Accuracy of a Noninvasive, Wearable, Wireless, ECG-Based, Intrapartum Monitoring Tool Against the Conventional Ultrasound-Based CTG.

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY
Kanjoor Deepthi Damodaran Nair, Sareena Gilvaz, Bindu Menon, Priyanka Singh
{"title":"Accuracy of a Noninvasive, Wearable, Wireless, ECG-Based, Intrapartum Monitoring Tool Against the Conventional Ultrasound-Based CTG.","authors":"Kanjoor Deepthi Damodaran Nair, Sareena Gilvaz, Bindu Menon, Priyanka Singh","doi":"10.1007/s13224-024-01998-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Most conventional cardiotocographs (CTG) work on the ultrasound principle and are heavily used by doctors to measure fetal heart rate (FHR) and uterine contractions (UCs). Despite their widespread usage, they have limitations with accessibility, portability and ease of use. Electrocardiogram (ECG) which relies on electrical signals gives a far superior signal during labor, yet it is ineffective to measure FHR unless an invasive scalp electrode is inserted. Noninvasive fECGs (ni-fECG) are still subject to constant research and validation. The ni-fECG device is a novel, ECG and electromyography (EMG)-based medical device that measures FHR, UC and maternal heart rate (MHR) continuously. It is portable, wearable and easy to use. This study aimed to assess the accuracy of the ni-fECG device with the conventional ultrasound-based CTG.</p><p><strong>Methods: </strong>A prospective observational study was conducted on 282 pregnant women. The inclusion criteria included women ≥ 28 weeks of gestational age with singleton pregnancy and cephalic presentation. The procedure used in both the devices to monitor FHR and UC was explained to the participants. Data analysis was done using Python Jupyter Notebook.</p><p><strong>Results: </strong>The accuracy for baseline heart rate, FHR and UC was found to be 97.37%, 91.3% and 70.27%, respectively. BMI and maternal age did not have a significant impact on the comparative accuracy.</p><p><strong>Conclusion: </strong>With further improvements in UC accuracy the ni-fECG device could be a viable alternative to CTGs.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"75 Suppl 1","pages":"340-347"},"PeriodicalIF":0.7000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085471/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obstetrics and Gynecology of India","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s13224-024-01998-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Most conventional cardiotocographs (CTG) work on the ultrasound principle and are heavily used by doctors to measure fetal heart rate (FHR) and uterine contractions (UCs). Despite their widespread usage, they have limitations with accessibility, portability and ease of use. Electrocardiogram (ECG) which relies on electrical signals gives a far superior signal during labor, yet it is ineffective to measure FHR unless an invasive scalp electrode is inserted. Noninvasive fECGs (ni-fECG) are still subject to constant research and validation. The ni-fECG device is a novel, ECG and electromyography (EMG)-based medical device that measures FHR, UC and maternal heart rate (MHR) continuously. It is portable, wearable and easy to use. This study aimed to assess the accuracy of the ni-fECG device with the conventional ultrasound-based CTG.

Methods: A prospective observational study was conducted on 282 pregnant women. The inclusion criteria included women ≥ 28 weeks of gestational age with singleton pregnancy and cephalic presentation. The procedure used in both the devices to monitor FHR and UC was explained to the participants. Data analysis was done using Python Jupyter Notebook.

Results: The accuracy for baseline heart rate, FHR and UC was found to be 97.37%, 91.3% and 70.27%, respectively. BMI and maternal age did not have a significant impact on the comparative accuracy.

Conclusion: With further improvements in UC accuracy the ni-fECG device could be a viable alternative to CTGs.

一种无创、可穿戴、无线、基于心电图的产中监测工具与传统超声CTG的准确性比较。
背景:大多数传统的心脏造影(CTG)是基于超声原理工作的,被医生大量用于测量胎儿心率(FHR)和子宫收缩(UCs)。尽管它们被广泛使用,但它们在可访问性、可移植性和易用性方面存在局限性。依靠电信号的心电图(ECG)在分娩过程中提供了远为优越的信号,但除非插入侵入性头皮电极,否则测量FHR是无效的。无创fecg (ni-fECG)仍然需要不断的研究和验证。ni-fECG设备是一种新型的基于ECG和肌电图(EMG)的医疗设备,可连续测量FHR, UC和产妇心率(MHR)。便携、可穿戴、使用方便。本研究旨在评估ni-fECG装置与传统超声CTG的准确性。方法:对282例孕妇进行前瞻性观察研究。纳入标准包括孕龄≥28周且单胎妊娠和头位表现的妇女。向参与者解释了两种设备用于监测FHR和UC的程序。数据分析使用Python Jupyter Notebook完成。结果:基线心率、FHR和UC的准确率分别为97.37%、91.3%和70.27%。BMI和母亲年龄对比较准确性没有显著影响。结论:随着UC精度的进一步提高,ni-fECG装置可能是CTGs的可行替代方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.30
自引率
0.00%
发文量
124
期刊介绍: Journal of Obstetrics and Gynecology of India (JOGI) is the official journal of the Federation of Obstetrics and Gynecology Societies of India (FOGSI). This is a peer- reviewed journal and features articles pertaining to the field of obstetrics and gynecology. The Journal is published six times a year on a bimonthly basis. Articles contributed by clinicians involved in patient care and research, and basic science researchers are considered. It publishes clinical and basic research of all aspects of obstetrics and gynecology, community obstetrics and family welfare and subspecialty subjects including gynecological endoscopy, infertility, oncology and ultrasonography, provided they have scientific merit and represent an important advance in knowledge. The journal believes in diversity and welcomes and encourages relevant contributions from world over. The types of articles published are: ·         Original Article·         Case Report ·         Instrumentation and Techniques ·         Short Commentary ·         Correspondence (Letter to the Editor) ·         Pictorial Essay
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信