User Guide

Monica Healthcare Ltd. Unit 8, Interchange 25 Business Park, Bostocks Lane, Nottingham, NG10 5QG, UK
www.monicahealthcare.com
5. Selecting Monica UC sensitivity and threshold: Antenatal / Induction or Established Labour
This gives the user the choice to best conform with the clinical situation; the Antenatal/Induction mode
is less sensitive to UC and removes some of the small deflections that may represent artefacts or
inconsequential contractions. It is, however, important to switch to labour mode once the patient is in
established labour.
The symbols on the CTG trace - when Novii/IF24 used
Trace examples:
1. Saturation of the UC
It is recommended that if the patient is in established labour to select the Labour mode on
t
he Novii/IF24, however if there is saturation of the UC then switch to the Induction Mode
2. Antenatal trace
The Antenatal Monica UC can be concerning to clinicians early in the process of inducing
labour or doing an NST. With TOCO there may be very little activity displayed, while
Monica, as discussed above, may trace frequent small waveforms on the UC channel. It is
important to take into account the clinical findings, use palpation and note if the fetus or
patient is moving a great deal. If appropriate, ask the patient to press the event marker on
Monica Spike every
5 minutes to
highlight to the
user that Monica is
being used
The ‘M’ symbol to
highlight, at the start
of the recording, that
Monica is being used.
Only on CTG trace.
Zig Zig thickening, on CTG trace, or light grey trace, on VS, indicates at least 20 second or longer
of maternal movement has occurred (inferred from movement of the POD/AN24 dev i ce that the
patient is wearing or that is on the bed beside her)