Use Instructions

10
WARNING: MHR/FHR confusion. When the FHR is tracking close to the MHR you should
always confirm the FHR using another modality.
WARNING: Monica does not recommend or support mixing Novii UA with US/FSE FHR
monitoring.
There is a 10-second delay (5mm on the tracing) in the Novii UA trace with respect
to the US/FSE FHR trace; late decelerations could appear as early decelerations
masking a potential fetal compromise.
Using the US transducer in addition to Novii FHR, MHR and UA to confirm the
FHR, for short periods, during gaps or suspected artifact can be used, but the
potential for missing a fetal compromise remains, due to US FHR and Novii UA
desynchronization.
WARNING: Monica does not recommend or support mixing Novii FHR/MHR with
TOCO/IUPC UA monitoring.
If the Novii UA cable is disconnected and the TOCO/IUPC is used (against this
recommendation), it is clinically important to understand that the FHR/MHR shift
will have changed from a 10 second to a 6 second delay (3 mm). Early
decelerations may appear as ‘subtle’ late decelerations. This could lead to an
unnecessary intervention.
CAUTION: The 10 second (or 6 second, if the Novii UA cable is disconnected) MHR delay
should be taken into consideration when monitoring the patient’s response to a
test dose during epidural placement. There is a 6 or 10 second MHR delay in
reporting the MHR with respect to real time events.
CAUTION: The 10 second (or 6 second, if the Novii UA cable is disconnected) FHR shift
should be taken into consideration during prolonged FHR decelerations when
resuscitative measures are being used, the impact of any maneuver will not be
seen for 10 seconds.
CAUTION: The 10-second UA delay should be taken into consideration when coaching
patients to push during the second stage. The patient may sense the contraction
before it appears on the monitor tracing- the contraction has already been building
for 10 seconds.
CAUTION: When the patient is moving and/or the fetus is active caution should be exercised
in interpreting the UA trace. If the interpretation of uterine contractile pattern(s) is
uncertain, another modality to monitor uterine contractions should be considered
and clinical management of the patient adjusted appropriately. The Novii POD