MODIFICATION OF OBSTETRICAL SURVEILLANCE SYSTEMS FOR EFFECTIVE PATIENT MANAGEMENT AND HOME-CARE OF AT-RISK PREGNANCY

The paper presents some aspects of telemedical feta l monitoring where the biomedical signals are acqui red remotely at patient’s home and wirelessly transmitted to the central computer through the GSM network and Internet. Signals are acquired during the monitoring sessions, and along with anal ysis results, they create uniform data structure de scribing the medical history of patient since the first monitoring to the labour. T he proposed structure of database was based on the currently used in centralized monitoring systems, and extended by information essential for remote monitoring purposes. Internet-bas ed telemedical systems allow for remote access to collected data, however, it is necessary to secure the database against unauthori zed access to patient’s personal data and medical history. The proposed structure of database records allows for easy searching and vie wing of patient data forms and monitoring traces. These features cause that the da tabase constitutes valuable research material, whic h enables to relate parameters of particular monitoring records, acquired during preg nancy, to the real fetal outcome.