Implementation of foetal e-health monitoring system through biotelemetry

doi:10.1504/IJEH.2012.048668

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Implementation of foetal e-health monitoring system through biotelemetry

Journal Article•DOI•

Implementation of foetal e-health monitoring system through biotelemetry

Vijay S. Chourasia¹, Anil Kumar Tiwari²•Institutions (2)

LNM Institute of Information Technology¹, Indian Institutes of Technology²

27 Aug 2012-International Journal of Electronic Healthcare (Inderscience Publishers)-Vol. 7, Iss: 1, pp 36-52

TL;DR: The developed framework is non-invasive, cost-effective and simple enough to be used in home care application and offers advanced healthcare facilities even to the pregnant women living in rural areas and avoids their unnecessary visits at the healthcare centres.

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Abstract: Continuous foetal monitoring of physiological signals is of particular importance for early detection of complexities related to the foetus or the mother's health. The available conventional methods of monitoring mostly perform off-line analysis and restrict the mobility of subjects within a hospital or a room. Hence, the aim of this paper is to develop a foetal e-health monitoring system using mobile phones and wireless sensors for providing advanced healthcare services in the home environment. The system is tested by recording the real-time Foetal Phonocardiography (fPCG) signals from 15 subjects with different gestational periods. The performance of the developed system is compared with the existing ultrasound based Doppler shift technique, ensuring an overall accuracy of 98% of the developed system. The developed framework is non-invasive, cost-effective and simple enough to be used in home care application. It offers advanced healthcare facilities even to the pregnant women living in rural areas and avoids their unnecessary visits at the healthcare centres.

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Journal Article•DOI•

Trends in fetal monitoring through phonocardiography: Challenges and future directions

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Prashanth Chetlur Adithya¹, Ravi Sankar¹, Wilfrido Moreno¹, Stuart Hart¹•Institutions (1)

University of South Florida¹

01 Mar 2017-Biomedical Signal Processing and Control

TL;DR: An overview of the existing standards of fetal monitoring is provided and a comprehensive survey on Fetal Phonocardiography is provided with focus on trends in data collection, signal processing techniques and synthesis models that have been developed to date.

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71 citations

Journal Article•DOI•

Mobile Health Applications for Prenatal Assessment and Monitoring.

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Wilfried Gyselaers¹, Dorien Lanssens¹, Helen Perry², Asma Khalil²•Institutions (2)

University of Hasselt¹, St George's, University of London²

01 Jan 2019-Current Pharmaceutical Design

TL;DR: This narrative review summarises the use of mobile health applications in this setting with a special emphasis on both the benefits of remote monitoring devices and the potential pitfalls of their use, highlighting the need for robust regulations and guidelines before their widespread introduction into prenatal care.

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Abstract: BACKGROUND A mobile health application is an exciting, fast-paced domain that is likely to improve prenatal care. METHODS In this narrative review, we summarise the use of mobile health applications in this setting with a special emphasis on both the benefits of remote monitoring devices and the potential pitfalls of their use, highlighting the need for robust regulations and guidelines before their widespread introduction into prenatal care. RESULTS Remote monitoring devices for four areas of prenatal care are reported: (1) cardio-tocography; (2) blood glucose levels; (3) blood pressure; and (4) prenatal ultrasound. The majority of publications are pilot projects on remote consultation, education, coaching, screening, monitoring and selective booking, mostly reporting potential medical and/or economic benefits by mobile health applications over conventional care for very specific situations, indications and locations, but not always generalizable. CONCLUSIONS Despite the potential advantages of these devices, some caution must be taken when implementing this technology into routine daily practice. To date, the majority of published research on mobile health in the prenatal setting consists of observational studies and there is a need for high-quality randomized controlled trials to confirm the reported clinical and economic benefits as well as the safety of this technology. There is also a need for guidance and governance on the development and validation of new apps and devices and for the implementation of mobile health technology into healthcare systems in both high and low-income settings. Finally, digital communication technologies offer perspectives towards exploration and development of the very new domain of tele-pharmacology.

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9 citations

Journal Article•DOI•

Exploring mobile health in a private online social network

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Qurban A. Memon¹, Asma Fayes Mustafa¹•Institutions (1)

United Arab Emirates University¹

09 Sep 2015-International Journal of Electronic Healthcare

TL;DR: In this work, a social network system is explored as a m-health system from a privacy perspective and a model is developed within a framework of data-driven privacy and implemented on Android operating system.

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Abstract: Health information is very vulnerable. Certain individuals or corporate organisations will continue to steal it similar to bank account data once data is on wireless channels. Once health information is part of a social network, corresponding privacy issues also surface. Insufficiently trained employees at hospitals that pay less attention to creating a privacy-aware culture will suffer loss when mobile devices containing health information are lost, stolen or sniffed. In this work, a social network system is explored as a m-health system from a privacy perspective. A model is developed within a framework of data-driven privacy and implemented on Android operating system. In order to check feasibility of the proposed model, a prototype application is developed on Facebook for different services, including: i) sharing user location; ii) showing nearby friends; iii) calculating and sharing distance moved, and calories burned; iv) calculating, tracking and sharing user heart rate; etc.

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5 citations

Cites background or result from "Implementation of foetal e-health m..."

...This work can also be compared with Chourasia and Tiwari (2012), where foetal e-health system is developed to monitor data at local places instead of the clinic....
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...Chourasia and Tiwari (2012) develop a foetal e-health monitoring system using mobile phones and wireless sensors for providing advanced healthcare services in rural areas to avoid unnecessary visits to healthcare centres....
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Journal Article•DOI•

Task and error analysis balancing benefits over business of electronic medical records.

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Deborah S. Carstens¹, Walter Rodriguez², Michael B. Wood³•Institutions (3)

Florida Institute of Technology¹, Florida Gulf Coast University², Mayo Clinic³

26 Aug 2014-International Journal of Electronic Healthcare

TL;DR: A discussion on the business of EMRs is addressed to understand the balancing act between the safety and business aspects of an EMR.

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Abstract: Task and error analysis research was performed to identify: a) the process for healthcare organisations in managing healthcare for patients with mental illness or substance abuse; b) how the process can be enhanced and; c) if electronic medical records (EMRs) have a role in this process from a business and safety perspective. The research question is if EMRs have a role in enhancing the healthcare for patients with mental illness or substance abuse. A discussion on the business of EMRs is addressed to understand the balancing act between the safety and business aspects of an EMR.

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1 citations

Cites background from "Implementation of foetal e-health m..."

...management technologies that integrate e-health tools with personal health records and e-health monitoring systems (Chourasia and Tiwari, 2012; Puustjarvi and Puustjarvi, 2011)....
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...…care eventually through reduced global cost and facilitated by government regulatory and support tools such as knowledge management technologies that integrate e-health tools with personal health records and e-health monitoring systems (Chourasia and Tiwari, 2012; Puustjarvi and Puustjarvi, 2011)....
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References

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Journal Article•DOI•

A controlled trial of the differential effects of intrapartum fetal monitoring.

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Albert D. Haverkamp¹, Miriam Orleans¹, Sharon Langendoerfer¹, John G. McFee¹, James E. Murphy¹, Horace E. Thompson¹ - Show less +2 more•Institutions (1)

University of Colorado Boulder¹

15 Jun 1979-American Journal of Obstetrics and Gynecology

TL;DR: In this controlled trial electronic monitoring did not improve neonatal outcomes and the mothers were at increased risk of cesarean section.

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352 citations

"Implementation of foetal e-health m..." refers background in this paper

...Numerous retrospective analyses and randomised controlled trials have shown that continuous monitoring of the FHR in high risk pregnancy may prevent intrapartum still births and reduce hypoxia related neurological complications in neonates (Renou et al., 1976; Kelso et al., 1978; Haverkamp et al., 1979; Wood et al., 1981)....
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Journal Article•DOI•

The evaluation of continuous fetal heart rate monitoring in high-risk pregnancy.

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Albert D. Haverkamp¹, Horace E. Thompson¹, John G. McFee¹, Curtis L. Cetrulo¹•Institutions (1)

University of Colorado Boulder¹

01 Jun 1976-American Journal of Obstetrics and Gynecology

TL;DR: The presumptive benefits of electronic fetal monitoring for improving fetal outcome were not found and there were no differences in the infant outcomes in any measured category between the electronically monitored group and the auscultated group.

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293 citations

"Implementation of foetal e-health m..." refers background in this paper

...In order to address the problems related to increasing complexities in the pregnancies and the pregnant women living in rural areas, continuous foetal monitoring would be a highly recommended measure that enables improved diagnosis and management of foetal distress (Haverkamp et al., 1976)....
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Journal Article•DOI•

Digital Signal Processing of the Phonocardiogram: Review of the Most Recent Advancements

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Louis-Gilles Durand¹, Philippe Pibarot¹•Institutions (1)

Université de Montréal¹

01 Jan 1995-Critical Reviews in Biomedical Engineering

TL;DR: The application of spectral analysis and the potential of new time-frequency representations and cardiac acoustic mapping to resolve the controversies and better understand the genesis and transmission of heart sounds and murmurs within the heart-thorax acoustic system are reviewed.

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Abstract: The objective of the present paper is to provide a detailed review of the most recent developments in instrumentation and signal processing of digital phonocardiography and heart auscultation. After a short introduction, the paper presents a brief history of heart auscultation and phonocardiography, which is followed by a summary of the basic theories and controversies regarding the genesis of the heart sounds. The application of spectral analysis and the potential of new time-frequency representations and cardiac acoustic mapping to resolve the controversies and better understand the genesis and transmission of heart sounds and murmurs within the heart-thorax acoustic system are reviewed. The most recent developments in the application of linear predictive coding, spectral analysis, time-frequency representation techniques, and pattern recognition for the detection and follow-up of native and prosthetic valve degeneration and dysfunction are also presented in detail. New areas of research and clinical applications and areas of potential future developments are then highlighted. The final section is a discussion about a multidegree of freedom theory on the origin of the heart sounds and murmurs, which is completed by the authors' conclusion.

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222 citations

"Implementation of foetal e-health m..." refers methods in this paper

...The main advantages of this technique are (Durand and Pibarot, 1995):...
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Journal Article•DOI•

An assessment of continuous fetal heart rate monitoring in labor. A randomized trial.

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Ian M. Kelso¹, R.John Parsons¹, Gordon F. Lawrence¹, Shyam S. Arora¹, D.Keith Edmonds¹, Ian D. Cooke¹ - Show less +2 more•Institutions (1)

Jessop Hospital¹

01 Jul 1978-American Journal of Obstetrics and Gynecology

TL;DR: A prospective randomized study of 504 patients compared continuous fetal heart rate monitoring with intermittent auscultation and found no significant difference between the two groups in neonatal deaths, Apgar scores, maternal and neonatal morbidity, and cord blood gases.

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205 citations

"Implementation of foetal e-health m..." refers background in this paper

...Numerous retrospective analyses and randomised controlled trials have shown that continuous monitoring of the FHR in high risk pregnancy may prevent intrapartum still births and reduce hypoxia related neurological complications in neonates (Renou et al., 1976; Kelso et al., 1978; Haverkamp et al., 1979; Wood et al., 1981)....
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Journal Article•DOI•

Controlled trial of fetal intensive care.

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Peter Renou, Allan M. Z. Chang, Ian Anderson, Carl Wood

15 Oct 1976-American Journal of Obstetrics and Gynecology

TL;DR: A controlled clinical trial showed that intensive care is associated with improved neurologic and biochemical status of the neonate; however, it is possible that this improvement results from the use of fetal diagnostic tests or some other factor associated with intensive care.

...read moreread less

189 citations

"Implementation of foetal e-health m..." refers background in this paper

...Numerous retrospective analyses and randomised controlled trials have shown that continuous monitoring of the FHR in high risk pregnancy may prevent intrapartum still births and reduce hypoxia related neurological complications in neonates (Renou et al., 1976; Kelso et al., 1978; Haverkamp et al., 1979; Wood et al., 1981)....
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