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For those who have not seen it before:Accuracy, interpretability...

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    For those who have not seen it before:

    Accuracy, interpretability and usability study of a wireless self-guided fetal heartbeat monitor compared to cardiotocography | npj Digital Medicine (nature.com)

    We have previously described using a FHR monitor for intermittent auscultation by clinicians and when self-administered by women3. HeraBEAT (HeraMED, Netanya, ISRAEL) is a medical-grade, low-cost, wireless, self-guided fetal and maternal heartbeat monitor (HBM) designed for self-administration from 12 weeks of gestation.

    The results of this study show that the HBM is comparable to the current standard of care hospital-based CTG machines, and in addition, the device is easy to use for pregnant women outside of a clinical setting.

    The HBM and CTG were equivalent in beat-to-beat accuracy and in producing data for assessment parameters essential to fetal cardiography grading during NSTs, including determining the baseline FHR, accelerations, decelerations, and variability. In addition to being easy to use at home without the need for clinical supervision, data delivery to the clinical team was secure and reliable.

    The robust data obtained, along with the HBM’s portability and self-guiding facility, means that the device can be used for remote and home monitoring. This facility has not been possible before. This finding allows for more equitable, accessible, and convenient fetal monitoring compared to using CTG machines which require attendance at a clinic and a trained clinician operator and is costly. The HBM provides a new level of clinical rigour and safety for integrated antenatal care models involving virtual and face-to-face consultations. In addition to home monitoring, this approach may result in better engagement and empowerment of women in their pregnancies.

 
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