Monica Healthcare Ltd latest articles http://www.monicahealthcare.com/rss Fri, 21 Sep 2012 13:42:43 +0100 FeedCreator 1.7.2-ppt (info@mypapit.net) http://www.monicahealthcare.com/images/logoAdmin.jpg http://www.monicahealthcare.com Monica Healthcare Ltd latest articles Click to visit. http://www.ncbi.nlm.nih.gov/pubmed/22070793 <p> Objective: To compare intra-partum performance of trans-abdominal electrocardiogram with Doppler telemetry.</p> <p> Methods: In this prospective longitudinal study, simultaneous monitoring with trans-abdominal ECG and Doppler telemetry was performed in 41 uncomplicated term singleton... Monica Healthcare non <p> Objective: To evaluate the feasibility of continuous telemetric trans-abdominal fetal electrocardiogram (a-fECG) in women undergoing labour induction at home.<br /> Study Design: Low risk women with singleton term pregnancy undergoing labour induction with retrievable, slow-release... Monica Healthcare NON <p align="LEFT"> <font face="AdvPTimes" size="2"><font face="AdvPTimes" size="2">Abstract</font></font></p> <p> <font face="AdvPTimes" size="2"><font face="AdvPTimes" size="2">The objective of this study was to assess the fetal heart rate (FHR) signal quality of non-invasive abdominal fetal... Monica Healthcare http://vestnik.kmldo.ru/archive/18/ <p> Results obtained allowed to recommend for using in obstetrics the new technologies for fetus cardiac rhythm variable till the moment of sonography visualization of systole (10-12 weeks). The EGK halter using allowed to perform the cardiotokographic studies in earlier gestation periods (from... Monica Healthcare none <p> <strong>Background</strong>: Reliable non-invasive recording of the fetal electrocardiogram (fECG) has been pursued by obstetric researchers for decades. Many fetal pathologic conditions could be monitored more accurately if fECG could be obtained. The Monica AN 24, a new, portable fetal... Monica Healthcare NON <p> Objectives:&nbsp; To evaluate the success of intrapartum external fetal monitoring in obese women.</p> <p> Methods: Group 1 ( Liverpool Women&rsquo;s Hospital): A retrospective analysis of data for 400 labouring women with singleton pregnancies at &ge;37+0 weeks gestation, stratified into... Monica Healthcare http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0028129 <p> <strong>Objective: </strong>To evaluate the feasibility of continuous telemetric trans-abdominal fetal electrocardiogram (a-fECG) in women undergoing labour induction at home.</p> <p> <strong>Study Design: </strong>Low risk women with singleton term pregnancy undergoing labour induction... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/22028060 <p> <strong>Purpose:</strong> The aim of this study was to determine the quality of intrapartum uterine activity (UA) monitoring in daily practice during the first and second stages of labour. The total duration of inadequate UA monitoring is quantified in relation to the technique applied,... Monica Healthcare none <p> Objective: Fetal monitoring by Doppler is well established standard of care. Doppler signal quality, signal loss and FHR/MHR confusion are the main pitfalls. Restriction of mobility during the first stage of labour by Doppler probes is the second major problem, since mobility reduces the... Monica Healthcare none <p>Obective: To evaluate fetal heart rate, obtained by trans-abdominal ECG R-R intervals, by power spectral density (PSD), and compare normal values with findings obtained in acidemic fetuses.<br />Methods: Trans-abdominal fetal ECG with Monica AN24 device was performed in labour in uncomplicated... Monica Healthcare none <p>Aim: To evaluate the feasibility of trans-abdominal ECG (aECG) monitoring with portable device (Monica AN24) during outpatient labor induction.<br /><br />Methods: Low risk post term women induced with slow release dinoprostone pessaries (10mg) were allowed home for up to 24 hours, whilst aECG,... Monica Healthcare none <p> This article analyses why midwives should encourage and support women to mobilize during labour and maintain upright positions during labour and childbirth. A systematic nalysis of the literature regarding this issue will be constructed. An outline of the role of the midwife and why it is... Monica Healthcare none Obstetric care providers and researchers have long relied on analysis of the fetal heart rate tracing for insight into the fetal neurologic status. Although a normal fetal heart rate tracing does provide reassurance of intact neurologic function, an abnormal pattern is a very poor predictor of... Monica Healthcare none <p>The obesity epidemic challenges traditional antenatal fetal heart rate (FHR) monitoring technologies. Doppler signals in particular are attenuated. We sought to evaluate whether the performance of a novel transabdominal fetal electrocardiogram (fECG) device (AN24, Monica Healthcare) is... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/9207823 possibility that human uterine electrical events can be recorded and characterized from the abdominal surface during pregnancy. The study included gestational age ranged from 20 to 43 weeks. The results showed that throughout most pregnancy, uterine electrical activity was minimal, consisting of... Monica Healthcare none <div><div>This article gives an overview of the pattern of the MHR during labour in continuous maternal and fetal heart rate monitoring using an abdominal maternal and fetal electrocardiograph monitor (abfECG) in contrast with more traditional Doppler methods. <br />The exploration of the pattern... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/19399706 None Monica Healthcare none <br /> <p> Introduction: During labour non-invasive foetal heart rate monitoring is a routine method for the assessment of foetal well-being. This study examines an alternative assessment by foetal ECG during labour.</p> <p> Materials and Methods: 32 pregnant women admitted for delivery gave... Monica Healthcare www.obgynsurvey.com <p> Accuracy of Frequency &ndash; Related Parameters of the Electrohysterogram for Predicting Preterm Delivery</p> <p> &nbsp;</p> Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/18377859 Electronic fetal monitors have evolved greatly in the last several decades, allowing accurate recording of the fetal heart rate (FHR) with an external Doppler transducer with much less signal loss than was present in the earlier products. This improved sensitivity has resulted in decreased use of... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/15838752 Uterine contraction-associated accelerations of the maternal heart rate are considered to reflect both a transient contraction-related increase in cardiac output and endogenous catecholamine secretion. Uterine contraction associated decelerations of the maternal heart rate are rare and remain... Monica Healthcare http://fn.bmjjournals.com/content/94/Suppl_1/Fa11.extract?sid=39dc777f-cf0e-46fd-964f-e8966481ac7b Objective: To introduce a novel robust measure of fetal heart rate variability and report an initial longitudinal series of 19 healthy fetuses<br /><br />Results: in 17 out of 19 cases, HRV power remained constant over a period of 2 hours. In two cases, there was a significant upward trend.<br... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/19672790 <p>Objective: Validation of electrohysterography (EHG) as a method for uterine activity monitoring during labour by comparing with intra-uterine pressure catheter (IUCP) recordings. Prospective observational study. Population of the study was thirty-two women in labour, simultaneous recording of... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/16686408 Abstract&mdash;A method for comparison of two acquisition techniques that are applied in clinical practice to provide information<br />on fetal condition is presented. The aim of this work was to evaluate the commonly used Doppler ultrasound technique for<br />monitoring of mechanical activity of... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/15294362 <p>Objective: To determine the quality of fetal heart rate (FHR) recordings during the first and second stage of labor by quantifying the amount of fetal signal loss in relation to the method of monitoring: external ultrasound or directly via a scalp electrode. </p><p>Study Design: Analysis of 239... Monica Healthcare http://www.monicahealthcare.com/downloads/OC_FNPS_2009.pdf <p>Introduction: <br />Unexpected intrauterine fetal death in late gestation has been repeatedly reported in women with OC. This could be a consequence of altered cardiac conduction, presumably induced by increased bile acid concentration (BAC).</p><p>Methods: FHR was derived from the RR interval.... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/18715432 <p> Summary&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Objective to&nbsp; assess the clinical value of the short term fetal heart rate variation (STV) for timing the delivery of severely growth retardation fetuses, many associated with pre-eclampsia.<br /> <br /> Population Two hundred and fifty seven... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/15838752 <p style="margin: 0cm 0cm 10pt" class="MsoNormal"><span><font face="Calibri" size="3">Uterine contraction-associated accelerations of the maternal heart rate are considered to reflect both a transient contraction-related increase in cardiac output and endogenous catecholamine secretion. Uterine... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/19104359 <p>OBJECTIVE: To assess the associations among maternal obesity, uterine contraction<br />frequency, and spontaneous preterm birth in women at risk for spontaneous preterm<br />birth. </p><p>METHODS: In a secondary analysis, we analyzed data from 253 women at risk<br />for spontaneous preterm birth... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/19370591 <p>BACKGROUND: It is more common for women in the developed world, and those in low-income countries giving birth in health facilities, to labour in bed. There is no evidence that this is associated with any advantage for women or babies, although it may be more convenient for staff. Observational... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/19382611 <p>OBJECTIVES: To record and analyse bioelectrical activity of the uterine muscle in the course of physiological pregnancy, labour and threatening premature labour; to define which parameters from the analysis of both electrohysterogram and mechanical activity signal allow us to predict threatening... Monica Healthcare http://www.rcm.org.uk/EasySiteWeb/GatewayLink.aspx?alId=37280 <p>Points;</p><p>The use of electronic fetal monitoring, intravenous infusions and different methods of analgesia will all affect women&rsquo;s mobility. Women need to be aware of this in order for them to make an informed choice (MIDIRS 2005). These procedures may also interfere with use of... Monica Healthcare http://www.ajog.org/article/S0002-9378(08)00911-3 <p> <strong>Overview </strong>Measurement of myometrial electrical activity contributes an additional efficacious method for the early identification of patients in true spontaneous preterm labour<br /> <br /> <strong>Background and Objective</strong><br /> The consequences of inconclusive... Monica Healthcare http://www3.interscience.wiley.com/cgi-bin/fulltext/119405952/HTMLSTART Interfering with the normal physiological process of labor and birth in the absence of medical necessity increases the<br />risk of complications for mother and baby. Six evidence-based care practices promote physiological birth: avoiding<br />medically unnecessary induction of labor, allowing... Monica Healthcare http://www3.interscience.wiley.com/cgi-bin/fulltext/119405953/HTMLSTART The journey from &ldquo; normal &rdquo; to high-tech childbirth has taken place gradually over the past century. This article gives a historic review of maternity care and defines normal birth according to care practices adapted from the World Health Organization. The issues facing today &rsquo; s... Monica Healthcare http://www.ajog.org/article/S0002-9378(08)00192-0/fulltext Electronic fetal monitors have evolved greatly in the last several decades, allowing accurate recording of the fetal heart rate (FHR) with an external Doppler transducer with much less signal loss than was present in the earlier products. This improved sensitivity has resulted in decreased use of... Monica Healthcare http://www.ajog.org/article/S0002-9378(08)01957-1/abstract <p>OBJECTIVE: Intrapartum monitoring of uterine contractions with an<br />intrauterine pressure catheter (IUPC) invasively provides direct evidence of<br />contraction frequency and strength but is neither without risk nor available for<br />all patients. We sought to determine if uterine... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/19076966 <p>The feasibility and accuracy of long-term transabdominal fetal electrocardiogram (fECG) recordings throughout pregnancy were studied using a portable fECG monitor. Fifteen-hour recordings of fetal heart rate (FHR) were performed in 150 pregnant women at 20&ndash;40 weeks of gestation and 1-hour... Monica Healthcare http://linkinghub.elsevier.com/retrieve/pii/S0015028208015501 <br />OBJECTIVE: Obesity and insulin resistance (IR) have been identified<br />as risk factors for spontaneous abortion (SAB) and recurrent pregnancy<br />loss (RPL). Although the majority of SABs are due to fetal aneuploidy,<br />obesity is associated with an increased SAB rate even in women... Monica Healthcare Purpose of the Review <br />Though fetal arrhythmias account for a small proportions of referrals to a fetal cardiologist, they may be associated with significant morbidity and mortality. The present review outlines the current literature with regard to the diagnosis and, in brief, some management... Monica Healthcare http://heart.bmj.com/cgi/content/abstract/93/11/1454 Approximately 2.8% of pregnancies are Ro/La antibody positive. 3-15% of fetuses develop complete heart block (CHB). First-degree atrioventricular heart block is reported in a third of Ro/La fetuses but as most have a normal postnatal ECG this may reflect inadequacies of Doppler measurement... Monica Healthcare http://www.reference-global.com/doi/pdfplus/10.1515/JPME.2009.635 <p><strong>Abstract - English</strong></p><p>Introduction<br />Computer analysing software is required for assessment of CTGs, because of the low sensitivity and high intra- and interobserver variability. The German Society of Gynaecology and Obstetrics advices using computer analysing CTG software... Monica Healthcare http://www.ingentaconnect.com/content/bpl/jogn/2008/00000037/00000005/art00002 In April 2008, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine partnered<br />to sponsor a 2-day workshop to revisit nomenclature, interpretation, and research... Monica Healthcare http://www.greenjournal.org/cgi/content/long/112/3/506 Describes the development of electronic fetal heart rate monitoring Monica Healthcare http://www.informaworld.com/smpp/title~content=t713453317 <p>Objective. We investigated the ability to non-invasively obtain uterine electromyograms (EMG; electrohysterogram (EHG)) to predict the intrauterine pressure (IUP) waveform. </p><p>Study design. Patients enrolled in a term labor study of trans-abdominal electrical activity, who underwent IUP... Monica Healthcare http://www.iop.org/EJ/abstract/0967-3334/29/7/011/ Monitoring the uterine contraction provides important prognostic information during pregnancy and parturition. The existing methods employed in clinical practice impose a compromise between reliability and invasiveness. A<br />promising technique for uterine contractionmonitoring is... Monica Healthcare http://www3.interscience.wiley.com/cgi-bin/mrwhome/106568753/HOME The primary aim of this protocol is to evaluate the effectiveness of intra-uterine pressure catheter when intravenous oxytocin is used for induction or augmentation of labour compared with the effect of using external tocodynamometry. Monica Healthcare http://www.rcm.org.uk/magazines/web-only-papers/obesity-on-obstetrics-new-challenges-and-solutions-using-abdominal-fetal-ecg/ Abstract <br />Obesity is now an important health problem and pregnancy coupled with obesity can result in the pregnancy being classified as high risk. Careful and close monitoring is therefore necessary. This article highlights some of the problems with Doppler ultrasound (CTG), in monitoring... Monica Healthcare http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=search&term=15253126 We evaluate the suitability of an enhanced detrended fluctuation analysis for studying fetal heart rate series involving imperfect quality of information. Our results indicate that to explore persistent long-range correlations, or fractality, the collection requirements of the data can be relaxed... Monica Healthcare http://www.blackwell-synergy.com/ Antenatal fetal heart rate (FHR) monitoring is usually restricted to relatively short-lasting periods, often one hour at a maximum. In women with diabetes glucose values vary largely over the day (1). Fetal compromise is likely to occur in case of maternal hyperglycaemia (and fetal hyperglycaemia)... Monica Healthcare http://www.blackwell-synergy.com/ Spectral analysis of heart rate variability is a promising method for fetal monitoring. A matched case control study was performed. Cases had a gestational age of &gt;=42, controls of 36&ndash;37 weeks. Fetuses were matched for parity and birth weight percentile. Only STAN&reg; registrations from... Monica Healthcare http://www.blackwell-synergy.com/ Electrical activity as present over the pregnant abdomen can be used to record maternal and fetal electrocardiograms (ECG), as well as the electrohysterogram. The signals, recorded noninvasively by five electrodes, can provide prognostic information on the fetal condition and uterine activity from... Monica Healthcare http://linkinghub.elsevier.com/retrieve/pii/S0002937807018625 <p><strong>OBJECTIVE:</strong> Non-invasive fetal heart rate (FHR) monitoring using the fetal-ECG signal as obtained from the maternal abdomen has the advantage of obtaining prolonged recordings, when compared to FHR monitoring using ultrasound. </p><p><strong>RESULTS:</strong> When total recording... Monica Healthcare http://www.blackwell-synergy.com/ <p>Philip Steer in this article says &lsquo;Maternal obesity needs to be recognised as a serious and growing health problem. The RCOG is so concerned it has convened a special study group to debate the topic, discuss idea&rsquo;s on how to manage the situation and find possible... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/17138998 <p>Potential problems in monitoring obese mothers, external electronic fetal monitoring can be problematic, women have reduced awareness of fetal movements, Large cuffs required to measure blood pressure.</p><p>Obesity can raise management costs of pregnancy, Increased risk of admission to hospital... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/18385496 <p>Study using 13,442 pregnancies among women 18 years age or older at the time of conception that resulted in live or stillbirths.</p><p>Assessed associations between measures of use of health care services and body-mass index.<br /><br />Finding may reflect the fact that clinicians will monitor... Monica Healthcare http://www.cemach.org.uk/ <p>Obesity in Pregnancy has been selected as CEMACH&#39;s principal project with a maternal health focus for 2008-2011</p><p>Substantial evidence that obesity in pregnancy contributes to increased morbidity and mortality for mother and baby.<br /><br />30% of mothers who had a stillbirth or... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/17119988 <p>Goal of the study: if a continuous 24-hour CTG allows an earlier detection of beginning hypoxia in case of normal pregnancy of 36-42 week compared to pregnancies of 25-30 weeks of gestation.</p><p>Subjects: 21 mothers in each group had 24 hour CTG&rsquo;s by means of telemetry... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/12825474 <p>Aim of this review was to assess the current data on the application of this new technology with regard to feasibility, access to care, maternal and neonatal outcome, patient and physician satisfaction, and cost-effectiveness.</p><p>The availability of the monitoring device at home adds... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/14698827 <p>Objectives: To evaluate the feasibility of high-risk pregnancy surveillance by patient-directed fetal heart rate monitoring and transmission, and to assess patient satisfaction with this technology.</p><p>Methods: Thirty-six women with high-risk pregnancies performed daily non-stress tests at... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/2194977 <p>In this paper changes in antepartum fetal heart rate (FHR) patterns are described, that occur with progressive deterioration of the fetal condition.</p><p>A possible rank ordering is presented in which changes in FHR pattern, body movements and blood flow velocity wave form patterns occur with... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/8026364 <p>We studied the short-term effects of maternal betamethasone administration on fetal well-being by recording of fetal movement and heart rate patterns. In 13 women at high risk of preterm delivery (26-32 weeks), eighty 1-h recordings were made of fetal body and breathing movements and fetal heart... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/7199260 <p>In 10 healthy women near term, fetal heart rate, as monitored from an abdominal electrocardiogram and its variation were analyzed over 24 hours. During the daytime, this was combined with real-time scanning for fetal breathing and movements. There was an episodic change in high and low pulse... Monica Healthcare no <p>Looking at daily changes and diurnal variations, the time of day affects the quality of fetal movements, increased fetal movements at night between 9pm and 1am</p><p>Natale et al studied fetus 24-32 weeks and found a strong link between FHR accelerations and body movements as the fetus... Monica Healthcare http://www.ncbi.nlm.nih.gov/pubmed/17470595 <p>To compare electrohysterogram derived contractions with both tocodynamometry and intrauterine pressure monitor in obese laboring women.</p><p>25 subjects median BMI 39.6</p><p>Tocodynamometry identified 248 contractions compared with 336 by electrohysterography, whereas intrauterine pressure... Monica Healthcare