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Can AI Augmented Fetal Monitoring Prevent Intrapartum Stillbirth and Neonatal Death in a Low-Income Setting?
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  • Chikondi Chiweza,
  • Ibe Iwuh,
  • Abida Hasan,
  • Address Malata,
  • Michael Belfort (FETAL MEDICINE ISSUE EDITOR),
  • Jeffrey Wilkinson
Chikondi Chiweza
Baylor College of Medicine Children's Foundation Malawi

Corresponding Author:[email protected]

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Ibe Iwuh
Baylor College of Medicine
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Abida Hasan
Baylor College of Medicine
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Address Malata
Malawi University of Science and Technology
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Michael Belfort (FETAL MEDICINE ISSUE EDITOR)
Baylor College of Medicine
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Jeffrey Wilkinson
Baylor College of Medicine
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Abstract

Intrapartum stillbirths and early neonatal deaths remain stubbornly high in low income countries. Fetal monitoring in labour can reduce these poor outcomes, but limited progress is being achieved in these settings. Intermittent auscultation and continuous electronic fetal monitoring (CEFM) can both be employed to monitor a fetus during labour. There are challenges and limitations with both modalities. We used AI augmented fetal monitoring in a hospital in Malawi and demonstrated substantial reductions in both intrapartum stillbirths and early neonatal deaths with a small increase in the cesarean delivery rate. AI-CEFM should be studied further to achieve better perinatal outcomes.
04 May 2022Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
05 May 2022Submission Checks Completed
05 May 2022Assigned to Editor
07 May 2022Reviewer(s) Assigned
24 May 2022Review(s) Completed, Editorial Evaluation Pending
02 Jun 2022Editorial Decision: Revise Minor
14 Jun 20221st Revision Received
17 Jun 2022Submission Checks Completed
17 Jun 2022Assigned to Editor
17 Jun 2022Review(s) Completed, Editorial Evaluation Pending
09 Aug 2022Editorial Decision: Accept