Fetal ECG during labour: a presentation of a microprocessor system

H. Lilja, S. Arulkumaran, K. Lindecrantz, S. S. Ratnam, K. G. Rosén

Research output: Contribution to journalArticlepeer-review

Abstract

Changes in the ST waveform of the fetal ECG have been detected in 47 term deliveries with vertex presentations using a specially developed microprocessor-based system for on-line recording of T wave amplitude. The T wave was quantified by the T/QRS ratio. The recording included one scalp electrode for exploration and a maternal skin electrode as reference. Signal quality allowed optimal ST waveform assessment in 89% of the cases. The degree of perinatal asphyxia was judged from cord artery acid-base status and the neonatal outcome. In completely normal fetuses at term the mean T/QRS ratio was 0.148 with a standard deviation of 0.048. With this basic information we can proceed in the investigation of the T/QRS ratio as a means for fetal surveillance.

Original languageEnglish
Pages (from-to)348-350
Number of pages3
JournalJournal of Biomedical Engineering
Volume10
Issue number4
DOIs
Publication statusPublished - 1988

Keywords

  • fetal monitoring
  • Fetal scalp ECG
  • intrapartum hypoxia
  • microprocessor systems

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