Electromedical Device And Expert System for Early Detection of Hyperemesis Gravidarum

Fitrilina Fitrilina, Ganesha, Yanolanda Suzantry Handayani, Alex Surapati, Rahayu Trisetyowati Untari, Heru Dibyo Laksono, Melda Latif
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Abstract

Hyperemesis Gravidarum (HG) is a pregnancy complication that is often overlooked as it is typically considered normal. If HG is not properly treated, nutrition will not be fulfilled which can negatively affect maternal and fetal health and even maternal and fetal death. The exact cause of HG is not identified, so there are no effective preventive methods. However early detection can help for prompt and appropriate treatment. Therefore, a monitoring system for pregnancy conditions was designed for HG early detection. This system employs the MPX5050 DP pressure sensor for measuring blood pressure, the MAX30100 for assessing maternal heart rate and oxygen saturation, the MAX4466 sensor for monitoring fetal heart rate, and an expert system using the certainty factor method to diagnose the probability of hyperemesis gravidarum. The expert system achieves an accuracy of 93.33%. In comparison to the aneroid sphygmomanometer, the designed sphygmomanometer reveals a mean difference of 3.5 mmHg for diastolic pressure, with a standard deviation below 8 mmHg for both systolic and diastolic pressures. The measurement of heart rate and oxygen saturation has a deviation of 1.8 % and 1.02 % respectively. These deviations align with the standards specified by the Ministry of Health for medical devices. For the fetal heart rate, the mean deviation is 3.4 bpm, and the measurement error is 2.38%. Thus, this system can be utilized to monitor pregnancy conditions, enabling the early detection of hyperemesis gravidarum
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用于早期检测孕吐的电子医疗设备和专家系统
孕吐(HG)是一种妊娠并发症,通常被认为是正常现象,因此常常被忽视。如果不对 HG 进行适当的治疗,营养将无法得到满足,从而对母体和胎儿的健康产生负面影响,甚至导致母体和胎儿死亡。HG 的确切病因尚未查明,因此没有有效的预防方法。不过,早期发现有助于及时进行适当的治疗。因此,我们设计了一套妊娠状况监测系统,用于 HG 的早期检测。该系统采用 MPX5050 DP 压力传感器测量血压,采用 MAX30100 评估产妇心率和血氧饱和度,采用 MAX4466 传感器监测胎儿心率,并采用确定性因子法专家系统诊断孕吐的可能性。专家系统的准确率达到 93.33%。与无液血压计相比,设计的血压计显示的舒张压平均差为 3.5 毫米汞柱,收缩压和舒张压的标准偏差均低于 8 毫米汞柱。心率和血氧饱和度的测量偏差分别为 1.8 % 和 1.02 %。这些偏差符合卫生部规定的医疗设备标准。胎儿心率的平均偏差为 3.4 bpm,测量误差为 2.38%。因此,该系统可用于监测妊娠状况,及早发现妊娠剧吐。
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