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Acquisition and Analysis of Electrohysterogram Signal

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Abstract

Electrohysterogram (EHG) signal is the signal related to action potentials propagating through smooth muscle cells of the uterus (myometrium) to the abdomen of pregnant women which is also known as uterine contraction signal. Cardiotocography (CTG) is the most common method used for monitoring fetal heart rate (FHR) and uterine contractions during pregnancy and labor. This method detects mechanical activity of fetal heart and uterus, however, it provides low accuracy and sensibility and hence more accurate methods are required. The abdominal electrode method of FECG monitoring and Electrohysterography (EHG) are alternative noninvasive method to monitor the FHR and uterine contractions during pregnancy which provides better results compared to CTG. Each information such as the frequency of uterine contractions, length of the contraction and contraction power of uterus, indicates the condition of the uterus which will help the obstetricians to identify the progress of labor. All these above mentioned parameters can be identified from the EHG signal acquired non-invasively by placing the electrodes on the abdomen of the pregnant women. In this work the acquisition of EHG signal as well as analysis of EHG signal in both antepartum condition and labor condition have been carried out and parameters such as number of contractions, contraction duration, amplitude, power of contraction are computed and the quantitative analysis of EHG signals in both above mentioned conditions are performed and it is compared with the simultaneously recorded uterine contraction signal parameters from Cardiotocography (CTG).

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Acknowledgments

We acknowledge Anna University’s National Hub for Health Care instrumentation Development at Anna University funded by Technology Development and Transfer, Department of Science and Technology for supporting this work.

Our heartfelt gratitude goes to the Institute of Obstetrics and Gynecology & Government Hospital for Women and Children, Egmore, Chennai for giving us greater support for data collection of this research work.

Funding

The authors did not received any specific funding for this work.

Author information

Correspondence to Parameshwari R.

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Ethical Approval

This research work contains studies with human participants done by corresponding author. Ref. No. ECR/270/Inst./TN/2013/Institutional Ethical Committee/Madras Medical College/Chennai/31062014, Dated 3.6.2014. The procedures involved in this study relating to human participants were in accord with the ethical standards of the institutional and/or national research committee.

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The authors declare that there is no potential conflict of interest with respect to the authorship and/or publication of this article.

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From all the individual participants included in the study Informed consents were obtained.

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This article is part of the Topical Collection on Image & Signal Processing

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R, P., S, S.D. Acquisition and Analysis of Electrohysterogram Signal. J Med Syst 44, 66 (2020). https://doi.org/10.1007/s10916-020-1523-y

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Keywords

  • CTG
  • EHG
  • FHR
  • Tocography
  • Uterine contraction
  • Regression