How is this device used?
VivO2 is inserted vaginally and used the same way as an internal sonogram wand. However, VivO2 can only be used during active labor, after membranes have been ruptured.
Will it be inserted and removed periodically, increasing the chance of infection?
VivO2 is designed to be used as often as the attending OB or mid-wife deems necessary and will most likely vary with each mother as their laboring is different. Between applications the device will be sanitized with specialty wipes and a buffering solution that will be provided.
The sensor itself is good for a year before it starts to degrade. In order to address sanitation concerns, the diagnostic tool is disposable between patients.
Does it cause immobility?
No, in just a few seconds, VivO2 captures the data. It can easily be inserted between contractions, causing no discomfort to the laboring mother or baby.
Why isn’t tracking fetal heart rate, rhythms & patterns sufficient to tell when baby needs help?
Our research has reviewed many published scientific journal studies showing the interpretation of such data carries a heavy margin of error. So much so that the industry (hospital) standard is to test the blood after birth to determine whether the attending OB was correct in their interpretations. And many insurance companies are requiring such tests to have a baseline on the infant at birth to project if they will be liable for long term complications due to this educated guess and rate of error. Monitors are only as good as their positioning and size of the mother can play a part. My own experience with my third child was inaccurate interpretation and my baby was born blue due to lack of sufficient oxygen and his heart rate remained “normal” the entire labor.
In over 40 years of being a midwife, I can tell by the FHR & ctx patterns, when someone needs to be transported for help.
Our objective is to get this vital information before birth - when something can be done, before any complications arise. It is also our mission to reduce the number of cesareans. Many doctors will err on the side of caution simply because they don’t have the qualitative and quantitative data they need. Based on data, VivO2 will provide, OB’s will have a definitive number to confirm their prognosis, “we are confident to let you continue to labor” versus “just to be safe”... then recommending the cesarean.
If the amniotic sac needs to be broken to use this, won’t that cause more uterine infections? And possibly give them another excuse to AROM?
If the mom doesn’t already have ruptured membranes, that decision will remain in the attending physician’s/mid-wife’s charge. As you are acutely aware, the water is usually broken early on to encourage labor along, and many women arrive to the delivery ward with water already broken. It is ultimately the attending physicians charge to weigh pros and cons of the decisions per each individual case.
How is this better than tracking pH with a stick or swab?
A stick or swab would start reading prematurely and immediately upon entry, therefore having error/contaminated reading of the mother versus what VivO2 does, which is read the baby.
It looks kind of big & uncomfortable, would this necessitate, or increase need for an epidural?
VivO2 is approximately the same size as an internal sonogram wand. It would feel no different than that of a speculum; therefore an epidural would not be needed, nor recommended just to use our device.
Do you have pricing for mid-wives?
We do plan on implementing a special pricing program for mid-wives. VivO2 will be made available to mid-wives at a lower cost.