHR, and uterine activity all in one device
-No wires, belts, or cords limiting patient movement
-Patient comfort- mobility increased and belts omitted
-No need for repositioning monitor like the standard doppler
-More effective for BMI patients compared to standard monitoring
-Can be used in up to 1 meter of water and left in place during a shower or bath
-Only indicated for use if gestational age is > 36 weeks
-Indicated for singleton pregnancies (not effective for twins, triplets, etc.)
-Cannot be fully submerged in water- effects Bluetooth signal and not reliable for monitoring
-Limited clinical evidence
-More costly than standard monitoring devices
-May not be appropriate during advanced labor/transition
-Occasional unexplained loss of signal during advanced labor
-Can require extra training and more timely to set up device
Physical
Psyche
Physical Improvements
-The mother is able to move independently which can decrease the time of labor
-Discomfort can be reduced by eliminating the need for bands around the mother's abdomen
-Decreased level of pain and tension by giving the patient freedom and control over their bodies
-Gives patient more freedom
-Empowers the mother to choose their own positions and movements to decrease pain
-Can reduce interruptions of patient relationship building (no need to reposition device)
-Gives piece of mind and reassurance to the mother
The Monica Novii is a valuable piece of technology that can be very useful for L&D staff and midwives. It is non-invasive, easy to use, and empowering for mothers. It does have its limitations and shouldn't be used to replace standard monitoring devices, but can improve patient care and comfort.
GE Healthcare. (2018). Monica Novii Wireless Patch System: Empowering you and your patients. General Electric Company.
Monson, M., Heuser, C., Einerson, B. D., Esplin, I., Snow, G., Varner, M., & Esplin, M. S. (2020). Evaluation of an external fetal electrocardiogram monitoring system: a randomized controlled trial. American journal of obstetrics and gynecology, 223(2), 244.e1–244.e12. https://doi.org/10.1016/j.ajog.2020.02.012
Novii Wireless Patch System for maternal and fetal monitoring . (2020). National Institute for Health and Care Excellence.