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Tele-cardiotocography can save the lives of many fetuses


The "Fetal Voice" program is designed to detect your fetal risk condition early and, consequently, to inform the mother and the attending physician about the risk.

full-cardiotocogrбfia


Tele-cardiotocography for the treatment of fetuses in the uterus medical examination method, which the pregnant mother it can also be used at homewhereas the finding physician remotely monitors the condition of the baby with the help of modern technology. If the йletet veszйlyeztetх бllapotot йszlel, warns the vбrandуst, megelхzve with any tragйdiбkat.Az Human Erхforrбsok Minisztйriuma, Egйszsйgьgyйrt Felelхs Бllamtitkбrsбgбnak йs the "Voice of Fetus' alapнtуinak kezdemйnyezйsйre program, a thorough professional egyeztetйseket цnбllу szakmakуdot kцvetхen received a" full-cardiotocogrбfia ". In the united states, 4.7 thousand have intrauterine deaths, which means that all 213 viable fetuses are lost before birth. Between 2007 and 2012, there are 2533 such cases in our country happened.

They're stillborn

New Year's Eve in 168 urns

Fetal death of viable fetuses

Fetal death of viable fetuses after 37 weeks

Perinatal mortality for 1000 births

2007

95 443

275

483

132

8,16

2008

97 443

283

416

118

7,43

2009

95 556

239

486

122

7,9

2010

81 185

204

375

102

7,13

2011

84 341

199

377

113

6,98

2012

87 858

197

396

107

6,81

Цsszesen:

541 826

1397

2533

694

7,4

For 1000 births:

2,73

4,67

1,28

7,4


Perinatal and neonatal fishing in Hungary 2007-2012. (Source: 2010-2012 "GEMEMI, 2007-2009" SHARE ")
This is not only a tragedy for affected families, it is also a serious loss for society. THE "tele- cardiotocográfiaWith the spread, the initiators want to reduce the number of intra-uterine deaths.
The elmъlt йvtizedben the koraszьlцtt ellбtбs бltalбnos javulбsa (eg. Perinatбlis intenzнv centers) brought perinatбlis halбlozбs (perinatбlis halбlozбs = szьlйs elхtti mйhen belьli halбl elhalбs + early ъjszьlцtt halбl below + szьlйs) jelentхs csцkkenйsйt, elsхsorban the ъjszьlцtt (the szьletйst kцvetх belьli 168 уrбn ), and the number of deaths between births.
Unfortunately, no significant movement has been achieved in intrauterine (intrauterine) fetal deaths. Meanwhile, in Hungary, the number of perinatal deaths from 1989 to 2012 decreased from 14.91 thousand to 6.81 thousand, while the number of intrauterine deaths from 6.29 thousand to only 4.5 thousand.
Therefore, the proportion of intrauterine deaths in perinatal deaths has increased significantly. Today, in developed countries, about two-thirds of perinatal deaths are intrauterine deaths.

Intrauterine mortality rate in perinatal mortality in Hungary

The Ministry of Human Resources, the Secretary of State for Health, and the "Fetal Voice" program At the outset of its founding, "tele-cardiotocography" received extensive training following extensive professional consultation.
In many areas, telemedicine is helping the health care of the population, primarily in diagnostics. In pregnancy care, there is no known procedure similar to the "Fetal Voice" program elsewhere in the world, so we support a Hungarian, innovative method that helps the beloved and the baby born in the utter safety. Human Erхforrбsok Minisztйriuma, Egйszsйgьgyйrt Felelхs Бllamtitkбrsбga the Professional Kollйgium Szьlйszet йs Nхgyуgyбszat, Asszisztбlt Reprodukciу Branch йs the illetйkes egйszsйgьgyi hatуsбgok vйlemйnye alapjбn kezdemйnyezte a "full-cardiotocogrбfia" professional minimumfeltйteleinek elkйszнtйsйt йs the цnбllу szakmakуd megjelenйsйt.
"Tele-cardiotocography" shows the same test results as the hospital and specialist CTG examinations, with the exception that this pregnant mother can do it at any time without having to have blood. The Ministry believes that this innovative, Hungarian method promotes the protection of fetal life through legal support.

"Tele-cardiotocography" is more than a profession

Dr. István Takács said that cardiotocography (CTG) is the diagnostic tool of childbirth, which is now classical. Its two modes of application include CTG monitoring during pregnancy and NST (Non Stress Test) -CTG (Cardiotocography) tests performed in the last weeks of pregnancy. "Tele-cardiotocography" is a modern application of the conventional test method.

Why is it difficult to spot a fetus in utero emergency?

  • In most cases, there is no detectable sign of fetal danger in the womb, either in the mother or in the vicinity.
  • It is not only the vulnerable (eg diabetes, high blood pressure) who are pregnant with fetal death. Moreover, the risk-free expectation receives less attention because the mother and her environment do not take into account the threat.
  • For the most part, it is the home of the ship that is in trouble.
  • There is a link between early birth and social conditions, but not in fetal deaths.

  • Comparison of classic CTG used in contraceptive care and "tele-cardiotocography" used in the "Fetal Voice" program:

    Classic CTG examination in current care

    The expectant mother goes to a care center or hospital, waits, quits the CTG, finds the report, and then returns home. It may take up to half an day for the examination and the related travel.
    Fetal heart palpation is detected by the ultrasound / doppler technique. (Waves reflected from the heart are sensed and shaped by the sound.) Ultrasound can only be used by a specialist and for medical purposes only! Therefore, the hospital CTG cannot be used at home. According to the American Food and Drug Administration (FDA), "Ultrasound can warm the tissues slightly and cause the formation of very small bubbles." Bubble formation and the long-term effects of heartburn are unknown.
    According to the current pregnancy care protocol, an ambulatory CTG examination is required once a week from week 38, every other week from week 40, and week 41 from day one. In this way, a normal pregnancy can be used to infer a fetal condition from 2-3 CTG examinations.
    CTG find is paper-based, hard to retrieve, no tendency to test, varying finders (legal and professional liability). The frequency of weekly examinations is inadequate to detect danger in time, and daily hospitalization is impracticable. There are 4.7 thousand intra-uterine fetal deaths in care.
    Between 2007 and 2012, there were 541,826 live births in our country. During the same period, 2533 fetuses were lost in the womb in the weeks before childbirth. On average, 422 people die each year! The only solution could be the daily CTG examination, which is not feasible in the traditional way, or involves difficulties. 260,000 CTG examinations were performed in the Hungarian Prison Service in 2014 (OEP data) for 91,500 by birth. An average of 2.8 baby CTG exams were done in 2014! One CTG exam is 20 minutes (administration + preparation 15 minutes more). The annual capacity is 151,667 ounces from the Hungarian health. The costs are: eь. workers' wages, order usage, overheads, utensils and consumables (cushioning, delicate paper, UH gel and hood). A CTG exam for the Hungarian health will cost about 10 000 HUF (estimated data).

    "Tele-cardiotocography" in the "Fetal Voice" program

    The expectant mother is at home comfortably at any time, waiting for the report (sms) and the complete picture, validated by a specialist (displayed via e-mail or personal portal). The test takes 20 minutes at the time chosen by the patient.
    Sensation of fetal heart rate is acoustically completely absent (true voice sensation). No biological risks! (In principle, the expectant mother can see it all day long.) A European-certified (CE) certified medical device that you can use alone in your (lay) home. Currently, there is only one such device in the world, which is a Hungarian developer! With this device we are monitoring the "Fetal Voice" program. Classic and "tele-cardiotocography" the mother hears the fetal heartbeat during pregnancy.
    In the "Fetal Voice" program, tele-cardiotocography allows patients to check their fetal status every day from the 28th week of pregnancy. If you only claim service from week 32 until birth, you will still have at least 60 CTGs!
    Electronic, minute-documented accurate report (sms report to mum, complete image report via email or personal portal).
    It can be printed, retrieved, and shared with the treating physician at any time. You can see a trend change in your baby's condition.
    To date, more than 1,750 individuals have requested a pregnancy at week 32 or thereafter for home fetal monitoring. Fetal mortality in this group did not occur. Based on national data, approx. We should have lost 7 children in the group using the home monitor. In 6 cases, this service or care has proven to save the child's life, and in two cases the mother's life.
    "Tele-cardiotocography" does not burden the health care system, because the pregnant mother is at home and centrally located (which is also important from the point of view of opening). Even with "tele-cardiotocography," it is not possible to save the fetus's life, but with domestic use it could be 70-80% fetal death (estimated data). This is approx. It would require a budget of between $ 5-6 billion (estimated).

    About the program


    The goal of the "Fetal Voice" program is to recognize your condition that is endangering the life of the fetus in due time and, consequently, to report the risk to the mother and the attending physician.

    Bajcsy-Zsilinszky Kuhrzhz was among the first to join the "Fetal Voice" program

    Bajcsy-Zsilinszky Kurzhaz and Order of 240,000 Population Areas Responsible for Birth and Crafts - Dr. Attila Bodnбr outlined the facts. Almost 2,000 births occur in our institution every year. We are continually developing our hospital services and we consider this a priority in the field of midwifery.
    "Tele-carditocography" makes it easy for an expectant mother to have a CTG examination because she can perform the examination at home and help the caregiver work, as the CTG findings can also be given to the patient by the attending physician. And in the "Fetal Voice" program, central finding relieves the treating physician and provides him with professional support.
    There may not be a doctor at every moment to monitor your baby's condition; "tele-cardiotocography" may be a failure in this area.
    The Bajcsy-Zsilinszky Kurzhaz and Order Center joined the "Fetal Voice" program to make it accessible to the comedians taking care home monitoring szolgбltatбst. Not only does tele-cardiotocography mean professional recognition of the procedure, it can also enable social security to accommodate certain conditions of your pregnancy, for example. endangered pregnant women.
    More specifically, the "tele-cardiotocography".
    Photo source: magzathangja.hu