Clinically accurate fetal ECG parameters acquired from maternal abdominal sensors.

Abstract:

OBJECTIVE:We sought to evaluate the accuracy of a novel system for measuring fetal heart rate (FHR) and ST-segment changes using noninvasive electrodes on the maternal abdomen. STUDY DESIGN:Fetal electrocardiograms were recorded using abdominal sensors from 32 term laboring women who had a fetal scalp electrode (FSE) placed for a clinical indication. RESULTS:Good-quality data for FHR estimation were available in 91.2% of the FSE segments and 89.9% of the abdominal electrode segments. The root mean square error between the FHR data calculated by both methods over all processed segments was 0.36 beats per minute. ST deviation from the isoelectric point ranged from 0-14.2% of R-wave amplitude. The root mean square error between the ST change calculated by both methods averaged over all processed segments was 3.2%. CONCLUSION:FHR and ST change acquired from the maternal abdomen is highly accurate and, on average, is clinically indistinguishable from FHR and ST change calculated using FSE data.

journal_name

Am J Obstet Gynecol

authors

Clifford G,Sameni R,Ward J,Robinson J,Wolfberg AJ

doi

10.1016/j.ajog.2011.02.066

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

47.e1-5

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)00297-3

journal_volume

205

pub_type

杂志文章
  • In vitro induction of tumor-specific human lymphocyte antigen class I-restricted CD8 cytotoxic T lymphocytes by ovarian tumor antigen-pulsed autologous dendritic cells from patients with advanced ovarian cancer.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the potential of dendritic cells pulsed with whole-tumor extracts derived from autologous ovarian cancer cells in eliciting a tumor-specific cytotoxic T-cell response in vitro from patients with advanced ovarian cancer. STUDY DESIGN:CD8(+) T lymphocytes stimulated in...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2000.107097

    authors: Santin AD,Hermonat PL,Ravaggi A,Bellone S,Pecorelli S,Cannon MJ,Parham GP

    更新日期:2000-09-01 00:00:00

  • Umbilical blood waveforms in fetal surveillance of twins.

    abstract::Umbilical arterial velocity waveforms were recorded in 69 pairs of twins by means of continuous-wave Doppler analysis and an Angioscan spectrum analyzer. A systolic/diastolic ratio was measured for each twin. The sum of the systolic/diastolic ratio was calculated and the difference between each twin was expressed as t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80035-2

    authors: Saldana LR,Eads MC,Schaefer TR

    更新日期:1987-09-01 00:00:00

  • Fetal evaluation by percutaneous blood sampling.

    abstract::Percutaneous umbilical blood sampling (cordocentesis) provides direct access to the fetal circulation in the second and third trimesters of pregnancy. Seventeen patients underwent this procedure between December 1985 and December 1986 for evaluation of a variety of clinical situations, including nonlethal fetal abnorm...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(88)90795-8

    authors: Hogge WA,Thiagarajah S,Brenbridge AN,Harbert GM

    更新日期:1988-01-01 00:00:00

  • Placental growth factor predicts time to delivery in women with signs or symptoms of early preterm preeclampsia: a prospective multicenter study.

    abstract:BACKGROUND:There is a robust association between altered angiogenic factor concentrations, which includes placental growth factor and clinically recognized preeclampsia. Alterations in concentrations of angiogenic factors precede the clinical onset of preeclampsia by several weeks. The temporal relationship between the...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ajog.2019.09.003

    authors: Barton JR,Woelkers DA,Newman RB,Combs CA,How HY,Boggess KA,Martin JN Jr,Kupfer K,Sibai BM,PETRA (Preeclampsia Triage by Rapid Assay) Trial.

    更新日期:2020-03-01 00:00:00

  • Focused assessment of surgical performance: difficulty with faculty compliance.

    abstract:OBJECTIVE:This study evaluated faculty compliance in the use of the global surgical rating scale of the Objective Structured Assessment of Technical Skills to rate resident surgical performance after every endoscopic procedure. STUDY DESIGN:For this prospective cohort study, 4 faculty members in the Minimally Invasive...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2005.07.081

    authors: Gosman GG,Simhan HN,Guido RS,Lee TT,Mansuria SM,Sanfilippo JS

    更新日期:2005-11-01 00:00:00

  • Iron supplementation and gestational diabetes in midpregnancy.

    abstract:OBJECTIVE:Iron supplementation in pregnancy seems beneficial for neonatal/maternal outcomes, but it was associated with diabetes and hypertension in the general population. STUDY DESIGN:We investigated the association between iron supplementation during midpregnancy and metabolic/hypertensive abnormalities in 500 cons...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.04.049

    authors: Bo S,Menato G,Villois P,Gambino R,Cassader M,Cotrino I,Cavallo-Perin P

    更新日期:2009-08-01 00:00:00

  • Xeromammography: five years and 559 carcinomas.

    abstract::This study encompasses five years and includes 559 cancers, diagnosed at the Kaiser-Permanente Medical Center, Los Angeles, California. With current low-dose techniques, we have shown the efficacy of xeromammography, even in younger women. One third of the breast cancers, one third of the occult breast cancers, occurr...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(77)90821-3

    authors: Frankl G,Ackerman M

    更新日期:1977-09-01 00:00:00

  • Increasing NIH funding for academic departments of obstetrics and gynecology: a call to action.

    abstract::The National Institutes of Health funding for reproductive sciences research, specifically in academic departments of obstetrics and gynecology, is disproportionately low. Research is one of the most important pillars in advancing healthcare. Despite US Congress' vision in providing increased funding to the National I...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2020.03.022

    authors: Rice LW,Cedars MI,Sadovsky Y,Siddiqui NY,Teal SB,Wright JD,Zorbas A,Del Carmen MG

    更新日期:2020-07-01 00:00:00

  • Evidence that estrogen may be a key factor in hyperprolactinemic anovulation: a case report.

    abstract::Although anovulation associated with hyperprolactinemia is not an uncommon cause of infertility, the precise mechanism of the pathogenic process that induces hyperactivity (hypertrophy with hyperplasia) of pituitary lactotropes is unknown. We have recently experienced a case of anovulation and hyperprolactinemia in a ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80160-6

    authors: Sakamoto H,Den K,Kondo Y,Tsubata K,Takagi S

    更新日期:1987-08-01 00:00:00

  • Three-millennium antiquity of the lithokelyphos variety of lithopedion.

    abstract::Identification of a 3100-year-old lithopedion in the Archaic Southwest antedates its first clinical notation by 2100 years. It was only the "autopsy" of time (excavation of the site) that allowed its presence to be brought to light. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 历史文章,杂志文章

    doi:10.1016/0002-9378(93)90148-c

    authors: Rothschild BM,Rothschild C,Bement LC

    更新日期:1993-07-01 00:00:00

  • Assessment of failures of cryosurgical treatment in cervical intraepithelial neoplasia.

    abstract::The overall recurrence rate in 166 patients treated with cryosurgery is 10.8%. Recurrent cervical intraepithelial neoplasia is much more common in patients with severe dysplasia. Failures are commonly due to one of four factors. First, cryosurgery is to be used only after adequate colposcopic assessment and a negative...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(16)32437-1

    authors: Stuart GC,Anderson RJ,Corlett BM,Maruncic MA

    更新日期:1982-03-15 00:00:00

  • Fetal fibronectin levels are elevated in maternal plasma and amniotic fluid of patients with severe preeclampsia.

    abstract:OBJECTIVE:Our purpose was to investigate levels of fetal fibronectin in maternal plasma, amniotic fluid, and umbilical cord plasma from patients with severe preeclampsia. STUDY DESIGN:The study group comprised 20 patients with severe preeclampsia (group A). An antepartum comparison group was composed of 20 healthy pat...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90587-1

    authors: Kupferminc MJ,Peaceman AM,Wigton TR,Rehnberg KA,Socol ML

    更新日期:1995-02-01 00:00:00

  • Transabdominal chorionic villus sampling: a modified freehand ultrasonographically guided technique.

    abstract::A simple modification of the technique of transabdominal chorionic villus sampling is described. This technique uses a short piece of extension tubing between the needle hub and aspirating syringe. The advantages of this technique are discussed. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(92)91659-x

    authors: Hill LM,Laifer SA

    更新日期:1992-02-01 00:00:00

  • Histologic and hormonal documentation of the luteinized unruptured follicle syndrome.

    abstract::Histologic and hormonal documentation of a luteinized unruptured follicle that occurred during a spontaneous menstrual cycle in a rhesus monkey is presented. Frequent (every 2 hours) blood sampling to assess midcycle hormonal dynamics in the monkey with the luteinized unruptured follicle and in five monkeys with an ov...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90469-2

    authors: Schenken RS,Werlin LB,Williams RF,Prihoda TJ,Hodgen GD

    更新日期:1986-04-01 00:00:00

  • Can cervical cancer be prevented by a see, screen, and treat program? A pilot study.

    abstract:OBJECTIVE:Our purpose was to determine the feasibility of providing a cervical screening facility to the underprivileged communities through an educational program and a mobile clinic in which cytologic smears could be taken, screened immediately, and, when appropriate, the patients treated on site with minimal delay. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70327-7

    authors: Megevand E,Van Wyk W,Knight B,Bloch B

    更新日期:1996-03-01 00:00:00

  • Eliminating health disparities in unintended pregnancy with long-acting reversible contraception (LARC).

    abstract::Significant public health disparities exist surrounding teen and unplanned pregnancy in the United States. Women of color and those with lower education and socioeconomic status are at much greater risk of unplanned pregnancy and the resulting adverse outcomes. Unplanned pregnancies reduce educational and career oppor...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2016.02.017

    authors: Parks C,Peipert JF

    更新日期:2016-06-01 00:00:00

  • The effect of the oxytocin antagonist atosiban on preterm uterine activity in the human.

    abstract:OBJECTIVE:The purpose of this study was to test the hypothesis that infusion of the oxytocin antagonist atosiban results in decreased preterm uterine activity in the human. STUDY DESIGN:A randomized, double-blind, placebo-controlled trial was performed. One hundred twenty women from 20 to 36 weeks' gestation with a co...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s0002-9378(94)70214-4

    authors: Goodwin TM,Paul R,Silver H,Spellacy W,Parsons M,Chez R,Hayashi R,Valenzuela G,Creasy GW,Merriman R

    更新日期:1994-02-01 00:00:00

  • Comparison of cytokine levels and embryo toxicity in peritoneal fluid in infertile women with untreated or treated endometriosis.

    abstract:OBJECTIVE:Our aim was to examine the relationship between the levels of cytokines in peritoneal fluid and its embryo toxicity. STUDY DESIGN:The levels of interleukin-1 and tumor necrosis factor were measured in peritoneal fluid from infertile women who did not have endometriosis (n = 21), who had untreated endometrios...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(11)91672-x

    authors: Taketani Y,Kuo TM,Mizuno M

    更新日期:1992-07-01 00:00:00

  • Planned vaginal delivery and cardiovascular morbidity in pregnant women with heart disease.

    abstract:BACKGROUND:Although consensus guidelines on the management of cardiovascular disease in pregnancy reserve cesarean delivery for obstetric indications, there is a paucity of data to support this approach. OBJECTIVE:The objective of the study was to compare cardiovascular and obstetric morbidity in women with cardiovasc...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2019.07.019

    authors: Easter SR,Rouse CE,Duarte V,Hynes JS,Singh MN,Landzberg MJ,Valente AM,Economy KE

    更新日期:2020-01-01 00:00:00

  • Preconceptional antibiotic treatment to prevent preterm birth in women with a previous preterm delivery.

    abstract::This article addresses the question of whether the uterine cavity is normally sterile and reviews the difficulties in conducting microbiologic studies of the endometrium, the limitations of conventional microbiologic techniques (cultivation-dependent), and the potential contribution of molecular microbiology to examin...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2005.11.050

    authors: Espinoza J,Erez O,Romero R

    更新日期:2006-03-01 00:00:00

  • Incisions of the pregnant uterus and delivery of low-birth weight infants.

    abstract::This paper calls attention to rapidly increased use of vertical uterine incision and future consequences: impaired uterus, uterine rupture, and iatrogenic premature delivery. In addition, by making a vertical uterine incision we are not gaining much in the size of uterine entrance since the size of the vertical uterin...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(85)90541-1

    authors: Jovanovic R

    更新日期:1985-08-15 00:00:00

  • Association between primary vulvar vestibulitis syndrome, defective induction of tumor necrosis factor-alpha, and carriage of the mannose-binding lectin codon 54 gene polymorphism.

    abstract:OBJECTIVE:We evaluated whether women with vulvar vestibulitis syndrome (VVS) could be subdivided on the basis of genotyping the polymorphic mannose-binding lectin (MBL) gene. STUDY DESIGN:DNA from 123 women with VVS was tested for a single nucleotide polymorphism at codon 54 of the MBL gene. Blood samples from 86 of t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.05.037

    authors: Babula O,Linhares IM,Bongiovanni AM,Ledger WJ,Witkin SS

    更新日期:2008-01-01 00:00:00

  • Maternal and paternal race/ethnicity are both associated with gestational diabetes.

    abstract:OBJECTIVE:The objective of the study was to examine the rates of gestational diabetes mellitus (GDM) associated with both maternal and paternal race/ethnicity. STUDY DESIGN:This was a retrospective cohort study of all women delivered within a managed care network. Rates of GDM were calculated for maternal, paternal, a...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2010.01.082

    authors: Caughey AB,Cheng YW,Stotland NE,Washington AE,Escobar GJ

    更新日期:2010-06-01 00:00:00

  • Prolactin in normal pregnancy: relationship of maternal, fetal, and amniotic fluid levels.

    abstract::Serum prolactin was measured simultaneously by a homologous radioimmunoassay in 92 parturients and their offspring at term, and in maternal serum and amniotic fluid during various stages of normal pregnancy. Serum levels of 208 +/- 8 ng. per millilter were found in maternal blood; the corresponding levels in the cord ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(75)90858-3

    authors: Schenker JG,Ben-David M,Polishuk WZ

    更新日期:1975-12-15 00:00:00

  • Prenatal diagnosis of 46,XX male fetuses.

    abstract::Ultrasonography can accurately determine phenotypic sex differences from those of the genetic sex. Two cases were identified; they were the result of a translocation of the SRY gene from the Y chromosome to the X chromosome during meiosis. An ultrasonographic difference may represent an otherwise unsuspected genetic a...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(99)70673-3

    authors: Ginsberg NA,Cadkin A,Strom C,Bauer-Marsh E,Verlinsky Y

    更新日期:1999-04-01 00:00:00

  • The role of Chlamydia trachomatis in Bartholin's gland abscess.

    abstract::Chlamydia trachomatis is becoming increasingly known for its ability to cause severe injury to the female genital tract. Little investigation has been done in its role in diseases of Bartholin's glands. We present what we believe to be the first case report of an abscess of a Bartholin's gland in which Chlamydia trach...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Saul HM,Grossman MB

    更新日期:1988-03-01 00:00:00

  • A simple estimated fetal weight equation based on real-time ultrasound measurements of fetuses less than thirty-four weeks' gestation.

    abstract::Based on ultrasonographic mensuration, a number of equations have previously been devised for the purpose of estimating fetal weights. The objective of this study was to develop a mathematical equation that is simple, accurate, and easy to use when applied to preterm or low-birth weight fetuses (less than 2,500 gm). R...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(83)91195-x

    authors: Thurnau GR,Tamura RK,Sabbagha R,Depp OR 3rd,Dyer A,Larkin R,Lee T,Laughlin C

    更新日期:1983-03-01 00:00:00

  • Long-term magnesium sulfate treatment as protection against hypoxic-ischemic brain injury in seven-day-old rats.

    abstract:OBJECTIVE:Our purpose was to study the effects of long-term treatment with magnesium sulfate on hypoxic-ischemic brain damage in newborn rats. STUDY DESIGN:Seven-day-old rat pups (n = 120) were exposed to unilateral carotid artery ligation and 2 hours of hypoxia (8% oxygen in 92% nitrogen). Neuronal loss was evaluated...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.108343

    authors: Sameshima H,Ikenoue T

    更新日期:2001-01-01 00:00:00

  • Prenatal diagnosis by DNA polymorphism analysis of complete mole with coexisting twin.

    abstract::Partial mole is distinguishable from complete mole with coexisting normal twin after delivery by DNA polymorphysm analysis. Our patient had chorionic villus sampling of a molar-appearing placenta with coexisting fetus at 12.3 weeks. Absent maternal alleles confirmed a diandrogenetic complete mole. Prenatal DNA diagnos...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2003.151

    authors: Wax JR,Pinette MG,Chard R,Blackstone J,Do,Cartin A

    更新日期:2003-04-01 00:00:00

  • The case for simulation as part of a comprehensive patient safety program.

    abstract::Simulation in obstetrics allows us to practice in a safe environment. Simulations can improve the performance of individuals and obstetric teams. The evidence is overwhelming that, with simulated practice, obstetricians improve their technical and communication skills. Evidence is emerging that simulation ultimately m...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2011.09.012

    authors: Argani CH,Eichelberger M,Deering S,Satin AJ

    更新日期:2012-06-01 00:00:00