Estimating Fetal Age by Fetal Maternal Heart Rate Coupling Parameters

Autor: Raghad Al Sakaji, Ahsan H. Khandoker, Anita Krishnan, Kiyoe Funamoto, Yoshitaka Kimura, Maisam Wahbah
Rok vydání: 2020
Předmět:
Zdroj: EMBC
ISSN: 2694-0604
Popis: Beat-by-beat maternal and fetal heart couplings were reported to be evident throughout the fetal development. However, it is still unknown whether maternal-fetal heartbeat coupling parameters are associated with fetal development, and the potential interrelationships. Therefore, this study aims to investigate the associations of coupling parameters with fetal gestational age by multivariate regression models. Ten min abdominal lead-based maternal and fetal ECG signals were collected from 16 healthy pregnant women with healthy singleton pregnancies (19-32 weeks). Maternal and Fetal Heart Rate Variability (MHRV and FHRV) values as well as maternal-fetal heart rate coupling (strength, measured by A) parameters at various coupling ratios (associated with different Maternal:Fetal heartbeat ratios of 1:2, 1:3, 2:3, 2:4, 3:4, and 3:5) were calculated. Based on those features stepwise multivariate regression models were constructed by validating against the gold standard gestational age identified by crown-rump length from doppler echocardiogram. Among all models, the best model (Root Mean Square Error, RMSE=1.92) was found to be significantly (p
Databáze: OpenAIRE