A transducer for detection of fetal breathing movements

The paper describes a new transducer for detection of fetal movements and sounds from the maternal abdominal wall. This transducer is based on an inductive principle. The compliance of the transducer should match the compliance of the maternal abdominal wall in order to detect the very weak acoustic signal caused by individual fetal breathing movements. The contact area of the transducer is supported on a membrane, the tension of which can be adjusted so as to match the compliances of tissue and transducer. The goal of this paper is to investigate detection of fetal movements in order to monitor fetal condition and motility. The more specialized field of investigating fetal heart rate variability by studying the relationship between fetal breathing movements and fetal heart rate may become of more interest in the future. The inductive phonometer (INPHO) shows a flat (+/- 1.5 dB) frequency response between 0.2 and 200 Hz which is not affected by the compliance adjustment. Some in vivo measurements have been performed. The transducer signal is stored on a 20MB hard disk of an Olivetti M24 Personal Computer (PC) simultaneously with a control signal indicating the presence of breathing movements. Ultrasound imaging is exclusively used for verification of breathing movements. The images are stored on videotape simultaneously with control signals from the PC for synchronization of data and image. Substantial digital filtering is necessary to discriminate between actual breathing movements and other fetal activities. It is shown that optimal adjustment of the transducer's compliance to that of the maternal abdominal wall is possible and that individual breathing movements can indeed be measured.