Electrohysterographic analysis of uterine contraction propagation with labor progression: a preliminary study

C. Rabotti, M. Mischi, J.O.E.H. van Laar, S.G. Oei, J.W.M. Bergmans

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

14 Citations (Scopus)

Abstract

Monitoring the uterine contractions provides important prognostic information during pregnancy and delivery. In particular, the propagation of uterine activity is closely related to the contraction efficiency. In the present study, a propagation analysis of uterine contraction is carried out by simultaneously recording the electrohysterogram (EHG) and the internal uterine pressure (TUP) on one woman in the last 4 hours of labor. The EHG, recorded in a monopolar multi- electrode configuration, was first processed in each channel in order to provide an accurate estimate of the IUP. The IUP estimate resulted in a correlation coefficient with the simultaneously recorded IUP r=0.74. Eventually, in order to evaluate the propagation of the muscular electrical activity, the delays among the IUP estimates in each channels were calculated by cross correlation function maximization. In agreement with previous studies, no preferred direction of propagation was singled out and pacemaker areas changed from contraction to contraction. However, by analyzing the occurrences of each pacemaker area, the uterine upper part resulted the most frequent location. Moreover, the close agreement between the number of simultaneously active electrodes and the IUP peak values (r=0.76) revealed a relationship between the spreading of action potentials and the maximum amplitude of contraction.
Original languageEnglish
Title of host publicationProceedings of the 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Place of PublicationPiscataway
PublisherInstitute of Electrical and Electronics Engineers
Pages4135-4138
Number of pages4
ISBN (Print)978-1-4244-0787-3
DOIs
Publication statusPublished - 2007
Event29th Annual International Conference IEEE-EMBS - Lyon, France
Duration: 23 Aug 200726 Aug 2007

Conference

Conference29th Annual International Conference IEEE-EMBS
CountryFrance
CityLyon
Period23/08/0726/08/07

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