Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review

Non-invasive electrocardiography (NI-ECG) has become an indispensable tool for monitoring fetal and neonatal cardiac activity throughout the stages of pregnancy and postpartum care. This review emphasizes the distinct advantages of NI-ECG, including extended monitoring capabilities and valuable insi...

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Main Authors: Roya Aghadavoud Marnani, Rene Jaros, Jan Pavlicek, Radek Martinek, Radana Vilimkova Kahankova
Format: Article
Language:English
Published: IEEE 2024-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10474344/
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author Roya Aghadavoud Marnani
Rene Jaros
Jan Pavlicek
Radek Martinek
Radana Vilimkova Kahankova
author_facet Roya Aghadavoud Marnani
Rene Jaros
Jan Pavlicek
Radek Martinek
Radana Vilimkova Kahankova
author_sort Roya Aghadavoud Marnani
collection DOAJ
description Non-invasive electrocardiography (NI-ECG) has become an indispensable tool for monitoring fetal and neonatal cardiac activity throughout the stages of pregnancy and postpartum care. This review emphasizes the distinct advantages of NI-ECG, including extended monitoring capabilities and valuable insights into fetal and neonatal health. The exploration of textile electrodes is highlighted as a promising alternative, offering improved comfort and reduced skin irritation compared to traditional adhesive electrodes. However, challenges in NI-ECG persist, with electrode placement, quantity, and noise removal being key considerations. The review underscores the significance of addressing interference sources, such as maternal and fetal body signals, motion artifacts, and electrode-skin contact. Additionally, the discussion extends to computer-aided diagnostics, presenting novel approaches for classifying fetal and neonatal health during pregnancy and delivery. Ongoing research aims to optimize electrode placement, develop advanced noise reduction algorithms, and explore sophisticated classification methodologies. These advancements hold the potential to enhance electronic monitoring, enabling early detection of abnormalities and promoting improved outcomes in prenatal and neonatal care.
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spelling doaj.art-71b4a0b487fe4821bf39959ee57978ec2024-04-01T23:00:56ZengIEEEIEEE Access2169-35362024-01-0112447304474710.1109/ACCESS.2024.337874710474344Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive ReviewRoya Aghadavoud Marnani0https://orcid.org/0009-0006-9325-2742Rene Jaros1https://orcid.org/0000-0003-3346-6467Jan Pavlicek2https://orcid.org/0000-0001-5473-6855Radek Martinek3https://orcid.org/0000-0003-2054-143XRadana Vilimkova Kahankova4https://orcid.org/0000-0003-1555-9889Department of Cybernetics and Biomedical Engineering, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, Ostrava, CzechiaDepartment of Cybernetics and Biomedical Engineering, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, Ostrava, CzechiaDepartment of Pediatrics, University Hospital Ostrava and Faculty of Medicine, Ostrava University, Ostrava, CzechiaDepartment of Cybernetics and Biomedical Engineering, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, Ostrava, CzechiaDepartment of Cybernetics and Biomedical Engineering, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, Ostrava, CzechiaNon-invasive electrocardiography (NI-ECG) has become an indispensable tool for monitoring fetal and neonatal cardiac activity throughout the stages of pregnancy and postpartum care. This review emphasizes the distinct advantages of NI-ECG, including extended monitoring capabilities and valuable insights into fetal and neonatal health. The exploration of textile electrodes is highlighted as a promising alternative, offering improved comfort and reduced skin irritation compared to traditional adhesive electrodes. However, challenges in NI-ECG persist, with electrode placement, quantity, and noise removal being key considerations. The review underscores the significance of addressing interference sources, such as maternal and fetal body signals, motion artifacts, and electrode-skin contact. Additionally, the discussion extends to computer-aided diagnostics, presenting novel approaches for classifying fetal and neonatal health during pregnancy and delivery. Ongoing research aims to optimize electrode placement, develop advanced noise reduction algorithms, and explore sophisticated classification methodologies. These advancements hold the potential to enhance electronic monitoring, enabling early detection of abnormalities and promoting improved outcomes in prenatal and neonatal care.https://ieeexplore.ieee.org/document/10474344/Abdominal monitoringfetal electrocardiographyfetal heart rate monitoringneonatal electrocardiographynon-invasive monitoringsignal processing
spellingShingle Roya Aghadavoud Marnani
Rene Jaros
Jan Pavlicek
Radek Martinek
Radana Vilimkova Kahankova
Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review
IEEE Access
Abdominal monitoring
fetal electrocardiography
fetal heart rate monitoring
neonatal electrocardiography
non-invasive monitoring
signal processing
title Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review
title_full Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review
title_fullStr Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review
title_full_unstemmed Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review
title_short Advancements and Challenges in Non-Invasive Electrocardiography for Prenatal, Intrapartum, and Postnatal Care: A Comprehensive Review
title_sort advancements and challenges in non invasive electrocardiography for prenatal intrapartum and postnatal care a comprehensive review
topic Abdominal monitoring
fetal electrocardiography
fetal heart rate monitoring
neonatal electrocardiography
non-invasive monitoring
signal processing
url https://ieeexplore.ieee.org/document/10474344/
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