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EN
In this paper we discussed the influence of preliminary processing of the ultrasound Doppler signal on accuracy of the fetal heart rate estimation as well as on reliability of the FHR instantaneous variability assessment. We attempted to develop an optimal processing channel of US Doppler signal in order to measure the periodicity of fetal heart activity with accuracy as close as possible to that ensured by FECG. The FHR values determined from the US signal were compared to the reference data obtained from direct FECG. In a final evaluation we used the parameters describing the FHR variability as the clinically important signal features being the most sensitive to any periodicity inaccuracy. The results proved that an application of proposed algorithms improves the accuracy of interval measurements and FHR instantaneous variability assessment in relation to the new-generation fetal monitors.
EN
This work was aimed at assessment of usability of Doppler ultrasound method for the analysis of fetal heart rate variability at a level of single heart beats. The purpose of this study was to check if today fetal monitors provide the signal of accuracy comparable with an electrocardiography method. The virtual instrumentation software for measurement system and processing of acquired signals was implemented using LABVIEW environment. The results obtained reveal that accuracy of today monitors which use Doppler ultrasound technique is sufficient for visual analysis of the FHR traces. However, for the computerized analysis at a beat-to-beat level, this accuracy is below the acceptable value.
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