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The purpose of this article is to describe a new, phonocardiography-based fetal telemonitoring system, which, due to its passive nature, allows long-term measurements even at the home of the pregnant woman. The input element of the system was the home monitor with two sensors for recording the trans-abdominal fetal heart signal and the uterine contractions. The recorded signal was transmitted by mobile network and Internet to an Evaluation Center, where it was analyzed in detail to obtain information about possible dysfunction of the fetal heart.

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Cardiotocography by external telemetry and maternal ambulation has been compared to the usual recording in recumbent position. The visual interpretation extended to several items, such as technical quality, CTG scoring, contractions and foetal activity, which were interpreted for single groups of gestational age and diagnosis. A questionnaire of the patients joined with this study, referring to the acceptance of cardiotocography, definitely voted for the telemetrical method.

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[Effects of fentanyl peridural analgesia in labor on fetal heart rate, uterine contraction and postnatal adaptation].

Zentralbl Gynakol

October 1990

Frauenheilklinik des Bezirkskrankenhauses, Stralsund, DDR.

The opioid Fentanyl was used in a dosage of 0.15 mg via a peridural catheter for birth analgesia (PDA) in a high risk collective of 40 female patients. A prolonged analgesia with good acceptance could be achieved with low dosage.

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Ultrasonocardiograms with autocorrelation technique were registered in 60 women from 24th to 41th week of pregnancy. Registration was first done in lying position for 10 minutes, then for another 10-20 minutes in sitting position, thereafter in standing position and finally during walking around. The registration quality was good with rare gaps: median range of gaptime 1-3, 6% in the lying, 0-6% in the sitting, 0-4% in the standing and 1.

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