Smart selection of signal analysis algorithms for telecare of high-risk pregnancy

Telemedical system for fetal home monitoring with smart selection of signal analysis algorithms is presented in this paper. Fetal monitoring signals are provided by a mobile instrumentation consisting of bioelectrical signal recorder and tablet PC which retrieves and processes the data as well as provides wireless data transmission based on Internet. The fetal surveillance system enables analysis, dynamic presentation and archiving of acquired signals and medical data. Novelty of the proposed approach relies on smart fitting of the algorithms for analysis of the abdominal signals in mobile instrumentation, as well as on controlling of the fetal monitoring session from the surveillance center. These actions are performed automatically through continuous analyzing of the signal quality and the reliability of the quantitative parameters determined for the acquired signals. Using that approach the amount and content of data transmitted through remote channels to the surveillance center can be controlled to ensure the most reliable assessment of the fetal well-being.

[1]  D. Zaharie,et al.  Telemedicine for antenatal surveillance of high-risk pregnancies , 2008 .

[2]  Janusz Jezewski,et al.  Towards noise immune detection of fetal QRS complexes , 2010, Comput. Methods Programs Biomed..

[3]  Janusz Jezewski,et al.  Determination of fetal heart rate from abdominal signals: evaluation of beat-to-beat accuracy in relation to the direct fetal electrocardiogram , 2012, Biomedizinische Technik. Biomedical engineering.

[4]  Giuseppe Andreoni,et al.  Telefetalcare: A first prototype of a wearable fetal electrocardiograph , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[5]  J. Jezewski,et al.  The Maternal ECG Suppression Algorithm for Efficient Extraction of the Fetal ECG from Abdominal Signal , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[6]  J. Jezewski,et al.  Application of spatio-temporal filtering to fetal electrocardiogram enhancement , 2011, Comput. Methods Programs Biomed..

[7]  J. Wrobel,et al.  Telemedical application for centralized home care of high-risk pregnancy based on control sharing approach. , 2009 .

[8]  Mehran Mehregany,et al.  A mobile wearable wireless fetal heart monitoring system , 2011, 2011 5th International Symposium on Medical Information and Communication Technology.

[9]  Adam Gacek,et al.  The influence of coincidence of fetal and maternal QRS complexes on fetal heart rate reliability , 2006, Medical and Biological Engineering and Computing.

[10]  Janusz Jezewski,et al.  Computerized analysis of fetal heart rate signals as the predictor of neonatal acidemia , 2012, Expert Syst. Appl..

[12]  Janusz Jezewski,et al.  A Neuro-Fuzzy Approach to the Classification of Fetal Cardiotocograms , 2008 .

[13]  Ping Huang,et al.  Development of e-health network for in-home pregnancy surveillance based on artificial intelligence , 2012, Proceedings of 2012 IEEE-EMBS International Conference on Biomedical and Health Informatics.

[14]  Adam Gacek,et al.  A new approach to cardiotocographic fetal monitoring based on analysis of bioelectrical signals , 2003, Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (IEEE Cat. No.03CH37439).

[15]  M. Godinez,et al.  On-line fetal heart rate monitor by phonocardiography , 2003, Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (IEEE Cat. No.03CH37439).

[16]  T. Fuchs.  Values of T/QRS ratios measured during normal and post-term pregnancies , 2014, Journal of perinatal medicine.

[17]  Chuan-Jun Su,et al.  A Mobile Multi-Agent Information System for Ubiquitous Fetal Monitoring , 2014, International journal of environmental research and public health.

[18]  Muhammad Ibn Ibrahimy,et al.  An Emergency Medical Care Network System for Fetal ECG Monitoring , 2011, 2011 Sixth IEEE International Symposium on Electronic Design, Test and Application.

[19]  Marta Campanile,et al.  Regional and international prenatal telemedicine network for computerized antepartum cardiotocography. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.