نظارت بر ضربان قلب جنین و مادر
ترجمه نشده

نظارت بر ضربان قلب جنین و مادر

عنوان فارسی مقاله: راه حل بی سیم و از راه دور برای نظارت بر ضربان قلب جنین و مادر در خانه
عنوان انگلیسی مقاله: Wireless, remote solution for home fetal and maternal heart rate monitoring
مجله/کنفرانس: مجله آمریکایی زنان و زایمان MFM – American Journal of Obstetrics & Gynecology MFM
رشته های تحصیلی مرتبط: مهندسی پزشکی، پزشکی
گرایش های تحصیلی مرتبط: مهندسی پزشکی بالینی، جراحی زنان و زایمان، مامایی
کلمات کلیدی فارسی: ضربان قلب جنین، نظارت بر جنین، انفعالی، نظارت بر دوران بارداری از راه دور، نظارت بیسیم
کلمات کلیدی انگلیسی: fetal heart rate, fetal monitoring, passive, remote prenatal monitoring, wireless monitoring
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.ajogmf.2020.100101
دانشگاه: Nuvo-Group, Ltd, Tel-Aviv, Israel
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2020
شناسه ISSN: 2589-9333
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 9
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: ندارد
کد محصول: E14961
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست انگلیسی مطالب

Background


Objective


Materials and Methods


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Clinical Trial Information


Materials and methods


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نمونه متن انگلیسی مقاله

BACKGROUND: Access to prenatal care can be challenging due to physician shortages and rural geography. The multiple prenatal visits performed to collect basic fetal measurements lead to significant patient burden as well. The standard of care tools for fetal monitoring, external fetal heart rate monitoring with cardiotocography, as used today, must be applied by a medical professional in a healthcare setting. Novel tools to enable a remote and self-administered fetal monitoring solution would significantly alleviate some of the current barriers to care. OBJECTIVE: To compare maternal and fetal heart rate monitoring data obtained by ‘Invu system’ (a wireless, wearable, self-administered, fixedlocation device containing passive electrical and acoustic sensors) to cardiotocography, toward a true remote fetal monitoring solution. MATERIALS AND METHODS: A prospective, open-label, multicenter study evaluated concurrent use of Invu and cardiotocography in pregnant women, aged 18 to 50 years, with singleton pregnancies ۳۲þ۰ weeks’ gestation (NCT03504189). Simultaneous recording sessions from Invu and cardiotocography lasted for ۳۰ minutes. Data from the 8 electrical sensors and 4 acoustic sensors in the Invu belt were acquired, digitized, and sent wirelessly for analysis by an algorithm on cloud-based servers. The algorithm validates the data, preprocesses the data to remove noise, detects heartbeats independently from the two data sources (electrical and acoustic), and fuses the detected heartbeat arrays to calculate fetal heart rate (FHR) and maternal heart rate (MHR). The primary performance endpoint was Invu FHR limit of agreement within 10 beats per minute (bpm) of FHR measured with cardiotocography. RESULTS: A total of 147 women were included in the study analysis. The mean (SD) maternal age was 31.8 6.9 years, and the mean gestational age was 37.7 2.3 weeks. There was a highly significant correlation between FHR measurements from Invu and cardiotocography (r ¼ ۰٫۹۲; P<0.0001). The 95% limits of agreement for the difference, the range within which most differences between the two measurements will lie, were -8.84 bpm to 8.24 bpm. Invu measurements of MHR were also very similar to cardiotocography and were highly significantly correlated (r ¼ ۰٫۹۷; P<0.0001). No adverse events were reported during the study. CONCLUSION: Although captured by very different methods, the FHR and MHR outputs wirelessly obtained by the Invu system through passive methods were very similar to those obtained by the current standard of care. The limits of agreement for FHR measured by Invu were within a clinically acceptable 8 bpm of cardiotocography FHR. The Invu device uses passive technology to allow for safe, non-invasive and convenient monitoring of patients in the clinic and remotely. Further work should investigate how remote perinatal monitoring could best address some of the recent challenges seen with prenatal care and maternal and fetal outcomes.

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