Investigation of Using Non-Contact Electrodes for Fetal ECG Monitoring

Abstract: Regular physiological monitoring of maternal and fetal parameters is indispensable for ensuring safe outcomes during pregnancy and parturition. Fetal electrocardiogram (fECG) assessment is crucial to detect fetal distress and developmental anomalies. Given challenges of prenatal care due to the lack of medical professionals and the limit of accessibility, especially in remote and resource-poor areas, we develop a fECG monitoring system using novel non-contact electrodes (NCE) to record the fetal/maternal ECG (f/mECG) signals through clothes, thereby improving the comfort during measurement. The system is designed to be incorporated inside a maternity belt with data acquisition, data transmission module as well as novel NCEs. Thorough characterizations were carried out to evaluate the novel NCE against traditional wet electrodes (i.e., Ag/AgCl electrodes), showing comparable performance. A successful {preliminary pilot feasibility study} conducted with pregnant women (n = 10) between 25 and 32 weeks of gestation demonstrates the system's performance, usability and safety.