An IoT-Based Wearable Labor Progress Monitoring System for Remote Evaluation of Admission Time to Hospital.

Abstract

Because contractions signal the approach of labor, pregnant women-especially primigravidas (i.e., women pregnant for the first time)-usually go to the hospital to seek medical intervention when they begin experiencing contractions, which is not conductive to good perinatal outcomes. Conventionally, uterine contraction monitoring requires specialized medical devices and relies on the doctor's clinical experience. Therefore, exploring an objective method to detect labor onset at home and avoid early hospital admission has essential importance. In this article, a labor progress monitoring system based on a sensing device, edge service, and Internet of things (IoT) platform is proposed, aiming to suggest suitable hospital admission times for low-risk primigravidas. The pregnant woman places the sensing device on her abdomen with the help of a belt to detect contraction activities. An intelligent edge service for contraction classification is deployed on a mobile phone. The system's artificial intelligence (AI)-assisted algorithm is lightweight, with 670 kB and 194 kB of memory dedicated to a convolutional neural network and long short-term memory, respectively. It classifies the pregnant woman as deferred admission, optional admission, or recommended admission according to different contraction states. An IoT platform connected to the hospital is implemented, providing professional suggestions from doctors. The test set collected in an emergency clinic shows that the proposed system can reach a classification accuracy of more than 96%. In conclusion, the proposed system enables remote labor progress monitoring at home and avoids early hospital admission.