Title
Pattern-Segmented Heart Rate Variability Analysis During Fetal Maturation
Abstract
Background: Established fetal maturation diagnostics evaluates heart rate patterns (HRP) such as baseline, variability, decelerations (DC) and accelerations (AC). Fetal heart rate variability (fHRV) parameters provide valuable additional information. Their dependence on those patterns is crucial but not sufficiently explored. Objective of the present work is the comparison of the maturational age prediction using fHRV parameters with respect to those patterns. Methods: We analyzed 555 recordings, each one lasting 30 minutes, of normal fetuses, from 19 weeks of gestation (WGA) onward. We applied a pattern-segmented fHRV analysis of linear and nonlinear parameters under consideration of the fetal behavioral states to evaluate the WGA prediction accuracy, based on linear regression models that were tested using a repeated cross validation scheme. Results/Conclusion: fHRV parameters calculated under exclusion of DCs, show a significantly improved age dependency compared to the standard method, especially in the early weeks of the second half pregnancy. This aspect may improve the early sensitive identification of maturation disorders of the fetus.
Year
DOI
Venue
2018
10.22489/CinC.2018.008
2018 Computing in Cardiology Conference (CinC)
Keywords
Field
DocType
pattern-segmented heart rate variability analysis,Established fetal maturation diagnostics,heart rate patterns,accelerations,fetal heart rate variability parameters,valuable additional information,maturational age prediction,fHRV parameters,gestation onward,nonlinear parameters,fetal behavioral states,WGA prediction accuracy,improved age dependency,maturation disorders,time 30.0 min,time 19.0 week
Fetus,Heart rate variability,Internal medicine,Pregnancy,Fetal Heart Rate Variability,Cardiology,Gestation,Heart rate,Cross-validation,Medicine,Linear regression
Conference
Volume
ISSN
ISBN
45
2325-8861
978-1-7281-0924-4
Citations 
PageRank 
References 
0
0.34
0
Authors
3
Name
Order
Citations
PageRank
Alexander Schmidt100.34
Dirk Hoyer23912.37
Uwe Schneider311.41