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Antenatal Noninvasive fetal Electrocardiography:A Literature Review

Maternal-fetal Medicine 2024年第3期6卷 178-189页

作者： Claire Pegorie Becky Liu Basky Thilaganathan Amar Bhide Department of Obstetrics and Gynaecology St George’s University Hospitals NHS Foundation TrustLondon SW170QTUnited Kingdom Vascular Biology Research Centre Molecular and Clinical Sciences Research InstituteSt George’s University of LondonLondon SW170QTUnited Kingdom

fetal heart rate(FHR)monitoring is one of the central parts of obstetric ***-based technologies such as cardiotocography(CTG)remain the most common method for FHR *** CTG’s limitations,including subjective interpretation,high interobserver variability,and the need for skilled professionals,led to the development of computerized CTG(cCTG).While cCTG demonstrated advantages,its superiority over visual interpretation remains *** has prompted the exploration of alternatives like noninvasive fetal electrocardiography(NIFECG).This review explores the landscape of antenatal FHR monitoring and the need for remote FHR monitoring in a patient-centered care ***,FHR monitoring needs to evolve from the traditional approach to incorporate artificial intelligence and machine *** review underscores the importance of aligning fetal monitoring with modern healthcare,leveraging artificial intelligence algorithms for accurate assessments,and enhancing patient *** physiology of FHR variability(FHRV)is explained emphasizing its significance in assessing fetal *** measures of FHRV and their relevance are *** delves into the promising realm of NIFECG,detailing its history and recent technological *** potential advantages of NIFECG are objective FHR assessment,beat-to-beat variability,patient comfort,remote prolonged use,and less signal loss with increased maternal body mass *** its promise,challenges such as signal loss must be *** clinical application of NIFECG,its correlation with cCTG measures,and ongoing technological advancements are *** conclusion,this review explores the evolution of antenatal FHR monitoring,emphasizing the potential of NIFECG in providing reliable,home-based monitoring *** research directions are outlined,urging longitudinal studies and evidence generation to establish NIFECG’s role in enhancing fetal well-being assess

关键词： Ambulatory monitoring Noninvasive fetal electrocardiography fetal heart-rate monitoring fetal heart rate variability

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