The influence of coincidence of fetal and maternal QRS complexes on fetal heart rate reliability

A Matonia, J Jezewski, T Kupka, K Horoba… - Medical and Biological …, 2006 - Springer
Medical and Biological Engineering and Computing, 2006Springer
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 …
Abstract
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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