India Market Report for Fetal and Neonatal Monitoring 2017 - MedCore

India Market Report for Fetal and Neonatal Monitoring 2017 - MedCore

  • June 2017 •
  • 197 pages •
  • Report ID: 4958528 •
  • Format: PDF
Fetal and neonatal monitoring are similar but they differ by the time during the pregnancy and birthing cycle when each device is used. Fetal monitoring occurs before and during the birthing process, while neonatal monitoring occurs after birth. Moreover, the parameters that are most important to be monitored vary depending on the stage of pregnancy.

The growth and development of the fetus is important to monitor in antepartum situations in an attempt to detect complications such as intrauterine growth retardation and other malformations. Closer to labor, it is important to monitor fetal distress. After birth, it is important to monitor all physiological processes in order for physicians to take immediate, appropriate actions in the event of complications.

General Report Contents
• Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
• Market Drivers & Limiters for each chapter segment
• Competitive Analysis for each chapter segment
• Section on recent mergers & acquisitions

Traditionally, antepartum fetal monitoring was performed mostly through the mother’s experience and judgment of fetal movements. Heart sounds were monitored through a fetal stethoscope as well. As technology evolved within this market, phonocardiographs (PCG), with the use of sensors, were developed to monitor fetal heart rate (FHR) electronically and more accurately. Antepartum monitoring includes non-stress tests as well as the contraction stress tests and may occur in hospitals or private practice. The main purpose of intrapartum fetal monitoring is to monitor FHR in order to assess brain injury. During labor, severe complications such as brain damage can occur.

A cardiotocograph measures FHR, beat-to-beat, as well as uterine contractions in order to properly monitor for brain injury. This technique uses ultrasound probes or an external contraction sensor. Invasive techniques allow the physician direct exposure to intra-uterine pressure, and are performed using a catheter-tipped pressure sensor or an external transducer connected to a water-filled cannula. Monitors with ST waveform analysis capabilities allow physicians to analyze fetal electrocardiographs (ECG) in addition to heart rate. It is important to note that the introduction of fetal electrocardiographs (ECG) has improved calculations, detection of FHR variations and reliability of readings.

Neonatal monitoring involves high-acuity observation of neonates in an intensive care setting. Neonate patients most commonly result from premature births and require access to specialized equipment and resources such as temperature support, feeding, respiratory assistance and isolation to prevent infection. Neonatal monitors are standard high-acuity monitors that employ specialized algorithms, different alarm limits and measurements as well as event and alerting packages specific to neonates.

There are both invasive and non-invasive methods for fetal and neonatal monitoring and both methods have advantages and disadvantages. Invasive methods for fetal monitoring have traditionally been used and are able to directly reveal genetic abnormalities in the fetus. However, these methods are not without complications. They can cause damage to fetal and maternal tissues, trauma, pain and, in some cases, miscarriage. The advantages of non-invasive techniques are significant, ranging from decreased trauma and decreased pain and tissue damage to lower costs for patients.

Moreover, neonatal monitoring is shifting towards more non-invasive methods. Due to neonates’ small size, invasive techniques are usually harmful and damaging to them. Recent advances in monitoring technologies allow for a greater number of physiological parameters, such as blood gas, cerebral blood flow, electroencephalography (EEG), end-tidal CO2 and biochemical characteristics, to be monitored non-invasively.