Design Methodology and Implementation of an Antenatal Care System Using Abdominal Acoustic Signals
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Abstract
This research develops an antenatal care system using abdominal acoustic signals.
newlineAntenatal care is an integral part of management of high risk as well as low risk
newlinepregnancies. The primary goal of antenatal care is to ensure normal delivery of a healthy
newlinebaby. This can be achieved through long-term and continuous surveillance of pregnant
newlinewomen. Monitoring of fetal heart rate (FHR) patterns is an established way of antenatal
newlinecare and offers important information about health of the unborn. Doppler ultrasound
newlinebased fetal cardiotocograph is traditionally used for monitoring the variations in FHR for
newlineevaluation of fetal distress. However, the existing system is not suitable for long-term and
newlinecontinuous monitoring as frequent and long time exposure to ultrasound radiations is
newlineharmful for both the mother and the fetus. In addition, this system cannot be used for
newlinehome monitoring because the equipments required are costly and complex thus needing
newlineexperts to operate and interpret the results.
newlineThe proposed system overcomes the disadvantages using fetal phonocardiography in
newlinewhich natural fetal heart sound signals are processed and analyzed for assessment of fetal
newlinewellbeing. Innovative signal processing and analysis techniques have been developed and
newlineapplied to these signals. Diagnostic information in the form of FHR parameters are
newlinederived from fetal heart sound signal. A model, based on adaptive neuro-fuzzy inference
newlinesystem is developed for classification of fetal health status.
newlineTo study the performance of the developed system, experiments were carried out with
newlinereal and simulated fPCG signals under the supervision of medical experts. Its
newlineperformance is found to be close to the widely accepted Doppler ultrasound based fetal
newlinemonitor. The overall performance shows that the developed system has long-term
newlinemonitoring capability with very high performance to cost ratio.
newlineThe presented system has the capability to provide regular information about the fetal
newlinecondition, as and when needed by mother or the medical