A systematic scoping review to identify the design and assess the performance of devices for antenatal continuous fetal monitoring

Autor: Jayawan H B Wijekoon, Dexter J. L. Hayes, Kajal K. Tamber, Stephen J. Carey, Alexander E. P. Heazell
Rok vydání: 2020
Předmět:
Embryology
Maternal Health
Cochrane Library
Electrocardiography
0302 clinical medicine
Electronics Engineering
Pregnancy
Accelerometry
Abdomen
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Fetal Monitoring
Fetal Movement
030219 obstetrics & reproductive medicine
Multidisciplinary
Gestational age
Obstetrics and Gynecology
Prenatal Care
Signal Processing
Computer-Assisted
Heart Rate
Fetal
Bioassays and Physiological Analysis
Fetal movement
Engineering and Technology
Female
Anatomy
Research Article
Biotechnology
medicine.medical_specialty
Science
MEDLINE
Equipment
Fetal position
Gestational Age
Bioengineering
Prenatal care
CINAHL
Research and Analysis Methods
03 medical and health sciences
Humans
Amniotic fluid index
Intensive care medicine
Electrodes
Measurement Equipment
Fetuses
business.industry
Electrophysiological Techniques
Biology and Life Sciences
Reference Electrodes
Women's Health
Medical Devices and Equipment
Cardiac Electrophysiology
Electronics
Accelerometers
business
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 12, p e0242983 (2020)
ISSN: 1932-6203
Popis: BackgroundAntepartum fetal monitoring aims to assess fetal development and wellbeing throughout pregnancy. Current methods utilised in clinical practice are intermittent and only provide a ‘snapshot’ of fetal wellbeing, thus key signs of fetal demise could be missed. Continuous fetal monitoring (CFM) offers the potential to alleviate these issues by providing an objective and longitudinal overview of fetal status. Various CFM devices exist within literature; this review planned to provide a systematic overview of these devices, and specifically aimed to map the devices’ design, performance and factors which affect this, whilst determining any gaps in development.MethodsA systematic search was conducted using MEDLINE, EMBASE, CINAHL, EMCARE, BNI, Cochrane Library, Web of Science and Pubmed databases. Following the deletion of duplicates, the articles’ titles and abstracts were screened and suitable papers underwent a full-text assessment prior to inclusion in the review by two independent assessors.ResultsThe literature searches generated 4,885 hits from which 43 studies were included in the review. Twenty-four different devices were identified utilising four suitable CFM technologies: fetal electrocardiography, fetal phonocardiography, accelerometry and fetal vectorcardiography. The devices adopted various designs and signal processing methods. There was no common means of device performance assessment between different devices, which limited comparison. The device performance of fetal electrocardiography was reduced between 28 to 36 weeks’ gestation and during high levels of maternal movement, and increased during night-time rest. Other factors, including maternal body mass index, fetal position, recording location, uterine activity, amniotic fluid index, number of fetuses and smoking status, as well as factors which affected alternative technologies had equivocal effects and require further investigation.ConclusionsA variety of CFM devices have been developed, however no specific approach or design appears to be advantageous due to high levels of inter-device and intra-device variability.
Databáze: OpenAIRE
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