A systematic review on the utility of non-invasive electrophysiological assessment in evaluating for intra uterine growth restriction

Smith, Vinayak; Nair, Amrish; Warty, Ritesh Rikain; Sursas, Joel Arun; Costa, Fabrício da Silva; Wallace, Euan

doi:10.1186/s12884-019-2357-9

Cited by 8 publications

(2 citation statements)

References 62 publications

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“…The Monica AN24 monitor (Monica Healthcare, Nottingham, UK) and the Meridian M100/M1000 monitors (MindChild Medical, North Andover, MA), both which have been approved by the Food and Drug Administration (FDA) and the European Commission (CE), are two commercial devices commonly used for non-invasive fECG ( Behar et al 2016 ). However, although the cost of fECG devices is relatively low ($4500 for the Monica Novii Wireless Patch System ( Cardo Medical 2020 )), non-invasive fECG is still not widely used since the systems still require further testing to definitively demonstrate that the morphological analysis is similar to that provided by the scalp electrocardiography method ( Smith et al 2019 , Kahankova et al 2019 ).…”

Section: Comparison Of Fetal Cardiac Monitoring Methodsmentioning

confidence: 99%

A review of fetal cardiac monitoring, with a focus on low- and middle-income countries

et al. 2020

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There is limited evidence regarding the utility of fetal monitoring during pregnancy, particularly during labor and delivery. Developed countries rely on consensus ‘best practices’ of obstetrics and gynecology professional societies to guide their protocols and policies. Protocols are often driven by the desire to be as safe as possible and avoid litigation, regardless of the cost of downstream treatment. In high-resource settings, there may be a justification for this approach. In low-resource settings, in particular, interventions can be costly and lead to adverse outcomes in subsequent pregnancies. Therefore, it is essential to consider the evidence and cost of different fetal monitoring approaches, particularly in the context of treatment and care in low-to-middle income countries. This article reviews the standard methods used for fetal monitoring, with particular emphasis on fetal cardiac assessment, which is a reliable indicator of fetal well-being. An overview of fetal monitoring practices in low-to-middle income counties, including perinatal care access challenges, is also presented. Finally, an overview of how mobile technology may help reduce barriers to perinatal care access in low-resource settings is provided.

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Section: Comparison Of Fetal Cardiac Monitoring Methodsmentioning

confidence: 99%

A review of fetal cardiac monitoring, with a focus on low- and middle-income countries

et al. 2020

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“…The values of phase rectified signal averaging are known to capture fetal neurological development. The fetal growth restriction (FGR) was found to be featured by decreased variables of acceleration capacity and deceleration capacity (AC/DC) [4][5][6]. FGR is known to be associated with an increased rate of fetal deterioration.…”

Section: Introductionmentioning

confidence: 99%

Diagnosing antenatal fetal distress

Лахно

Uzel

2022

Ginekol Pol

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Objectives: The values of acceleration capacity and deceleration capacity are known to capture fetal neurological development. The fetal growth restriction was found to be featured by decreased variables of phase rectified signal averaging. We have speculated that acceleration capacity and deceleration capacity could be of use in the detection of antenatal fetal distress during fetal growth restriction. The study was focused on the detection of the accuracy of acceleration capacity and deceleration capacity in diagnosing fetal distress. Material and methods:In total, 124 pregnant women at 26-36 weeks of gestation were included in the study. The patients with appropriate to gestational age fetuses (n = 32) were enrolled in Group I. The patients with fetal growth restriction and an absence of fetal distress (n = 48) were observed in Group II. Lastly, the patients with fetal growth restriction and fetal distress (n = 44) were included in Group III. Fetal cardiosignals were obtained via non-invasive fetal electrocardiography. The maximally decreased acceleration capacity and deceleration capacity values were found in Group III.Results: A correlation was found between umbilical artery resistance index and acceleration capacity and deceleration capacity variables in all study groups. We have found that the application of phase rectified signal averaging in the antenatal period showed high sensitivity and specificity in fetal distress detection. Conclusions:Fetal acceleration capacity and deceleration capacity is a prospective option for the detection of fetal compromise during fetal growth restriction.

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Detection of Pre-term Delivery by the Analysis of Fetal ECG Signals

Sridharan¹,

Dhileep²

2021

Algorithms for Intelligent Systems

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A systematic review on the utility of non-invasive electrophysiological assessment in evaluating for intra uterine growth restriction

Cited by 8 publications

References 62 publications

A review of fetal cardiac monitoring, with a focus on low- and middle-income countries

A review of fetal cardiac monitoring, with a focus on low- and middle-income countries

Diagnosing antenatal fetal distress

Detection of Pre-term Delivery by the Analysis of Fetal ECG Signals

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