Identification of contractions from Electrohysterography for prediction of prolonged labor

Autor: Vasist Santosh N, Bhat Parvati, Ulman Shrutin, Hebbar Harishchandra
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Electrical Bioimpedance, Vol 13, Iss 1, Pp 4-9 (2022)
Druh dokumentu: article
ISSN: 1891-5469
DOI: 10.2478/joeb-2022-0002
Popis: The analysis of the uterine electrical activity and its propagation patterns could potentially predict the risk of prolonged/arrested progress of labor. In our study, the Electrohysterography (EHG) signals of 83 participants in labor at around 3-4 cm of cervical dilatation, were recorded for about 30 minutes each. These signals were analyzed for predicting prolonged labor. Out of the 83 participants, 70 participants had normal progress of labor and delivered vaginally. The remaining 13 participants had prolonged/ arrested progress of labor and had to deliver through a cesarean section. In this paper, we propose an algorithm to identify contractions from the acquired EHG signals based on the energy of the signals. The role of contraction consistency and fundal dominance was evaluated for impact on progress of the labor. As per our study, the correlation of contractions was higher in case of normal progress of labor. We also observed that the upper uterine segment was dominant in cases with prolonged/arrested progress of labor.
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