Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus

Long-term fetal heart rate (FHR) monitoring is necessary to ensure that any FHR abnormality, which may appear at any time during pregnancy and labor, can be detected. An ambulatory electrocardiogram (ECG) recorder employing three abdominal surface electrodes has been developed towards achieving su...

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Main Author:	Ibrahimy, Muhammad Ibn
Format:	Article
Language:	English
Published:	Zes Rokman Resources 2018
Subjects:	RG551 Pregnancy
Online Access:	http://irep.iium.edu.my/40438/ http://irep.iium.edu.my/40438/ http://irep.iium.edu.my/40438/1/40438_Fetal%20heart%20rate%20monitoring.pdf

id	iium-40438
recordtype	eprints
spelling	iium-404382018-03-01T06:46:52Z http://irep.iium.edu.my/40438/ Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus Ibrahimy, Muhammad Ibn RG551 Pregnancy Long-term fetal heart rate (FHR) monitoring is necessary to ensure that any FHR abnormality, which may appear at any time during pregnancy and labor, can be detected. An ambulatory electrocardiogram (ECG) recorder employing three abdominal surface electrodes has been developed towards achieving such a monitoring. The difficulties encountered in determining the FHR from the maternal abdominal signal are mainly the interference due to the electromyogram and motion artifact, and relatively small amplitude of the fetal ECG compared to that of the maternal. Thus improvement to existing abdominal signal processing algorithm is necessary to increase the percentage of successful monitoring. A real-time algorithm has been developed for the simultaneous measurement of the fetal and maternal heart rates from the abdominal signal. The algorithm is based on digital filtering, adaptive thresholding, statistical properties in the time domain, and differencing of local maxima and minima. A filtering technique has been utilized in the proposed algorithm to extract the fetal signal from the maternal abdominal signal. This is an alternative to a previous method which subtracts the maternal complexes from the abdominal signal with a need to overcome the problem of matching a template to the complexes. The proposed algorithm is capable of continuous ambulatory FHR monitoring either off-line, by using recorded signals, or on-line by a clinician during antenatal examination. The performance of the algorithm has been evaluated of the heart rates tracing processed from the abdominal signals. The resulting average accuracy is 83% for the FHR detection. The detection of the FHR from the maternal abdominal signal by the developed algorithm has also been compared with a short-term monitoring commercial instrument IFM-500 for the assessment of the reliability of the algorithm. The performance achieved from the comparison shows non-significant differences of means, low error percentages and linear correlation coefficient. A portable system based on the developed algorithm has the potential for increased percentage of real-time FHR detection thus enabling successful long-term fetal monitoring. Zes Rokman Resources 2018-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/40438/1/40438_Fetal%20heart%20rate%20monitoring.pdf Ibrahimy, Muhammad Ibn (2018) Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus. International Journal for Studies on Children, Women, Elderly And Disabled (IJWED), 3. pp. 195-199. ISSN 0128-309X http://www.ijcwed.com/wp-content/uploads/2018/01/IJCWED3_97.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG551 Pregnancy
spellingShingle	RG551 Pregnancy Ibrahimy, Muhammad Ibn Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
description	Long-term fetal heart rate (FHR) monitoring is necessary to ensure that any FHR abnormality, which may appear at any time during pregnancy and labor, can be detected. An ambulatory electrocardiogram (ECG) recorder employing three abdominal surface electrodes has been developed towards achieving such a monitoring. The difficulties encountered in determining the FHR from the maternal abdominal signal are mainly the interference due to the electromyogram and motion artifact, and relatively small amplitude of the fetal ECG compared to that of the maternal. Thus improvement to existing abdominal signal processing algorithm is necessary to increase the percentage of successful monitoring. A real-time algorithm has been developed for the simultaneous measurement of the fetal and maternal heart rates from the abdominal signal. The algorithm is based on digital filtering, adaptive thresholding, statistical properties in the time domain, and differencing of local maxima and minima. A filtering technique has been utilized in the proposed algorithm to extract the fetal signal from the maternal abdominal signal. This is an alternative to a previous method which subtracts the maternal complexes from the abdominal signal with a need to overcome the problem of matching a template to the complexes. The proposed algorithm is capable of continuous ambulatory FHR monitoring either off-line, by using recorded signals, or on-line by a clinician during antenatal examination. The performance of the algorithm has been evaluated of the heart rates tracing processed from the abdominal signals. The resulting average accuracy is 83% for the FHR detection. The detection of the FHR from the maternal abdominal signal by the developed algorithm has also been compared with a short-term monitoring commercial instrument IFM-500 for the assessment of the reliability of the algorithm. The performance achieved from the comparison shows non-significant differences of means, low error percentages and linear correlation coefficient. A portable system based on the developed algorithm has the potential for increased percentage of real-time FHR detection thus enabling successful long-term fetal monitoring.
format	Article
author	Ibrahimy, Muhammad Ibn
author_facet	Ibrahimy, Muhammad Ibn
author_sort	Ibrahimy, Muhammad Ibn
title	Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
title_short	Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
title_full	Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
title_fullStr	Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
title_full_unstemmed	Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
title_sort	fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus
publisher	Zes Rokman Resources
publishDate	2018
url	http://irep.iium.edu.my/40438/ http://irep.iium.edu.my/40438/ http://irep.iium.edu.my/40438/1/40438_Fetal%20heart%20rate%20monitoring.pdf
first_indexed	2023-09-18T20:58:02Z
last_indexed	2023-09-18T20:58:02Z
_version_	1777410435476094976

Fetal heart rate monitoring during pregnancy for assessing the well-being of the fetus

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