Abdominal EHG on a 4 by 4 grid: mapping and presenting the propagation of uterine contractions

Numerous studies have observed and analyzed the external electrical activity of the uterus associated with contractions and labor. Most of these studies have involved the use of only 3 to 5 electrodes and little effort has been made to investigate the electrical activity concurrently at different locations. In this paper we present the results from measurements of contractions in labor using a 16 electrodes grid. We tried out various methods of presenting and analyzing this data and found this to be a non-trivial task. Here we present both an animation of the evolution of the electric potential, as well as a temporal correlation presentation. The results from a limited sample are in many ways surprising and may provide a new insight in to possible mechanism underlying uterine contractions.

[1]  Catherine Marque,et al.  What is the future of tocolysis? , 2004, European journal of obstetrics, gynecology, and reproductive biology.

[2]  C Marque,et al.  Uterine electromyography: a critical review. , 1993, American journal of obstetrics and gynecology.

[3]  Wim J. E. P. Lammers,et al.  Circulating excitations and re-entry in the pregnant uterus , 1996, Pflügers Archiv.

[4]  G. Saade,et al.  Methods and Devices for the Management of Term and Preterm Labor , 2001, Annals of the New York Academy of Sciences.

[5]  R. Caldeyro-barcia,et al.  Physiology Of The Uterine Contraction , 1960 .

[6]  E. Daniel,et al.  Effect of the placenta on the electrical activity of the cat uterus in vivo and in vitro. , 1960, American journal of obstetrics and gynecology.

[7]  G. Saade,et al.  Uterine Electromyography and Light-Induced Fluorescence in the Management of Term and Preterm Labor , 2002, The Journal of the Society for Gynecologic Investigation: JSGI.

[8]  J. Duchene,et al.  Uterine EMG Signal : Propagation Analysis , 1990, [1990] Proceedings of the Twelfth Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  C. Marque,et al.  Use of the electrohysterogram signal for characterization of contractions during pregnancy , 1999, IEEE Transactions on Biomedical Engineering.