The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

There is a growing interest in wearable inertial sensors to monitor and analyze the movements of pregnant women. The noninvasive and discrete nature of these sensors, integrated into devices accumulating large datasets, offers a unique opportunity to study the dynamic changes in movement patterns du...

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Main Authors: Mikhail Dziadzko, Adrien Péneaud, Lionel Bouvet, Thomas Robert, Laetitia Fradet, David Desseauve
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/24/6/1904
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author Mikhail Dziadzko
Adrien Péneaud
Lionel Bouvet
Thomas Robert
Laetitia Fradet
David Desseauve
author_facet Mikhail Dziadzko
Adrien Péneaud
Lionel Bouvet
Thomas Robert
Laetitia Fradet
David Desseauve
author_sort Mikhail Dziadzko
collection DOAJ
description There is a growing interest in wearable inertial sensors to monitor and analyze the movements of pregnant women. The noninvasive and discrete nature of these sensors, integrated into devices accumulating large datasets, offers a unique opportunity to study the dynamic changes in movement patterns during the rapid physical transformations induced by pregnancy. However, the final cut of the third trimester of pregnancy, particularly the first stage of labor up to delivery, remains underexplored. The growing popularity of “walking epidural”, a neuraxial analgesia method allowing motor function preservation, ambulation, and free movement throughout labor and during delivery, opens new opportunities to study the biomechanics of labor using inertial sensors. Critical research gaps exist in parturient fall prediction and detection during walking epidural and understanding pain dynamics during labor, particularly in the presence of pelvic girdle pain. The analysis of fetal descent, upright positions, and their relationship with dynamic pelvic movements facilitated by walking during labor is another area where inertial sensors can play an interesting role. Moreover, as contemporary obstetrics advocate for less restricted or non-restricted movements during labor, the role of inertial sensors in objectively measuring the quantity and quality of women’s movements becomes increasingly important. This includes studying the impact of epidural analgesia on maternal mobility, walking patterns, and associated obstetrical outcomes. In this paper, the potential use of wearable inertial sensors for gait analysis in the first stage of labor is discussed.
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spelling doaj.art-5e6f389da0c74155bc33779f2ca4bd2f2024-03-27T14:04:06ZengMDPI AGSensors1424-82202024-03-01246190410.3390/s24061904The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural AnalgesiaMikhail Dziadzko0Adrien Péneaud1Lionel Bouvet2Thomas Robert3Laetitia Fradet4David Desseauve5Département d’Anesthésie-Réanimation, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Université Claude Bernard, F-69004 Lyon, FranceLaboratoire de Biomécanique et Mécanique des Chocs UMR_T 9406, Univ Eiffel, Univ Lyon 1, F-69622 Lyon, FranceDépartement d’Anesthésie-Réanimation, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Université Claude Bernard, F-69500 Bron, FranceLaboratoire de Biomécanique et Mécanique des Chocs UMR_T 9406, Univ Eiffel, Univ Lyon 1, F-69622 Lyon, FranceEquipe Robotique, Biomécanique, Sport, Santé, Institut PPRIME, UPR3346 CNRS, Université de Poitiers ENSMA, 11, Boulevard Marie et Pierre Curie, Site du Futuroscope, CEDEX 9, F-86073 Poitiers, FranceObstetric Research Lab, Department of Women-Mother-Child, Lausanne University Hospital (CHUV), 1005 Lausanne, SwitzerlandThere is a growing interest in wearable inertial sensors to monitor and analyze the movements of pregnant women. The noninvasive and discrete nature of these sensors, integrated into devices accumulating large datasets, offers a unique opportunity to study the dynamic changes in movement patterns during the rapid physical transformations induced by pregnancy. However, the final cut of the third trimester of pregnancy, particularly the first stage of labor up to delivery, remains underexplored. The growing popularity of “walking epidural”, a neuraxial analgesia method allowing motor function preservation, ambulation, and free movement throughout labor and during delivery, opens new opportunities to study the biomechanics of labor using inertial sensors. Critical research gaps exist in parturient fall prediction and detection during walking epidural and understanding pain dynamics during labor, particularly in the presence of pelvic girdle pain. The analysis of fetal descent, upright positions, and their relationship with dynamic pelvic movements facilitated by walking during labor is another area where inertial sensors can play an interesting role. Moreover, as contemporary obstetrics advocate for less restricted or non-restricted movements during labor, the role of inertial sensors in objectively measuring the quantity and quality of women’s movements becomes increasingly important. This includes studying the impact of epidural analgesia on maternal mobility, walking patterns, and associated obstetrical outcomes. In this paper, the potential use of wearable inertial sensors for gait analysis in the first stage of labor is discussed.https://www.mdpi.com/1424-8220/24/6/1904biomechanicsgait analysislaborpredictionsensorswalking epidural
spellingShingle Mikhail Dziadzko
Adrien Péneaud
Lionel Bouvet
Thomas Robert
Laetitia Fradet
David Desseauve
The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia
Sensors
biomechanics
gait analysis
labor
prediction
sensors
walking epidural
title The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia
title_full The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia
title_fullStr The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia
title_full_unstemmed The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia
title_short The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia
title_sort potential role of wearable inertial sensors in laboring women with walking epidural analgesia
topic biomechanics
gait analysis
labor
prediction
sensors
walking epidural
url https://www.mdpi.com/1424-8220/24/6/1904
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