AI Article Synopsis

  • Maternal heart rate (HR) influences birth weight and outcomes, with low birth weight being a significant global health issue affecting 15-20% of births.
  • The study proposes a new parameter based on maternal and fetal heart rate variability (HRV) to explore its relationship with fetal birth weight, derived from non-invasive electrocardiogram data of 78 pregnant subjects.
  • Results indicate that the newly developed parameter shows a significant correlation with gestational age, revealing negative associations with birth weight in certain patterns, underscoring the importance of maternal health in assessing fetal development.

Article Abstract

Maternal heart rate (HR) was reported to affect birth weight and birth outcomes. Low birth weight constitutes a major health problem, and it is estimated that around 15% to 20% of births worldwide are low weight. In our previous study, we discussed the presence of similarities between maternal and fetal HRs, therefore, here, we propose to develop a parameter based on maternal and fetal HR variability (HRV) to divide data into two patterns to investigate the association of fetal birth weight with maternal HR and HRV. The parameter was derived from non-invasive records of maternal and fetal electrocardiograms (ECGs) that were collected from 78 subjects (age: 22 - 44 years old, gestational age (GA): 19 - 40 weeks). The HRV parameter was calculated by first evaluating the standard deviation (SD) of the number of R peaks occurring per 2 seconds (snRpp2s). Then, the difference between maternal and fetal snRpp2s (dmf) was calculated. The correlation between our derived parameter [dmf] with GA revealed a significant correlation that suggested the dmf's association with fetal development. The association analysis results between birthweight with maternal HR and HRV per pattern showed that significant negative correlations exist between them in one pattern. Still, the same correlations were not observed in the other pattern. This study's findings emphasise maternal health's role in fetal development assessment. In addition, this study highlights the importance of developing novel factors for properly assessing fetal development and birth outcomes.

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http://dx.doi.org/10.1109/EMBC40787.2023.10340182DOI Listing

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