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On-Device Maternal-Fetal Heart Monitoring From Abdominal ECG Using a NEO-Based Adaptive Predictor
IEEE Transactions on Biomedical Circuits and Systems
|April 20, 2026
Summary
A new on-device system extracts fetal and maternal heart rates from ECG signals without external computation. This wearable technology enables long-term, battery-powered fetal monitoring by reducing data transmission needs.
Area of Science:
- Biomedical Engineering
- Signal Processing
- Wearable Technology
Background:
- Non-invasive fetal ECG (FECG) systems typically require external processing, limiting their use in long-term, battery-powered applications.
- Current systems face challenges with high data transmission rates for continuous monitoring.
Purpose of the Study:
- To develop a hardware-efficient, on-device signal processing architecture for real-time fetal and maternal heart rate extraction.
- To eliminate the need for high-data-rate wireless streaming in wearable FECG monitoring.
Main Methods:
- Implemented parallel maternal/fetal band-pass filtering.
- Utilized a nonlinear energy operator-based adaptive predictor for robust R-peak identification.
- Developed a fully on-device signal processing architecture.
Main Results:
- Achieved high fetal R-peak detection performance with an average F1-score >96.0% on public datasets.
- Reduced data transmission by >99.9% by outputting RR intervals instead of raw signals.
- Demonstrated robust real-time R-peak identification for both maternal and fetal signals.
Conclusions:
- The proposed on-device system is feasible for continuous wearable FECG monitoring.
- Eliminating external computation and high-rate wireless transmission enhances practicality for long-term use.
- This approach significantly reduces power consumption and data requirements for fetal monitoring devices.
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