ArticleActa obstetricia et gynecologica Scandinavica2019
Computer-based intrapartum fetal monitoring and beyond: A review of the 2nd Workshop on Signal Processing and Monitoring in Labor (October 2017, Oxford, UK).
Article in Acta obstetricia et gynecologica Scandinavica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 71 citations in OpenAlex.
- CTG-FRAME: development and validation of a multi‑modal deep learning for intrapartum escalation support and severe fetal acidemia prediction.BMC medical informatics and decision making · 2026Article
- Advancements in Fetal Heart Rate Monitoring: A Report on Opportunities and Strategic Initiatives for Better Intrapartum Care.BJOG : an international journal of obstetrics and gynaecology · 2025Review
- AI-Driven fetal distress monitoring SDN-IoMT networks.PloS one · 2025Article
- Exploring the potential cost-effectiveness of a new computerised decision support tool for identifying fetal compromise during monitored term labours: an early health economic model.Cost effectiveness and resource allocation : C/E · 2024Article
- AI-driven decision support systems and epistemic reliance: a qualitative study on obstetricians' and midwives' perspectives on integrating AI-driven CTG into clinical decision making.BMC medical ethics · 2024Article
- Editorial: New technologies improve maternal and newborn safety.Frontiers in medical technology · 2024Article
- Intelligent antepartum fetal monitoring via deep learning and fusion of cardiotocographic signals and clinical data.Health information science and systems · 2023Article
- Computerised Cardiotocography Analysis for the Automated Detection of Fetal Compromise during Labour: A Review.Bioengineering (Basel, Switzerland) · 2023Review
- Computerized cardiotocography analysis during labor - A state-of-the-art review.Acta obstetricia et gynecologica Scandinavica · 2023Review
- Comparison of fetal heart rate baseline estimation by the cardiotocograph network and clinicians: a multidatabase retrospective assessment study.Frontiers in cardiovascular medicine · 2023Article
- DeepCTG® 1.0: an interpretable model to detect fetal hypoxia from cardiotocography data during labor and delivery.Frontiers in pediatrics · 2023Article
- Improving Development of Drug Treatments for Pregnant Women and the Fetus.Therapeutic innovation & regulatory science · 2022Review
- Clinical Assessment of Fetal Well-Being and Fetal Safety Indicators.Journal of clinical pharmacology · 2022Review
- Associations between fetal heart rate variability and umbilical cord occlusions-induced neural injury: An experimental study in a fetal sheep model.Acta obstetricia et gynecologica Scandinavica · 2022Article
- IMPROVING PHASE-RECTIFIED SIGNAL AVERAGING FOR FETAL HEART RATE ANALYSIS.Proceedings of the ... IEEE International Conference on Acoustics, Speech, and Signal Processing. ICASSP (Conference) · 2022Article
- Fetal heart rate variability is a biomarker of rapid but not progressive exacerbation of inflammation in preterm fetal sheep.Scientific reports · 2022Article
- Cardiotocography analysis by empirical dynamic modeling and Gaussian processes.Frontiers in bioengineering and biotechnology · 2022Article
- Editorial: Fetal-maternal monitoring in the age of artificial intelligence and computer-aided decision support: A multidisciplinary perspective.Frontiers in pediatrics · 2022Article
- Cardiotocography and Clinical Risk Factors in Early Term Labor: A Retrospective Cohort Study Using Computerized Analysis With Oxford System.Frontiers in pediatrics · 2022Article
- A deep feature fusion network for fetal state assessment.Frontiers in physiology · 2022Article
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Authors and funding
16 authors at 12 institutions in 7 countries.
Funding
Abstract
The second Signal Processing and Monitoring in Labor workshop gathered researchers who utilize promising new research strategies and initiatives to tackle the challenges of intrapartum fetal monitoring. The workshop included a series of lectures and discussions focusing on: new algorithms and techniques for cardiotocogoraphy (CTG) and electrocardiogram acquisition and analyses; the results of a CTG evaluation challenge comparing state-of-the-art computerized methods and visual interpretation for the detection of arterial cord pH <7.05 at birth; the lack of consensus about the role of intrapartum acidemia in the etiology of fetal brain injury; the differences between methods for CTG analysis "mimicking" expert clinicians and those derived from "data-driven" analyses; a critical review of the results from two randomized controlled trials testing the former in clinical practice; and relevant insights from modern physiology-based studies. We concluded that the automated algorithms performed comparably to each other and to clinical assessment of the CTG. However, the sensitivity and specificity urgently need to be improved (both computerized and visual assessment). Data-driven CTG evaluation requires further work with large multicenter datasets based on well-defined labor outcomes. And before first tests in the clinic, there are important lessons to be learnt from clinical trials that tested automated algorithms mimicking expert CTG interpretation. In addition, transabdominal fetal electrocardiogram monitoring provides reliable CTG traces and variability estimates; and fetal electrocardiogram waveform analysis is subject to promising new research. There is a clear need for close collaboration between computing and clinical experts. We believe that progress will be possible with multidisciplinary collaborative research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.