| Title | Linear and nonlinear fetal heart rate analysis of normal and acidemic fetuses in the minutes preceding delivery |
| Publication Type | Journal Article |
| 2006 |
| Authors | Gonçalves, H, Rocha, AP, Ayres-de-Campos, D, Bernardes, J |
| Journal | Medical and Biological Engineering and ComputingMed. Biol. Eng. Comput. |
| Volume | 44 |
| Issue | 10 |
| Pagination | 847 - 855 |
| Date Published | 2006/// |
| 01400118 (ISSN) |
| acidemia, Acidosis, Acids, article, autonomic nervous system, Biological materials, Cardiology, Central nervous system, clinical article, controlled study, delivery, Delivery, Obstetric, Discriminant Analysis, disease severity, entropy, Fetal Diseases, Fetal heart rate, Fetal heart rate (FHR), Fetal monitoring, fetus, fetus heart rate, Frequency domain analysis, Heart Rate, Fetal, human, Humans, hypothesis, labor, Linear and nonlinear indices, linear system, Neurology, newborn, nonlinear system, Prenatal Care, Second stage of labor, sensitivity and specificity, Severity of Illness Index |
| Linear and nonlinear fetal heart rate (FHR) indices, namely mean FHR, interval index (II), very low, low and high frequencies, approximate (ApEn) and sample entropy (SampEn), were computed, immediately before delivery, in the initial and final FHR tracing segments, from 48 normal, 10 mildly acidemic and 10 moderate-to-severely acidemic fetuses. Progression of labor was associated with a significant increase in linear frequency domain indices whereas nonlinear indices were significantly decreased. Moderate-to-severe fetal acidemia was associated with a significant decrease in nonlinear indices. The best discrimination between moderate-to-severe acidemic fetuses and the remaining cases was obtained combining II and ApEn(2,0.15), with a specificity of 71% and a sensitivity of 80%. These findings support the hypothesis of increased autonomic nervous system activity in the final minutes of labor and of decreased central nervous system activity, both in the final minutes of labor and in moderate-to-severe acidemic fetuses. © International Federation for Medical and Biological Engineering 2006. |
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