Automatic fetal movement detection [fectal actogram] in cases of high risk pregnancy

ABSTRACT

This study was designed to compare automatic fetal movement detection [Fetal Actogram] with daily fetal movement count [DFMC] versus the st and ard real time ultrasound [RT/US]. 48 high risk pregnant women. admitted in Obstetrics and Gynecology Department of Tanta University Hospitals, from April 1997 to December 1997 were enrolled. Fetal movements [FMs] were evaluated by daily fetal movement count [DFMC], by automatic fetal movement detection [Fetal Actogram] and by RT/US Acceptable FMs were detected clinically, by actogram and by RT/US in 60.4%, 72.7% and in 81.25% of cases. The sensitivity, specificity and accuracy of Actogram for detection of acceptable FMs, they were 89.7%, 100%% and 91.7% respectively. Those for alarming FMs were 100%, 97.8% and 97.9% respectively. Fetal actogram identified 548 total FMs out of total 641 FMs by RT/US [85.4%]. It identifies 88.8% of complex FMs. 94.2% of isolated trunk movements and 93.7% of limb movements fetal Actogram evaluates FMs without extra testing if done with NST It gives good results in quantitative and qualitative evaluation of FMs