Cervical ripening catheters are disclosed, and methods for monitoring and measuring a change in intrauterine parameters without rupturing the amniotic sac. The catheter is provided with a uterine balloon, and a pressure sensor in pressure sensing communication with the uterine balloon. Sensing circuitry is configured to detect pressure applied to the pressure-sensor and communicate information relating to uterine contractions. The catheter may also be provided with sensors for determining fetal heart rate, oxygen saturation, respiratory rate, fetal blood pH or pelvimetry measurement. A working channel extends throughout the catheter to permit direct access to the amniotic sac by additional diagnostic or therapeutic tools.

In part, the disclosure relates to a safety monitor and related methods to evaluate and manage intrapartum uterine contractions induced or augmented by Pitocin or other contraction inducing agents. The systems and methods include measuring a contraction parameter that may include one or more of frequency, strength, and duration of uterine contractions through a measurement device connected to a monitor. The systems and methods are programmed to stop the pump-based administration of a contraction inducing agent. Various lock out protocols and control over the ability to re-start a given pump are also described herein.

A system obtains a maternal electrocardiogram (ECG) signal that represents an ECG of a pregnant mother during a first time interval. The system further obtains a mixed maternal-fetal ECG signal that represents a combined ECG of the mother and her fetus during the first time interval; processes the maternal ECG signal and the mixed maternal-fetal ECG signal to generate a fetal ECG signal that represents the ECG of the fetus during the time interval, the fetal ECG signal substantially excluding the maternal ECG signal; and provides an output based on the fetal ECG signal.

A decision support tool is provided for predicting the neonatal vitality scores of a fetus during delivery, the scores being an indicator of future health for the infant anticipated to be born within a future time interval, measured as time to birth. The predicted neonatal vitality score is determined from measurements of physiological variables monitored during labor, such as uterine activity and fetal heart rate. Fetal heart rate variability and patterns may be detected and computed using the monitored physiological variables, and neonatal vitality scores may be predicted based, at least in part, on the variability metrics and fetal heart rate patterns. Scores may be predicted for different delivery methods, such as vaginal delivery or cesarean delivery, for different time-to-birth intervals. In this way, these scores may be used for decision support for care plans during labor, such as increased monitoring and/or modifying the delivery type.

A method of fetal ultrasound monitoring includes detecting contact of a first ultrasound transducer to a mother's abdomen based on input from a contact sensor in the first ultrasound transducer. A first transducer ID is received from the first ultrasound transducer, and then the first transducer ID is correlated with a first transducer label. A first heart rate is measured based on output of an ultrasound device in the first ultrasound transducer, and a heart rate indicator is displayed accordingly. A position of the first ultrasound transducer is identified in a two-dimensional plane, and the first transducer label is displayed on an abdomen image based on the first position.

The present disclosure relates to a maternal monitoring transducer (20), comprising a housing (60), a substrate board (72), particularly a PCB (70), disposed in the housing (60) and comprising control components (74), and a displacement measurement arrangement (76) comprising a displacement-sensitive structure (78) that is arranged to detect deformations of a deflectable measurement section (80) of the substrate board (72), wherein the maternal monitoring transducer (20) supplies a signal that is representative of maternal motion. The disclosure further relates to a method of operating a maternal monitoring transducer (20).

A system for sensing physiological traits of a maternal patient and a fetal patient carried by the maternal patient during a pregnancy using one or more sensors. The system may use the physiological traits sensed to define a maternal attribute for the maternal patient and a fetal attribute for the fetal patient, such as a heart rate, blood pressure, respiration rate, temperature, oxygen saturation level, or other attributes. The system is configured to compare the maternal attribute to a maternal limit describing a threshold for the maternal patient and/or compare the fetal attribute to a fetal limit describing a threshold for the fetal patient. The system is configured to issue a communication to the maternal patient and/or a clinician based on the comparisons. In examples, the system regularly communicates the maternal attribute and/or the fetal attribute to an output device of the maternal patient and/or a clinician.

A computing device arrangement (20) for receiving fetal monitoring data from a fetal monitoring system is disclosed. The computing device arrangement comprises a display device (30) arranged to display the fetal monitoring data, a touchscreen device (32) and a processor arrangement (24) communicatively coupled to the display device and the touchscreen device. The processor arrangement is arranged to receive the fetal monitoring data from the fetal monitoring system, control the display device to display the fetal monitoring data, receive a freeform input (36) in a region of the touchscreen device from the touchscreen device; modify the fetal monitoring data by annotating a displayed region (34) of the fetal monitoring data with the freeform input, said displayed region corresponding to the region of the touchscreen device; and generate an output of the modified fetal monitoring data for storage in a data storage device (28). Also disclosed are a fetal monitoring system including such a computing device arrangement and a method of generating freeform annotations with such a computing device arrangement.

A fetal phonocardiogram system featuring an array of acoustic sensors designed to be temporarily affixed to a pregnant patient to convert the vibrations associated with a fetal heartbeat and/or fetal movement into a signal. The signal can be amplified and transferred to a processing element for filtering non-fetal sounds in order to resolve the fetal heartbeat. The filtered signal can be used in conjunction with an array of multiple acoustic sensors to locate a fetal position relative to the array.

A system obtains a maternal electrocardiogram (ECG) signal that represents an ECG of a pregnant mother during a first time interval. The system further obtains a mixed maternal-fetal ECG signal that represents a combined ECG of the mother and her fetus during the first time interval; processes the maternal ECG signal and the mixed maternal-fetal ECG signal to generate a fetal ECG signal that represents the ECG of the fetus during the time interval, the fetal ECG signal substantially excluding the maternal ECG signal; and provides an output based on the fetal ECG signal.