Checking
the heartbeat of babies in the womb is set to become more accurate and less
stressful for expectant mothers thanks to research by the University of Sussex.
Dr Elizabeth Rendon-Morales has a developed a much more
effective sensor to measure baby’s heartbeat without needing to visit a
hospital.
It could help
detect heart-related congenital disorders during pregnancy or highlight the
need for medical interventions due to complications such as premature delivery
or umbilical cord compression.
The new technology
would also greatly benefit women experiencing high-risk pregnancy factors, such
as high blood pressure, diabetes, preeclampsia and gestational high blood
pressure, who require regular monitoring to ensure the wellbeing of their baby.
Dr Rendon-Morales,
a Lecturer in Electrical and Electronic Engineering at the University of
Sussex, said: "Currently expectant mothers with health concerns about
their babies have to go through the stress of going to hospital to check on the
heartbeat of their child. With this new technology, they will be able to do
this from the comfort of their own home, which will be much better for the
welfare of mother and baby."
The research is the
first significant update in the technology used to measure babies' heart rates
for 40 years and moves away from the existing use of silver chloride
electrodes.
Instead, the
University of Sussex has developed an electrometer-based amplifier prototype
using Electric Potential Sensing (EPS) technology, which allows for in utero
fetal electrocardiogram monitoring by just placing the device on top of the
skin of the pregnant mother's abdomen in a non-invasive way.
Although there are
some home-based fetal electrocardiograms available commercially, they are
considered not suitable for daily or medical usage because of concerns around
their accuracy and portability.
Dr Rodrigo Aviles-Espinosa, a research fellow at the
University of Sussex and co-author of the study said: "This technology is
a step forward for home-based medical devices, benefiting not only health
service providers though resource optimization, but also expectant mothers who
are experiencing a very exciting, but sometimes stressful, moment in their
lives.
"This
technology will give peace of mind in providing answers very quickly and
ultimately ensuring the baby's wellbeing."
The technology
developed at the University of Sussex is capable of recording information
required to calculate fetal heart rate values and variability with high
accuracy.
This can be used to
clinically assess congenital cardiac diseases such as arrhythmia and to monitor
processes associated with body auto regulation such as blood pressure and heart
vascular tone.
The
electrocardiogram can isolate the baby's heartbeat from the mother's with
pinpoint accuracy, providing a simple reading without the need for any
additional processing.
Devices currently
in use require complex signal-conditioning algorithms to separate the maternal
and fetal cardiac waveforms.
The new detector
also removes the need for a special gel to be applied to the skin. This is
necessary when using silver chloride electrodes, in order to establish a
reading, but the process can produce inaccurate readings.
Dr Rendon-Morales said: "Although the
ultrasound procedure is described as being non-invasive, having gel rubbed on
your skin and then an electrode pressed against your womb is invasive and can
be an uncomfortable experience for mothers. With this new heart monitor, expectant
mothers can get reassurance that their baby is doing fine within a few seconds,
removing the unnecessary stress and worry that waiting for a hospital scan
currently involves."
The new baby
monitor has grown out of previous work Dr Rendon-Morales had published in 2015 in which
she used highly sensitive sensors to map the electrical activity of the
developing heart in the embryos of zebrafish, which are 2,500 times smaller
than human hearts.
The potential of
the technology to be adapted for human mothers and babies was recognized by Dr
Heike Rabe, a consultant neonatologist at Brighton and Sussex Medical School.
Dr Rabe said:
"At the moment it is sometimes difficult to distinguish between the
heartbeat of the mother and that of the baby with the current ultrasound
technique. Often there is signal loss as well. With the new technique we hope
to recognize much earlier if a baby should be delivered quickly if their heart
rate drops and does not recover."#WCGO-2019 #CallForAbstracts #OrganizingComiittee
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