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This paper focuses on the design, realization, and verification of a novel phonocardiographic- based fiber-optic sensor and adaptive signal processing system for noninvasive continuous fetal heart rate (fHR) monitoring. Our proposed system utilizes two Mach-Zehnder interferometeric sensors. Based on the analysis of real measurement data, we developed a simplified dynamic model for the generation and distribution of heart sounds throughout the human body. Building on this signal model, we then designed, implemented, and verified our adaptive signal processing system by implementing two stochastic gradient-based algorithms: the Least Mean Square Algorithm (LMS), and the Normalized Least Mean Square (NLMS) Algorithm. With this system we were able to extract the fHR information from high quality fetal phonocardiograms (fPCGs), filtered from abdominal maternal phonocardiograms (mPCGs) by performing fPCG signal peak detection. Common signal processing methods such as linear filtering, signal subtraction, and others could not be used for this purpose as fPCG and mPCG signals share overlapping frequency spectra. The performance of the adaptive system was evaluated by using both qualitative (gynecological studies) and quantitative measures such as: Signal-to-Noise Ratio—SNR, Root Mean Square Error—RMSE, Sensitivity—S+, and Positive Predictive Value—PPV.

In this work we highlight a methodology that extracts sources from noisy single-channel abdominal phonograms. First, an appropriate matrix of delays is constructed. Next, multiple independent components are calculated using the FastICA algorithm. Then these components are projected back to the measurement space and classified for recovering the sources of interest. Single-channel phonograms obtained from three different subjects were analysed. Results show successful extraction of foetal heart sounds (FHS), maternal respiration/pulse wave, and line noise. It is important to point out the high performance of the method for extracting the former two as separate sources; especially due to the fact that pulse wave and FHS may overlap as maternal and foetal QRSs do in the abdominal ECG. The most outstanding factor is that this is achieved using a single-channel method. So, this approach extracts physiological sources from noisy abdominal phonograms, and we believe it will be useful for surveillance, not only for foetal well-being but also for maternal condition.