COVID-19 时期的妊娠:迈向胎儿监测 4.0。

Pregnancy in the time of COVID-19: towards Fetal monitoring 4.0.

机构信息

Department of Cybernetics and Biomedical Engineering, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, Ostrava, Czechia.

Department of Pediatrics, Faculty Hospital, Faculty of Medicine, Ostrava University, Ostrava, Czechia.

出版信息

BMC Pregnancy Childbirth. 2023 Jan 16;23(1):33. doi: 10.1186/s12884-023-05349-3.

Abstract

On the outbreak of the global COVID-19 pandemic, high-risk and vulnerable groups in the population were at particular risk of severe disease progression. Pregnant women were one of these groups. The infectious disease endangered not only the physical health of pregnant women, but also their mental well-being. Improving the mental health of pregnant women and reducing their risk of an infectious disease could be achieved by using remote home monitoring solutions. These would allow the health of the mother and fetus to be monitored from the comfort of their home, a reduction in the number of physical visits to the doctor and thereby eliminate the need for the mother to venture into high-risk public places. The most commonly used technique in clinical practice, cardiotocography, suffers from low specificity and requires skilled personnel for the examination. For that and due to the intermittent and active nature of its measurements, it is inappropriate for continuous home monitoring. The pandemic has demonstrated that the future lies in accurate remote monitoring and it is therefore vital to search for an option for fetal monitoring based on state-of-the-art technology that would provide a safe, accurate, and reliable information regarding fetal and maternal health state. In this paper, we thus provide a technical and critical review of the latest literature and on this topic to provide the readers the insights to the applications and future directions in fetal monitoring. We extensively discuss the remaining challenges and obstacles in future research and in developing the fetal monitoring in the new era of Fetal monitoring 4.0, based on the pillars of Healthcare 4.0.

摘要

在全球 COVID-19 大流行爆发之际,人口中的高风险和弱势群体特别容易出现严重疾病进展。孕妇就是其中之一。这种传染病不仅威胁到孕妇的身体健康,也威胁到她们的心理健康。通过使用远程家庭监测解决方案,可以改善孕妇的心理健康并降低她们感染传染病的风险。这些解决方案可以让母亲和胎儿在舒适的家中接受监测,减少去看医生的次数,从而避免母亲冒险前往高风险公共场所。在临床实践中最常用的技术,即胎心监护,特异性低,并且需要专业人员进行检查。由于其测量的间歇性和活动性,它不适合连续的家庭监测。大流行表明,未来在于准确的远程监测,因此,必须寻找一种基于最先进技术的胎儿监测选项,该选项将提供有关胎儿和产妇健康状况的安全、准确和可靠信息。因此,在本文中,我们针对这个主题提供了最新文献的技术和批判性回顾,为读者提供了在胎儿监测的应用和未来方向方面的见解。我们广泛讨论了在未来研究和在基于医疗保健 4.0 的支柱的胎儿监测 4.0 新时代中开发胎儿监测方面仍然存在的挑战和障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1b/9841656/1ce66639cb0c/12884_2023_5349_Fig1_HTML.jpg

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