Fractal and nonlinear changes in the long-term baseline fluctuations of fetal heart rate

2012 ◽  
Vol 34 (4) ◽  
pp. 466-471 ◽  
Author(s):  
J.C. Echeverría ◽  
J. Álvarez-Ramírez ◽  
M.A. Peña ◽  
E. Rodríguez ◽  
M.J. Gaitán ◽  
...  
Author(s):  
JIANLI LIU ◽  
YIMIN YANG ◽  
SONG ZHANG ◽  
XUWEN LI ◽  
LIN YANG ◽  
...  

Electronic fetal heart rate (FHR) monitoring is a technical means to evaluate the state of the fetus in the uterus by monitoring FHR. The main purpose is to detect intrauterine hypoxia and take corresponding medical measures timely. Because the fetus sleeps quietly for up to 1 hour sometimes, ultrasound Doppler is not easy to continuously detect for a long time. The electronic fetal monitor obtains the fetal heart rate, which not only improves the accuracy and comfort, but also the convenient implementation of long-term monitoring. It is beneficial to reduce perinatal fetal morbidity and mortality. This study used maternal–fetal Holter monitor which is based on the technology of fetal electrocardiograph (FECG) to collect the FHR, and then design algorithm to extract the baseline FHR, acceleration, variation, sleep-wake cycle and nonlinear parameters. There were significant differences in the 22 parameters between the normal and the suspicious group. Using the 22 characteristic parameters, the support vector machine was used to classify the normal and the suspected group of fetuses. 80% of the data was used to train a classification model. The remaining 20% of the data was used as a test set and its accuracy reached 93.75%.


Author(s):  
Giampaolo Mandruzzato ◽  
Yoram J. Meir ◽  
Giuseppina D'Ottavio ◽  
Giancarlo Conoscenti ◽  
Geoffrey S. Dawes

2012 ◽  
Vol 57 (SI-1 Track-F) ◽  
Author(s):  
U Schneider ◽  
U Wallwitz ◽  
A Rudolph ◽  
F Tetschke ◽  
S Bauer ◽  
...  

Author(s):  
Ahmed AA ◽  
◽  
Sayed Ahmed WA ◽  
Taha OT ◽  
◽  
...  

Objective: The purpose of this study was to evaluate the effect of dexamethasone on fetal heart rate parameters using the standard dose regimen. Study Design: A prospective cohort study conducted in the Maternity Department, Suez Canal University hospitals. Sixty- eight pregnant women with gestational age between 28 and 34 weeks were recruited. Patients received 4 doses of dexamethasone 6 mg every 12 hours for threatened preterm delivery due to preterm premature rupture of membranes, placenta previa or history of preterm labor. Computerized cardiotocography was recorded for 60 minutes on day 0 (before dexamethasone administration), day 2 and day 4 after administration. Cardiotocography monitoring was performed between 11 am and 1 pm to avoid diurnal rhythm of fetal heart rate. Outcome measure included changes in fetal heart rate accelerations, variability and fetal movements following dexamethasone injection. Results: Sixty-eight patients were enrolled in the study. Fetal heart rate accelerations (P=0.0001), short-term variation (P=0.01), episodes of high variation (P=0.003) and fetal movements (P=0.0001) were significantly reduced on day 2 after dexamethasone. No significant changes were found on baseline fetal heart rate (P=0.18), long-term variation (P=0.1) and number of decelerations (P=0.1). All parameters returned to baseline values on Day 4 after administration. Conclusion: Dexamethasone induces transient suppression of fetal heart rate parameters on day 2 after administration that mimics fetal compromise. Awareness of this phenomenon is important to avoid iatrogenic delivery of preterm fetuses.


2008 ◽  
Vol 116 (2) ◽  
pp. 334-338 ◽  
Author(s):  
EM Graatsma ◽  
BC Jacod ◽  
LAJ van Egmond ◽  
EJH Mulder ◽  
GHA Visser

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