Dataset Information

A Wireless High-Sensitivity Fetal Heart Sound Monitoring System.

ABSTRACT: In certain cases, the condition of the fetus can be revealed by the fetal heart sound. However, when the sound is detected, it is mixed with noise from the external environment as well as internal disturbances. Our exclusive sensor, which was constructed of copper with an enclosed cavity, was designed to prevent external noise. In the sensor, a polyvinylidene fluoride (PVDF) piezoelectric film, with a frequency range covering that of the fetal heart sound, was adopted to convert the sound into an electrical signal. The adaptive support vector regression (SVR) algorithm was proposed to reduce internal disturbance. The weighted-index average algorithm with deviation correction was proposed to calculate the fetal heart rate. The fetal heart sound data were weighted automatically in the window and the weight was modified with an exponent between windows. The experiments show that the adaptive SVR algorithm was superior to empirical mode decomposition (EMD), the self-adaptive least square method (LSM), and wavelet transform. The weighted-index average algorithm weakens fetal heart rate jumps and the results are consistent with reality.

SUBMITTER: Wei J

PROVIDER: S-EPMC7794984 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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A Wireless High-Sensitivity Fetal Heart Sound Monitoring System.

Wei Jianjun J Wang Zhenyuan Z Xing Xinpeng X

Sensors (Basel, Switzerland) 20201230 1

In certain cases, the condition of the fetus can be revealed by the fetal heart sound. However, when the sound is detected, it is mixed with noise from the external environment as well as internal disturbances. Our exclusive sensor, which was constructed of copper with an enclosed cavity, was designed to prevent external noise. In the sensor, a polyvinylidene fluoride (PVDF) piezoelectric film, with a frequency range covering that of the fetal heart sound, was adopted to convert the sound into a ...[more]

PMID: 33396717

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Project description:IntroductionIn clinical practice, fetal heart rate monitoring is performed intermittently using Doppler ultrasound, typically for 30 minutes. In case of a non-reassuring heart rate pattern, monitoring is usually prolonged. Noninvasive fetal electrocardiography may be more suitable for prolonged monitoring due to improved patient comfort and signal quality. This study evaluates the performance and patient experience of four noninvasive electrocardiography devices to assess candidate devices for prolonged noninvasive fetal heart rate monitoring.Material and methodsNon-critically sick women with a singleton pregnancy from 24 weeks of gestation were eligible for inclusion. Fetal heart rate monitoring was performed during standard care with a Doppler ultrasound device (Philips Avalon-FM30) alone or with this Doppler ultrasound device simultaneously with one of four noninvasive electrocardiography devices (Nemo Fetal Monitoring System, Philips Avalon-Beltless, Demcon Dipha-16 and Dräger Infinity-M300). Performance was evaluated by: success rate, positive percent agreement, bias, 95% limits of agreement, regression line, root mean square error and visual agreement using FIGO guidelines. Patient experience was captured using a self-made questionnaire.ResultsA total of 10 women were included per device. For fetal heart rate, Nemo performed best (success rate: 99.4%, positive percent agreement: 94.2%, root mean square error 5.1 BPM, bias: 0.5 BPM, 95% limits of agreement: -9.7 - 10.7 BPM, regression line: y = -0.1x + 11.1) and the cardiotocography tracings obtained simultaneously by Nemo and Avalon-FM30 received the same FIGO classification. Comparable results were found with the Avalon-Beltless from 36 weeks of gestation, whereas the Dipha-16 and Infinity-M300 performed significantly worse. The Avalon-Beltless, Nemo and Infinity-M300 closely matched the performance of the Avalon-FM30 for maternal heart rate, whereas the performance of the Dipha-16 deviated more. Patient experience scores were higher for the noninvasive electrocardiography devices.ConclusionsBoth Nemo and Avalon-Beltless are suitable devices for (prolonged) noninvasive fetal heart rate monitoring, taking their intended use into account. But outside its intended use limit of 36 weeks' gestation, the Avalon-Beltless performs less well, comparable to the Dipha-16 and Infinity-M300, making them currently unsuitable for (prolonged) noninvasive fetal heart rate monitoring. Noninvasive electrocardiography devices appear to be preferred due to greater comfort and mobility.

Dataset Information

A Wireless High-Sensitivity Fetal Heart Sound Monitoring System.

Publications

A Wireless High-Sensitivity Fetal Heart Sound Monitoring System.

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