Abstract-A fetal electrocardiogram (FECG) obtained via an intrauterine catheter (IC) is a compromise between the clinically accepted invasive scalp electrode, and the noninvasive abdominal wall approaches. The catheter is inserted into the uterus during delivery, but is non-invasive to the fetus. The IC can be modified to contain a pressure sensor to monitor contractions. The modified IC would enable fetal heart rate and contractions to be monitored with one sensor. Currently, two sensors that include the invasive scalp electrode and intrauterine pressure catheter are used clinically.Signal processing is required to obtain a FECG via the IC. Usually the maternal electrocardiogram (ECG) is present in the IC's signal along with electromyographic noise. Obtaining the FECG in real-time further complicates the processing since the FECG can be similar in amplitude to the maternal ECG. Current techniques for maternal ECG cancellation produce a significant residual during the initial processing of the algorithm and/or falsely detect the FECG for the maternal ECG.A real-time IC technique will be discussed. The results from clinical data from eight patients indicate a FECG with a good signal-to-noise ratio can be obtained even during the first seconds and minutes of operation.
Keywords -Fetal electrocardiogram, intrauterine catheter
I. INTRODUCTIONVarious fetal electrocardiogram (FECG) monitoring techniques have been reported in the last 40 years. These methods include non-invasive and invasive techniques. The non-invasive methods can further be divided into noninvasive to the mother and fetus which include the abdominal wall approaches, and non-invasive to the fetus which includes the intrauterine catheter (IC) procedure [1][2][3][4]. The clinically accepted scalp electrode is categorized as an invasive method since the electrode is invasive to the mother and fetus [5].The invasive scalp electrode has proved to be a reliable technique for monitoring fetal status via heart rate (HR) during delivery. However, the scalp electrode is invasive to the fetus. In contrast, the non-invasive abdominal wall approaches would be ideal when compared to the invasive scalp electrode. However, obtaining a FECG from the abdominal wall is non-trivial. The FECG signal strength is very weak, and corrupted with interfering noise from the maternal electrocardiogram (ECG) and muscle activity of the abdominal surface [1][2].Since the IC technique is non-invasive to the fetus but invasive to the mother, the catheter makes a nice compromise between the non-invasive abdominal wall and scalp electrode techniques. Since the catheter is placed in close proximity to the fetus and even touches the fetus in some places, the adjacency allows for a greater chance of obtained a FECG with a favorable signal-to-noise ratio. In addition, the IC used to obtain pressure contraction information can be combined with the IC to obtain the FECG. These combined catheters could then be used to perform the tasks of the scalp and intrauterine pressure catheter with only ...