Computerized Analysis of Antepartum Cardiotocography: A Review  

作　　者：Gabriel Davis Jones William R.Cooke Manu Vatish Christopher W.G.Redman 

机构地区：[1]Nuffield Department of Women's and Reproductive Health,University of Oxford,Oxford OX39DU,United Kingdom

出　　处：《Maternal-Fetal Medicine》2022年第2期130-140,共11页母胎医学杂志（英文）

摘　　要：Cardiotocography measures the human fetal heart rate and uterine activity using ultrasound.While it has been a mainstay in antepartum care since the 1960s,cardiotocograms consist of complex signals that have proven difficult for clinicians to interpret accurately and as such clinical inference is often difficult and unreliable.Previous attempts at codifying approaches to analyzing the features within these signals have failed to demonstrate reliability or gain sufficient traction.Since the early 1990s,the Dawes-Redman system of automated computer analysis of cardiotocography signals has enabled robust analysis of cardiotocographic signal features,employing empirically-derived criteria for assessing fetal wellbeing in the antepartum.Over the past 30 years,the Dawes-Redman system has been iteratively updated,now incorporating analyses from over 100,000 pregnancies.In this review,we examine the history of cardiotocography,signal processing methodologies and feature identification,the development of the Dawes-Redman system,and its clinical applications.

关 键 词：ANTEPARTUM CARDIOTOCOGRAPHY COMPUTERIZED Electronic fetal monitoring Fetal monitoring 

分 类 号：R540.41[医药卫生—心血管疾病] R714.5[医药卫生—内科学]