Sensors for foetal hypoxia and metabolic acidosis: a review

Gerard Cummins, Jessica Kremer, Anne Bernassau, Andrew Brown, Helen Bridle, Holger Schulze, Till Bachmann, Michael Crichton, Fiona C. Denison, Marc Phillipe Yves Desmulliez

Research output: Contribution to journalReview article

Abstract

This article reviews existing clinical practices and sensor research undertaken to monitor foetal well-being during labour. Current clinical practices that include foetal heart rate monitoring and foetal scalp blood sampling are shown to be either inadequate or time-consuming. Monitoring of lactate in blood is identified as a potential alternative for intrapartum foetal monitoring, due to its ability to distinguish between different types of acidosis. A literature review from a medical and technical perspective is presented to identify the current advancements in the field of lactate sensors for this application. It is concluded that a less invasive and a continuous monitoring device is required to fulfil the clinical needs for intrapartum foetal monitoring. Potential specifications for such a system are also presented.
Original languageEnglish
Article number2648
JournalSensors
Volume18
Issue number8
DOIs
Publication statusPublished - 13 Aug 2018

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Fetal Hypoxia
Fetal Monitoring
Acidosis
Lactic Acid
Fetal Heart Rate
Scalp
Fetal Blood
Equipment and Supplies
Research

Cite this

Cummins, Gerard ; Kremer, Jessica ; Bernassau, Anne ; Brown, Andrew ; Bridle, Helen ; Schulze, Holger ; Bachmann, Till ; Crichton, Michael ; Denison, Fiona C. ; Desmulliez, Marc Phillipe Yves. / Sensors for foetal hypoxia and metabolic acidosis: a review. In: Sensors. 2018 ; Vol. 18, No. 8.
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Cummins, G, Kremer, J, Bernassau, A, Brown, A, Bridle, H, Schulze, H, Bachmann, T, Crichton, M, Denison, FC & Desmulliez, MPY 2018, 'Sensors for foetal hypoxia and metabolic acidosis: a review', Sensors, vol. 18, no. 8, 2648. https://doi.org/10.3390/s18082648

Sensors for foetal hypoxia and metabolic acidosis: a review. / Cummins, Gerard; Kremer, Jessica; Bernassau, Anne; Brown, Andrew; Bridle, Helen; Schulze, Holger; Bachmann, Till; Crichton, Michael; Denison, Fiona C.; Desmulliez, Marc Phillipe Yves.

In: Sensors, Vol. 18, No. 8, 2648, 13.08.2018.

Research output: Contribution to journalReview article

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T1 - Sensors for foetal hypoxia and metabolic acidosis: a review

AU - Cummins, Gerard

AU - Kremer, Jessica

AU - Bernassau, Anne

AU - Brown, Andrew

AU - Bridle, Helen

AU - Schulze, Holger

AU - Bachmann, Till

AU - Crichton, Michael

AU - Denison, Fiona C.

AU - Desmulliez, Marc Phillipe Yves

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AB - This article reviews existing clinical practices and sensor research undertaken to monitor foetal well-being during labour. Current clinical practices that include foetal heart rate monitoring and foetal scalp blood sampling are shown to be either inadequate or time-consuming. Monitoring of lactate in blood is identified as a potential alternative for intrapartum foetal monitoring, due to its ability to distinguish between different types of acidosis. A literature review from a medical and technical perspective is presented to identify the current advancements in the field of lactate sensors for this application. It is concluded that a less invasive and a continuous monitoring device is required to fulfil the clinical needs for intrapartum foetal monitoring. Potential specifications for such a system are also presented.

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SN - 1424-8220

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