Intelligent Design for Neonatal Monitoring with Wearable Sensors

Neonatal monitoring refers to the monitoring of vital physiological parameters of premature infants, full term infants that are critically ill, and a combination thereof. Babies that are born after a pregnancy lasting 37 weeks or less are typically considered premature. Critically ill neonates are a special group of patients that consist of premature infants who may suffer from diseases that are mainly caused by immaturity of their organs, and full term infants, who become severely ill during or immediately after birth. In particular, these premature infants can weigh as little as 500g with a size of a palm and are highly vulnerable to external disturbances. Critically ill newborn infants are normally admitted to a Neonatal Intensive Care Unit (NICU) for treatment by neonatologists and specialized nurses. Continuous health monitoring for the neonates provides crucial parameters for early detection of in adverted events (such as cessation of breathing, heart rhythm disturbances and drop in blood oxygen saturation), and possible complications (such as seizures). Immediate action based on this detection increases survival rates and positively supports further development of the neonates. Advances in medical treatments over the last decades resulted in a significant increase of survival. As a result, neonates born after 25 weeks of pregnancy can survive with adequate medical care and appropriate medical care in NICU (Costeloe et al., 2000). Encouraged by this success NICUs are populated by a large proportion of infants, born after very short gestational age. Survival and long-term health prospects strongly depend on medical care and reliable and comfortable health-status monitoring systems. In the last decades several important treatment modalities emerged that had a substantial impact on the mortality of prematurely born infants. However there is a concomitant increase of neurobehavioral problems on long-term follow-up (Perlman, 2001; Hack & Fanaroff, 1999; Chapieski & Evankovitch, 1997). Follow-up studies indicate that preterm infants show more developmental delay compared to their full-term peers. More than 50% of them show deficits in their further development, such as visual-motor integration problems, motor impairments, speech and language delay, behavioral, attention, and learning problems (Marlow et al. 2007). Medical conditions including chronic lung disease, apnea and bradycardia, transient thyroid dysfunction, jaundice and nutritional deficiencies, are potential contributing factors. In addition infants in a busy NICU are often exposed to stressful environmental conditions. Examples are the attachment to multiple monitoring Source: Intelligent and Biosensors, Book edited by: Vernon S. Somerset, ISBN 978-953-7619-58-9, pp. 386, January 2010, INTECH, Croatia, downloaded from SCIYO.COM