Молодежный инновационный вестник

2415-7805

Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации

7086

Conference Proceedings

EVALUATION OF THE EFFECTIVENESS OF DIAGNOSIS OF HYPOXIC CONDITIONS OF THE FETUS BY REMOTE CTG AT HOME

Chernykh

Alexander Dmitrievich

sahe123sahe123@mail.ruhttps://orcid.org/0000-0002-1601-420X

Voronezh State Medical University named after V.I. N. N. Burdenko

30062022

112526

12012022

15032022

2022

Cardiotocography is the main method for diagnosing hypoxic conditions in the fetus in the antenatal and intranatal periods. The aim of this work was to assess the effectiveness of CTG at home using mobile communication systems. We examined 102 pregnant women with various obstetric and extragenital pathologies at 32-40 weeks of gestation under observation in the antenatal clinic of the Central district of Voronezh. Two clinically homogeneous groups were formed. The first group included 52 pregnant women who underwent traditional CTG in the conditions of antenatal clinic on stationary CTG devices with visual assessment according to FIGO. The second group consisted of 50 pregnant women who underwent CTG at home using a remote mobile CTG device. All CTG devices, including a mobile version, have the appropriate certification and permission for clinical use in the Russian Federation. The mobile version includes 2 sensors, straps for attaching them to the mother's abdomen and a mobile phone with an application that allows you to record CTG at home and send a cardiotocogram to the doctor as a PDF file for further decoding. In addition, clinical and anamnestic data, laboratory and ultrasound studies were taken into account. The following results were obtained: normal non-stress test was detected in 51 (98.1%) cases in group 1 and 49 (98%) cases in group 2, p 0.05. A pathological test for the presence of hypoxia was detected in 1 case (1.9%) in the first group and 1 case (2%) in the second group, p 0.05. Critical cases were not detected in both groups, tEmp for all values is 0. Spearman's rank correlation coefficient (rs) for two samples is 0.935 (H0 is rejected, the correlation is statistically significant). Thus, we can conclude that the analysis of traditional and mobile versions of CTG did not reveal significant differences.

cardiotocographyhypoxiaremotely

кардиотокографиягипоксиядистанционно

Cardiotocography is the main method for diagnosing hypoxic conditions in the fetus in the antenatal and intranatal periods [1,2,3]. The aim of this work was to assess the effectiveness of CTG at home using mobile communication systems. We examined 102 pregnant women with various obstetric and extragenital pathologies at 32-40 weeks of gestation under observation in the antenatal clinic of the Central district of Voronezh. Two clinically homogeneous groups were formed. The first group included 52 pregnant women who underwent traditional CTG in the conditions of antenatal clinic on stationary CTG devices with visual assessment according to FIGO. The second group consisted of 50 pregnant women who underwent CTG at home using a remote mobile CTG device. All CTG devices, including a mobile version, have the appropriate certification and permission for clinical use in the Russian Federation. The mobile version includes 2 sensors, straps for attaching them to the mother's abdomen and a mobile phone with an application that allows you to record CTG at home and send a cardiotocogram to the doctor as a PDF file for further decoding. In addition, clinical and anamnestic data, laboratory and ultrasound studies were taken into account. The following results were obtained: normal non-stress test was detected in 51 (98.1%) cases in group 1 and 49 (98%) cases in group 2, p 0.05. A pathological test for the presence of hypoxia was detected in 1 case (1.9%) in the first group and 1 case (2%) in the second group, p 0.05. Critical cases were not detected in both groups, tEmp for all values is 0. Spearman's rank correlation coefficient (rs) for two samples is 0.935 (H0 is rejected, the correlation is statistically significant). Thus, we can conclude that the analysis of traditional and mobile versions of CTG did not reveal significant differences.

Трубникова Л.И. Кардиотокография плода / Трубникова Л.И., Касымова Д.Р., Измайлова Ф.А. и др. // Учебно-методические рекомендации. – Ульяновск, УлГУ, 2011. – С. 4.

Л. В. Романьков. Пропедевтико-диагностическая оценка электрокардиограммы и фонокардиограммы / Л. В. Романьков, Л. И. Друян // Учебно-методическое пособие для студентов 3 курса лечебного, медико-диагностического факультетов и факультета по подготовке специалистов для зарубежных стран, обучающихся по специальности «Лечебное дело» и «Медико-диагностическое дело» медицинских вузов. – Гомель, ГомГМУ, 2012. – С. 4.

Шамарин С.В. Кардиотокография / Шамарин С.В. // Учебное пособие. – Воронеж, ФГБОУ ВО «Воронежский государственный медицинский университет имени Н.Н.Бурденко», 2019. – С. 6-7.