Key result
Novel hybrid DWT and LMS algorithm reliably extracts non-invasive fetal QRS and heart rate.
Why the study?
Good monitoring during the prenatal period could reduce fetal mortality by enabling detection and extraction of the fetal electrocardiogram, which is complex due to noise from maternal and fetal sources.
May simplify non-invasive fetal ECG monitoring; leaves open prospective clinical validation.
According to WHO, 2.6 million babies die during pregnancy. Good monitoring during the prenatal period could provide a significant reduction of this mortality rate. This is possible by detection and extraction of the fetal electrocardiogram (FECG). Extraction of that information is complex due to other noise coming from the mother and within the fetus that drowns out the fetal heart signal. However, new technology and improved filtering technique have provided ways to more accurately and efficiently gather various electrical components regarding fetal heart condition. In this paper, we propose a new source separation filtering method exploiting linear and nonlinear filtering techniques. Our method is a non-invasive extraction technique, where the source signal is the cardiac electrical signal acquired by non-invasive electrodes to facilitate the collection of signals and reduce the cost of the acquisition system; it differs from other existing methods in minimizing the number of input signals and the simplicity of its implementation. The fetal heart signal is drowned out by the maternal electrocardiogram (MECG). The problem that arises is the exact knowledge of the MECG signal affecting the chosen measuring electrode, since the MECG is dependent on the position of the electrode and the type of tissue that goes through. Therefore, its knowledge can be made only by a mathematical estimation. A DWT decomposition with adaptive thresholding based on an LMS filter is applied to extract the fetal signal. So first we extract the QRS complex of the FECG and detect the fetal heart rate (FHR).
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Cherif et al. (2019) studied Fetal cardiac monitoring. Hybrid source separation filtering method (DWT decomposition with LMS filter) vs. Existing methods was evaluated on Extraction of the QRS complex of the FECG and detection of fetal heart rate (FHR). A new hybrid source separation method using DWT decomposition and adaptive thresholding based on an LMS filter was proposed to non-invasively extract the fetal QRS complex and detect fetal heart rate.
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