Remote fetal heartbeat monitoring saved the life of the fetus

Our reporter Chu Yan correspondent Lin Hongwei

"Fortunately, the hospital has remote fetal heart monitoring, otherwise we didn't know that the child was in danger in the stomach." If you didn't rush to the hospital in time, the consequences were really unimaginable. Yesterday, Ms. Wang recalled the situation on the day of delivery last month, and she still had palpitations.

Ms. Wang, 29 years old this year, in the first affiliated hospital of Xiamen University in the third trimester of pregnancy found that there is a high indicator, the fetal umbilical cord around the neck, and she herself suffers from gestational diabetes, considering the health of pregnant women and fetuses, doctors told her to strengthen fetal heart monitoring. The epidemic has not yet been completely lifted, and Ms. Wang is worried that frequent hospital monitoring of fetal heart rate may increase the risk of infection, so doctors suggest that she use a remote fetal heart rate monitor to monitor the fetal condition at home.

At 21:10 on April 23, Ms. Wang, who was 38 weeks pregnant, conducted fetal heart rate monitoring for her baby at home, and then uploaded the report to the remote fetal heart rate monitoring platform of the Internet Hospital of the First Affiliated Hospital of Xiamen University through her mobile phone, and found the doctor on duty for interpretation. At 21:33, when Wu Qin, the doctor on duty that night, interpreted the report, she found that the fetal heart rate was significantly prolonged and slowed down, and the fetal supervision situation was abnormal, according to which it was judged that the fetus may have intrauterine distress and severe hypoxia. Wu Qin immediately gave the interpretation result and notified the service staff to contact the pregnant woman to go to the hospital to fully assess the fetal condition.

"Your fetal heart rate monitoring report is abnormal, please hurry to the hospital!" Kids can be in danger! A phone call instantly made Ms. Wang's heart pound. At 21:57, Ms. Wang's family rushed to the hospital, and the doctor on duty immediately arranged a review and comprehensive assessment, and the results of the review were consistent with the results of remote fetal heart monitoring, and the fetus was indeed in intrauterine distress, and the situation was very critical. The doctors decided decisively to have an emergency cesarean section. At 22:52, with the full cooperation of obstetrics, anesthesiology and neonatology medical staff, a baby weighing 4.9 kilograms was born safely. Watching the baby in her arms sleep sweetly, Ms. Wang was very emotional - if there is no remote fetal heart monitoring, the child is likely to be stillborn.

The intrauterine condition of the fetus in the third trimester of pregnancy is changeable, especially for high-risk fetuses, and it is of great practical significance to seek a monitoring method that is both convenient and timely to detect the intrauterine condition. With the help of Internet technology, the First Affiliated Hospital of Xiamen University combines the Internet hospital platform, AI technology and wearable devices to carry out remote fetal heart rate monitoring services in Internet hospitals, arrange for doctors on duty to conduct all-weather remote fetal heart rate diagnosis, and establish an emergency treatment mechanism, effectively making up for the gap of out-of-hospital monitoring. Since the launch of the service, the remote fetal heart monitoring platform of the Internet Hospital of the First Affiliated Hospital of Xiamen University has provided more than 1,700 remote fetal heart monitoring services, correctly interpreted more than 8,600 cases of remote fetal monitoring reports, of which 78 cases were diagnosed abnormally, which timely avoided pregnancy risks and ensured the safety of mothers and babies.