Non-invasive electrohysterogram recording using flexible concentric ring electrode.

Non-invasive electrohysterogram (EHG) recording could provide valuable information about uterine dynamics. Bipolar EHG has usually been performed using monopolar disposable electrodes. Recently concentric ring electrodes have been used for EHG recordings so as to acquire more localized electrical activity which may be helpful for deducing uterine contraction efficiency. Nevertheless concentric ring electrodes have commonly been implemented in rigid substrates. Therefore they do not adapt to the body surface curvature which may cause discomfort for patients and a poor contact between electrode and skin. The aim of this paper is to examine the feasibility of picking up EHG signals (BC-EHG) using a new flexible tripolar concentric ring (TCR) electrode placed on the abdominal surface, and to compare it with the conventional bipolar recordings. For this purpose, a total of 7 recording sessions were carried out in 7 pregnant women. Each recording implied simultaneous acquisition of one bipolar EHG signal and of two bipolar concentric EHG (BC-EHG) signals using the flexible TCR electrode. Then a set of temporal and spectral parameters was computed from both bipolar EHG and BC-EHG bursts. Experimental results show no noticeable difference in duration and in dominant frequency in Fast Wave High frequency range. Nonetheless, the low frequency content (0.1-0.2 Hz) of BC-EHG records is smaller than that of bipolar record. These results suggest that the new flexible TCR electrode permits to pick up uterine electrical activity and may provide additional information for deducing uterine efficiency.