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

项目摘要 美国农村地区的孕产妇和婴儿健康总体结果表明， 健康需要。需要持续的技术进步来改善医疗保健服务和结果， 最脆弱的人群。这个多学科小组的长期目标是将一个 工程原型到自我监测临床原型。这项建议的目的是发展 本发明公开了一种基于无线、非侵入性皮肤可穿戴胎儿心电图（fECG）监测设备的功能， 精确的fECG提取算法和基于云的远程健康监测，以改善临床护理 在农村社区接受产前保健服务的低风险孕妇中， 消费者为达致建议的目的，研究将集中于两个具体目的：目的1 -发展 可穿戴fECG监测设备原型，通过基于农村医疗保健的人类受试者测试 目的2 -研究女性对可佩带无线健康监测仪器的接受程度 利用基于社区的参与性研究来了解需求，看法，和偏好， 以前怀孕过的妇女。这项研究完成后的预期成果是 可穿戴fECG设备的功能和以患者为中心的多个数据源，以支持 该设备的未来使用。在未来，可穿戴设备的广泛使用可能会改善产科 通过提高产妇分娩时的活动能力和改善分娩状况来照顾孕妇; 对妇女和婴儿的影响。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，以推进安全有效的器械 这些努力包括与来自以下领域的研究人员进行多学科合作： 工程、护理和公共卫生。此外，该研究是以社区为基础的，包括农村 代表性不足的人口。

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.