Examining the feasibility of a wearable device for fetal heart rate monitoring through interdisciplinary research

项目总结 美国农村地区的孕产妇和婴儿健康状况总体上呈现出持续和不断增长的趋势 健康需要。需要不断的技术进步来改善卫生保健服务和成果 最脆弱的人群。这个多学科团队的长期目标是将 从工程原型到自我监测的临床原型。这项建议的目标是发展 基于无线、非侵入性皮肤穿戴的胎儿心电监护设备的功能 一种精确的胎心电信号提取算法和基于云的远程健康监护改进临床护理 在可以接受产前保健服务的农村社区的低风险孕妇中 消费者。为达致建议的目标，研究将集中于两个具体目标：目标1-发展 在农村医疗保健中通过基于人体的受试者测试的可穿戴心电监护设备原型 背景；和目标2--检查女性对无线可穿戴式健康监测设备的接受程度 使用基于社区的参与性研究来了解以下人群的需求、认知和偏好 以前怀孕过的女性。这项研究完成后的预期结果是 演示了可穿戴fECG设备的功能，并支持以患者为中心的多个数据来源 该设备的未来用途。在未来，可穿戴设备的广泛使用可能会改善产科 通过增加产妇在分娩期间的流动性和改善分娩的能力为孕妇提供护理 对妇女和婴儿都有影响。未来的研究可以通过使用 远程可穿戴设备。这些努力与NICHD的第五个主题保持一致，以促进安全和有效的设备 这些努力包括与研究人员在以下领域进行多学科合作 工程学、护理学和公共卫生。此外，这项研究是以社区为基础的，包括一个农村 代表不足的人口。

PROJECT SUMMARY The overall maternal and infant health outcomes in rural areas of the United States depict a constant and growing health need. Continued technological advances are needed to improve health care services and outcomes for the most vulnerable populations. The long-term objective of this multidisciplinary team is to transition an engineering prototype to a self-monitoring clinical prototype. The objective of this proposal is to develop the functionality of a wireless, non-invasive skin-wearable fetal electrocardiogram (fECG) monitoring device based on an accurate fECG extraction algorithm and cloud-based remote health monitoring to improve clinical care among low-risk pregnant women in a rural community that is acceptable to prenatal healthcare services consumers. To achieve the proposal objective, the study will focus on two specific aims: Aim 1 - development of a wearable fECG monitoring device prototype via human subject-based testing in a rural based healthcare setting; and Aim 2 - examining the acceptability of wireless wearable monitoring health devices among females using community-based participatory research to understand the needs, perceptions, and preferences among women who have previously been pregnant. The expected outcomes upon completion of this study are the demonstrated functionality of the wearable fECG device and multiple sources of patient-centered data to support the future use of the device. In the future, widespread use of the wearable device is likely to improve obstetrical care for pregnant women through the ability to increase maternal mobility during labor and improved birth outcomes for both women and infants. Future studies could enhance rural health care access by using the wearable device remotely. These efforts align with the fifth NICHD theme to advance safe and effective devices for pregnant women and the efforts include a multidisciplinary collaboration with researchers in fields from engineering, nursing, and public health. Additionally, the research is community-based and includes a rural underrepresented population.