A computer-implemented method includes providing, by at least one computer processor, a plurality of signal channels, wherein the plurality of signal channels includes a plurality of electrical uterine monitoring signal channels and a plurality of acoustic uterine monitoring signal channels; determining, by the at least one computer processor, a plurality of channel weights, wherein each of the channel weights corresponds to a particular one of the signal channels; and generating, by the at least one computer processor, a combined uterine monitoring signal channel by calculating a weighted average of the signal channels based on the channel weight for each of the signal channels.

A maternal and fetal monitoring system includes a detection probe configured to conduct physiological measurements on a maternal abdomen, the detection probe comprising a probe housing configured to be attached to the maternal abdomen, and a plurality of electrodes integrated into the probe housing and configured to acquire biopotential physiological data from the maternal abdomen. At least one controller is configured to calculate fetal heart rate (fHR) values, maternal heart rate (mHR) values, and/or uterine activity (UA) values based on both the physiological measurements and the biopotential physiological data, and a graphical display communicatively connected to the controller to receives and visually presents the calculated fHR values, mHR values, and/or UA values.

A multi-sensor patch for simultaneous abdominal monitoring of maternal and fetal physiological data includes a multi-layer flexible substrate with a center region and a plurality of electrode regions. A conductive layer of the flexile substrate provides an electrical connection between each of the plurality of electrode regions and the center region. A plurality of electrodes are formed into the flexible substrate. At least one mechanical motion sensor is connected to the multi-layer flexible substrate. A module unit is connected to the conductive layer at the center region. The module unit includes a controller configured to receive biopotential physiological data from the plurality of electrodes and mechanical sensor data from the at least one auxiliary sensor. The controller calculates at least fetal heart rate, maternal heart rate, and uterine activity from the biopotential physiological data and from the mechanical sensor data.

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 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 system for assessing and monitoring a fetal electrocardiogram (ECG) and heart rate in a pregnant mother comprises wearable mechanical-electronic sensors, e.g., embedded in a wrist or arm band, which can measure mechanical pulse signals from the mother, and an abdomen patch which can measure the combined ECG signals of the fetus and mother. In another embodiment, the sensors in the wrist or arm band measure the combined fetal/maternal ECG signals, and the mother's mechanical pulse signals. By signal processing and gating out the maternal ECG signals as correlated with the mechanical maternal pulse signals, the fetal ECG and heart rate can be measured and monitored. These measurements may be displayed on the wrist or arm band device, or wirelessly through a remote device, mobile phone or computer. Sensors in the abdominal patch may also measure uterine electromyogram, uterine contractions, and fetal movements, to be correlated with the fetal ECG.

A device for retarding birth including an upper ring for surrounding a cervix, an anchoring component for anchoring the device, and an elastic component for attaching the upper ring to the anchoring component, wherein the elastic component pushes the upper ring and the anchoring component apart. A device for retarding birth including a sleeve for surrounding a cervix along a greater portion of a length of the cervix, a support strip on the sleeve directed along an axis of the sleeve, and a ring at least partially around the sleeve, in which when a top of the sleeve is pushed to expand radially, the support strip pivots on the ring, such that an end of the support strip near the top of the sleeve moves radially outward, and an end of the support strip near the bottom of the sleeve moves radially inward. Related apparatus and methods are also described.

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 computer-implemented method includes providing, by at least one computer processor, a plurality of signal channels, wherein the plurality of signal channels includes a plurality of electrical uterine monitoring signal channels and a plurality of acoustic uterine monitoring signal channels; determining, by the at least one computer processor, a plurality of channel weights, wherein each of the channel weights corresponds to a particular one of the signal channels; and generating, by the at least one computer processor, a combined uterine monitoring signal channel by calculating a weighted average of the signal channels based on the channel weight for each of the signal channels.

A system for sensing one or more physiological traits and obstetric conditions, such as a fertility phase, pregnancy, labor, post-partum conditions, and other conditions related to the reproductive system of the patient. The system may use the one or more physiological traits sensed to define one or more patient attributes for the patient, such as a hormone level, heart rate, blood pressure, respiration rate, temperature, oxygen saturation level, uterine contractions, fluid level, and/or other patient attributes. The system is configured to compare the one or more patient attributes to one or more attribute signs describing a threshold for the one or more patient attributes. The system is configured to issue a communication to the patient and/or a clinician based on the comparisons. The system may be configured to assess and indicate reproductive phases for the patient over a life-cycle from the fertility phase to the post-partum phase.