Complexity analysis of the uterine electromyography.

In respect to the main goal of our ongoing work for predicting preterm birth, we analyze in this paper the complexity of the uterine electromyography (EMG) by using the sample entropy (SampEn) algorithm. By considering recent methodological developments, we measure the SampEn over multiple scales using the wavelet packet decomposition method. The results obtained from the analyzed data indicate that SampEn decreases along pregnancy. Furthermore, we demonstrate that the computed SampEn parameter may discriminate between the two classes (pregnancy/labor). The results are supported by statistical analysis using t-test indicating good statistical significance with a confidence level of 95%. A surrogate data test is also performed to investigate the nature of the underlying dynamics of our experimental data. The results are very promising for monitoring pregnancy and detecting labor to help identify preterm labor.