Troubleshooting

shows 0. “Toco int”, indicating internal measurement, is printed

intermittently on the trace.
3. Zero the monitor by pressing the Toco Baseline Key . This
zeroes the display and trace to 0. If you do not zero the monitor
properly, the pressure trace may exceed the paper scaling. To
correct this, ensure that the transducer is level with the maternal
xiphoid (lower end of the sternum), then zero the monitor.
4. Flush periodically during monitoring. A pressure spike appears on
the trace if you flush after connecting the transducer to the
monitor.

Troubleshooting

External Toco
Problem Possible Causes Solutions
Quality of the The belt is incorrectly fastened and is The belt must be tight enough to ensure
trace deteriorates too slack or too tight or the belt has lost good contact between the patient’s skin
or the Toco its elasticity. and the entire surface of the transducer
baseline varies. without causing discomfort. Ensure
your are using the correct Philips belt.
Adjust it as necessary.
Maternal movement. Relax the patient.
Fetal movement. None.
Maternal respiration superimposed on Check belt is not too loose.
trace.
Toco sensitivity is Physical transmission of pressure from Ensure a good contact between the
too high (above the uterus to the sensor is much higher patient’s skin and the entire surface of
100 units). than the average value. the transducer. Reposition transducer if
necessary.
An error message is displayed. See Chapter 19, “Troubleshooting.”
If you suspect the signal from the transducer. Carry out the Parameter Test as
described on page 152.
If you suspect the recorder or display. Carry out the Quick Test as described
on page 151.

Chapter 8 - Monitoring Uterine Activity 71

Troubleshooting

Internal Toco

Problem Possible Causes Solutions

No trace. Catheter blocked. Flush with sterile solution.

No change in pressure during Dry environment or Flush with sterile solution or reposition
contraction. possible extra-ovular sensor.
placement of sensor
tip.

Only pressure peaks can be seen Zero adjustment is Zero the system.
(baseline not visible). incorrect.

“-” indicator flashes.

Trace is a straight line. Transducer is Remove and touch the catheter. If the
defective. trace does not show up and down
movements, use a new transducer.

Trace is superimposed with End of catheter is in Retract the catheter a little and flush.
noise. the uterine wall or dry
column.

An error message is displayed. See Chapter 19, “Troubleshooting.”

If you suspect the signal from the transducer. Carry out the Parameter Test as described
on page 152.

If you suspect the recorder or display. Carry out the Quick Test as described on
page 151.

72 Chapter 8 - Monitoring Uterine Activity