Journal
MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING
Volume 44, Issue 5, Pages 393-403Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s11517-006-0054-0
Keywords
fetal monitoring; abdominal fetal electrocardiography; fetal heart rate; biomedical instrumentation
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Bioelectrical fetal heart activity being recorded from maternal abdominal surface contains more information than mechanical heart activity measurement based on the Doppler ultrasound signals. However, it requires extraction of fetal electrocardiogram from abdominal signals where the maternal electrocardiogram is dominant. The simplest technique for maternal component suppression is a blanking procedure, which relies upon the replacement of maternal QRS complexes by isoline values. Although, in case of coincidence of fetal and maternal QRS complexes, it causes a loss of information on fetal heart activity. Its influence on determination of fetal heart rate and the variability analysis depends on the sensitivity of the heart-beat detector used. The sensitivity is defined as an ability to detect the incomplete fetal QRS complex. The aim of this work was to evaluate the influence of the maternal electrocardiogram suppression method used on the reliability of FHR signal being calculated.
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