A comparative study of a new cardiotocography analysis program.
Cardiotocography (CTG) is a frequently used technique of fetal monitoring to evaluate the well being of the fetus during pregnancy and in labor. The surveillance technique depends on the analysis of characteristic fetal heart rate patterns and uterine contractions. Computerized analyses can mitigate the intra-observer and inter-observer variability of visual CTG recording explanation, decrease the examination time, and the need of additional tests for fetal health. Several studies also showed that the signal processing techniques could help to determine the fetal heart rate (FHR) patterns, but all of them were only suitable for physicians. Following the criteria and consensuses of National Institute of Child Health and Human Development in April 2008, we developed a LabVIEW based FHR and uterine contraction (UC) pattern analysis software. This software has great potential for home-care use. The signal processing methods utilized in this study are median filter and peak/valley detection method. The analysis performance was verified by nineteen pregnant women's data. The accuracy of FHR baseline, baseline variability, early deceleration, UC frequency and NST all reach 100%. The accuracy of acceleration frequency reaches 90%. The accuracy of late and variable decelerations reaches 95%.
Chen
Chen-Yu
CY
Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan. d96548019@ntu.edu.tw
Chen
Ju-Cheng
JC
Yu
Chun
C
Lin
Chii-Wann
CW
D015148:Cardiotocography / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D005260:Female; D005323:Fetal Monitoring / Q000295:instrumentation* / Q000379:methods; D006340:Heart Rate, Fetal / Q000502:physiology*; D006801:Humans; D015588:Observer Variation; D011247:Pregnancy; D015203:Reproducibility of Results; D012815:Signal Processing, Computer-Assisted; D012984:Software; D013997:Time Factors; D016216:Ultrasonography, Prenatal / Q000379:methods; D014590:Uterine Contraction / Q000502:physiology