M.I. Yarmolinskaya1, Z. M. Yuldashev2, E.A. Semenova3, Yu.O. Bobrova4, I.P. Korneeva5

1 D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology (Saint Petersburg, Russia)
2–5 St. Petersburg State Electrotechnical University "LETI" (Saint Petersburg, Russia)
 

The problem of developing a system for remote monitoring of the health of a pregnant woman to detect complications of gestation is considered. It is shown that in conditions of widespread infectious diseases caused by viral and bacterial microorganisms, the traditional procedure for providing medical care in the profile of "Obstetrics and Gynecology", approved by regulatory documents of health care, and the algorithm of the monitoring system require adjustments due to the possible negative impact of the disease on the course of pregnancy.

The purpose of the work is to develop a system of intelligent monitoring of a pregnant woman's health status remotely outside a medical institution for predicting and timely detection of pregnancy complications.

For timely detection of pregnancy complications in remote monitoring systems of the pregnant woman's health, an intelligent monitoring algorithm is used, the essence of which is to expand the complex of diagnostically significant indicators required to assess and monitor the current state of the patient's health, the frequency and sequence of their assessment in case of detection of signs of an infectious disease in a pregnant woman. In the process of remote intelligent monitoring, an assessment of an expanded set of diagnostically significant indicators, their dynamics, correction of the power (weight) of diagnostically significant indicators in different trimesters of pregnancy, emergency informing of the doctor in case of deterioration of the patient's health for face-to-face examination or hospitalization is provided. Conducting an analysis of the dynamics of diagnostically significant indicators in the monitoring system and extrapolating their values make it possible to predict possible complications of pregnancy and improve perinatal outcomes.

The algorithm of intelligent monitoring of the state of health of a pregnant woman and the system implementing it, providing a change in the structure of the complex of diagnostically significant indicators, the frequency and sequence of their assessment, analysis of the dynamics of indicators taking into account the changing state of health of a pregnant woman, predicting complications of pregnancy and informing the doctor in case of deterioration of the patient's health, implement a personalized approach to medical support of a pregnant woman. Their practical significance lies in the identification at the early stages of the development of infectious diseases using instrumental examination, and possible complications of the course of the gestation period, which makes it possible to offer additional examination or hospitalization of the patient in a timely manner.

Yarmolinskaya M.I., Yuldashev Z. M., Semenova E.A., Bobrova Yu.O., Korneeva I.P. Remote intelligent monitoring of the pregnant woman's health status and prediction of pregnancy complications. Biomedicine Radioengineering. 2023. V. 26. № 2. P. 12–17. DOI: https:// doi.org/10.18127/j15604136-202302-02 (In Russian)

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