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Cardiotocography (CTG) is a key element when it comes to monitoring fetal well-being. Obstetricians use it to observe the fetal heart rate (FHR) and the uterine contraction (UC). The goal is to determine how the fetus reacts to the…

Signal Processing · Electrical Eng. & Systems 2022-10-03 Julien Bertieaux , Mohammadhadi Shateri , Fabrice Labeau , Thierry Dutoit

Cardiotocography (CTG) is the main tool used for fetal monitoring during labour. Interpretation of CTG requires dynamic pattern recognition in real time. It is recognised as a difficult task with high inter- and intra-observer disagreement.…

Machine Learning · Computer Science 2021-11-02 M. O'Sullivan , T. Gabruseva , G. Boylan , M. O'Riordan , G. Lightbody , W. Marnane

Objective: To develop and interpret a supervised variational autoencoder (VAE) model for classifying cardiotocography (CTG) signals based on pregnancy outcomes, addressing interpretability limits of current deep learning approaches.…

Machine Learning · Computer Science 2025-09-09 John Tolladay , Beth Albert , Gabriel Davis Jones

Supervised deep learning models for automated CTG analysis are typically constrained by narrowly curated labelled datasets and limited patient cohorts, leaving substantial volumes of physiologically informative clinical recordings untapped.…

Machine Learning · Computer Science 2026-05-06 Sheng Wong , Ravi Shankar , Beth Albert , Hao Fei , Lin Li , Imane Ben M'Barek , Manu Vatish , Gabriel Davis Jones

We present a novel computerized fetal heart rate intrapartum algorithm for early and individualized prediction of fetal cardiovascular decompensation, a key event in the causal chain leading to brain injury. This real-time machine learning…

Quantitative Methods · Quantitative Biology 2021-04-21 Nathan Gold , Christophe L. Herry , Xiaogang Wang , Martin G. Frasch

Antepartum Cardiotocography (CTG) is vital for fetal health monitoring, but traditional methods like the Dawes-Redman system are often limited by high inter-observer variability, leading to inconsistent interpretations and potential…

Artificial Intelligence · Computer Science 2024-11-13 M. Jaleed Khan , Manu Vatish , Gabriel Davis Jones

Despite broad application during labor and delivery, there remains considerable debate about the value of electronic fetal monitoring (EFM). EFM includes the surveillance of the fetal heart rate (FHR) patterns in conjunction with the…

Quantitative Methods · Quantitative Biology 2021-12-06 Martin G. Frasch , Shadrian B. Strong , David Nilosek , Joshua Leaverton , Barry S. Schifrin

Remote fetal monitoring technologies are becoming increasingly common. Yet, most current systems offer limited interpretability, leaving expectant parents with raw cardiotocography (CTG) data that is difficult to understand. In this work,…

Machine Learning · Computer Science 2025-07-31 Black Sun , Die , Hu

Foundation models (FMs) and large language models (LLMs) have demonstrated promising generalization across diverse domains for time-series analysis, yet their potential for electronic fetal monitoring (EFM) and cardiotocography (CTG)…

Machine Learning · Computer Science 2025-11-07 Sheng Wong , Ravi Shankar , Beth Albert , Gabriel Davis Jones

Prenatal psychological stress affects 15-25% of pregnancies and increases risks of preterm birth, low birth weight, and adverse neurodevelopmental outcomes. Current screening relies on subjective questionnaires (PSS-10), limiting continuous…

Quantitative Methods · Quantitative Biology 2026-04-28 Martin G. Frasch , Marlene J. E. Mayer , Clara Becker , Peter Zimmermann , Camilla Zelgert , Marta C. Antonelli , Silvia M. Lobmaier

In the pregnant mother and her fetus, chronic prenatal stress results in entrainment of the fetal heartbeat by the maternal heartbeat, quantified by the fetal stress index (FSI). Deep learning (DL) is capable of pattern detection in complex…

Quantitative Methods · Quantitative Biology 2021-12-20 Pritam Sarkar , Silvia Lobmaier , Bibiana Fabre , Diego González , Alexander Mueller , Martin G. Frasch , Marta C. Antonelli , Ali Etemad

Machine learning (ML) applied to routine patient monitoring within intensive care units (ICUs) has the potential to improve care by providing clinicians with novel insights into each patient's health and expected response to interventions.…

Signal Processing · Electrical Eng. & Systems 2024-06-26 Thomas Kite , Uzair Tahamid Siam , Brian Ayers , Nicholas Houstis , Aaron D Aguirre

Cardiotocography (CTG) is a low-cost, non-invasive fetal health assessment technique used globally, especially in underdeveloped countries. However, it is currently mainly used to identify the fetus's current status (e.g., fetal acidosis or…

Signal Processing · Electrical Eng. & Systems 2025-09-19 Jinshuai Gu , Zenghui Lin , Jingying Ma , Jingyu Wang , Linyan Zhang , Rui Bai , Zelin Tu , Youyou Jiang , Donglin Xie , Yuxi Zhou , Guoli Liu , Shenda Hong

Gynaecologists and obstetricians visually interpret cardiotocography (CTG) traces using the International Federation of Gynaecology and Obstetrics (FIGO) guidelines to assess the wellbeing of the foetus during antenatal care. This approach…

Machine Learning · Computer Science 2020-08-25 Paul Fergus , Carl Chalmers , Casimiro Curbelo Montanez , Denis Reilly , Paulo Lisboa , Beth Pineles

Cardiotocography (CTG) is essential for fetal monitoring but is frequently compromised by diverse artefacts which obscure true fetal heart rate (FHR) patterns and can lead to misdiagnosis or delayed intervention. Current deep-learning…

Audio and Speech Processing · Electrical Eng. & Systems 2025-08-18 Sheng Wong , Beth Albert , Gabriel Davis Jones

Background: Studies about the feasibility of monitoring fetal electroencephalogram (fEEG) during labor began in the early 1940s. By the 1970s, clear diagnostic and prognostic benefits from intrapartum fEEG monitoring were reported, but…

Other Quantitative Biology · Quantitative Biology 2020-08-11 Aude Castel , Yael Frank , John Feltner , Floyd Karp , Catherine Albright , Martin G. Frasch

Continuous monitoring of fetal and maternal vital signs, particularly during labor, can be critical for the child and mother's health. We present a novel wearable electronic system that measures, in real-time, maternal heart rate using…

Medical Physics · Physics 2023-07-03 Anushka Tiwari

Accurate segmentation of cervical structures in transvaginal ultrasound (TVS) is critical for assessing the risk of spontaneous preterm birth (PTB), yet the scarcity of labeled data limits the performance of supervised learning approaches.…

Approximately 10\% of newborns require assistance to initiate breathing at birth, and around 5\% need ventilation support. Fetal heart rate (FHR) monitoring plays a crucial role in assessing fetal well-being during prenatal care, enabling…

Machine Learning · Computer Science 2025-09-26 Kjersti Engan , Neel Kanwal , Anita Yeconia , Ladislaus Blacy , Yuda Munyaw , Estomih Mduma , Hege Ersdal
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