Summary
Fetal heart rate monitoring event detection involves analyzing fetalheart rate variability to predict fetal wellbeing. Today, Dopplerultrasound is commonly used for continuous monitoring during labor. Existing monitoring methods use autocorrelation or cross-correlation to extract evenly spaced heart rate samples. However, these methods can produce invalid or duplicated samples. New correction algorithms were proposed to recognize and remove these errors. The algorithms were tested on two fetal monitors and found to significantly improve fetal heart rate variability indices. The study recommends implementing these algorithms clinically to properly assess fetal heart rate variability. A study found fetal electrocardiogram monitoring using electrodes on the maternal abdomen to be as accurate as scalp electrodes and more reliable than ultrasound for continuous monitoring. Monitoring was possible for 91% of 507 patients. Beat-to-beat analysis of variability, important for evaluating fetoplacental function, was more precise than with ultrasound or phonocardiography. Internal electronic fetal monitoring does not increase adverse outcomes compared to external monitoring. External monitoring had more false heart rate decelerations. There were no significant differences in neonatal acidosis, cesarean delivery, maternal fever, or morbidity between groups. No infections, neonatal scalp injuries, or abscesses occurred. A method using in-phase and quadrature demodulation reduced false reports of fetal heart rate doubling or halving by 93% and 80% compared to conventional demodulation. This method was as accurate as internal monitoring. It had a narrower range of error and higher correlation with internal monitoring than conventional demodulation. A long-term Holter monitor collected data on fetal heart rate, uterine contractions, and maternal heart rate. Fetal heart rate baseline, accelerations, variability, and nonlinear parameters were analyzed. The fetal heart rate baseline decreased from nighttime to early morning, reaching a minimum around 2 AM. Acceleration area and time were higher in the normal group. Small variability was less common and medium variability more common in the normal group. There were no differences in maternal age, gestational age at delivery, comorbidities, or complications between diagnostic standards. Type 2 fetal heart rate patterns were most common and differed significantly between standards. Computer analysis of 125 fetal heart rate monitoring cases from 28 to 40 weeks gestation found the baseline heart rate decreased with increasing gestational age. The minimum baseline of 132.8 bpm occurred at 38 to 39 weeks. Heart rate variability fluctuated between 4 to 12 bpm, peaking at 32 to 33 weeks. Moderate variability increased from 28 weeks, peaking at 32 to 33 weeks at 65.8%, then decreasing to 56.2% at 37 weeks. Minimal variability showed an opposite trend. At 40 weeks, minimal and moderate variability were 50% each. Acceleration area did not change with gestation. Fetal heart rate matured most rapidly at 32 to 33 weeks gestation.
Internal electronic fetal heart rate (FHR) monitoring during labor does not increase adverse perinatal outcomes. External monitoring was associated with FHR false decelerations. Non-statistically significant differences between the internal and external monitoring groups were observed in the incidence of neonatal acidosis, cesarean section/operative vaginal delivery , fever during labor , puerperal morbidity, chorioamnionitis, and neonatal asphyxia. There were no puerperal infections, neonatal scalp injuries, or scalp abscesses found in either group. Using the internal monitoring value as reference, the incidence of FHR false deceleration in external FHR monitoring was 20.21%
Published By:
Yiheng Liang - Maternal-Fetal Medicine
2022
Cited By:
0
New fetal monitors correct invalid heart rate samples allowing better assessment of wellbeing.
Published By:
J. Jezewski - IEEE Transactions on Biomedical Engineering
2008
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42
A 2-year study found continuous fetal heart rate monitoring using electrodes on the mother's abdomen as accurate as scalp electrodes and more reliable than ultrasound.
Published By:
J. Leventhal - Obstetrics and Gynecology
1975
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12
CTG uses doppler ultrasound to continuously monitor fetal heart rate during labor.FHR varies with fetal heart anatomy and structure of maternal abdomen.
Published By:
Paul Hamelmann - IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control
2020
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41
Abnormal fetal heart rate detected more often with continuous Doppler versus fetoscope. Summary in two sentences, remove URL and 55 characters.
Published By:
P. Mdoe - undefined
2018
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22
With computerized analysis of fetal heart rate (FHR) data from long-range monitoring, characteristics of FHR with increasing gestational age were comprehensively clarified. The average effective monitoring time was 13.9 ± 4.3 h. FHR baseline gradually decreased as gestational age progressed. FHR variability fluctuated but gradually increased from 28 to 33 weeks, reached the maximum, and then decreased until full-term pregnancy.
Published By:
Shufang Li - Journal of Maternal-Fetal & Neonatal Medicine
2021
Cited By:
2
Uterine contractions influence fetal heart rate variability; using segments closest to birth and distinguishing contractions from rest improved detection of fetal distress by 79% using a support vector machine.
Published By:
G. Warmerdam - Physiological Measurement
2018
Cited By:
21
A study found IQ demodulation reduces false fetal heart rate doubling and halving reports. IQ demodulation was found as efficacious as internal monitoring, more accurate than conventional demodulation.
Published By:
Yiheng Liang - Maternal-Fetal Medicine
2021
Cited By:
1
A phonographic system extracted heart rates of fetuses. An adaptive signal processing system evaluated the performance .
Published By:
R. Martínek - Italian National Conference on Sensors
2017
Cited By:
71