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Fetal electrocardiogram (fECG) monitoring is crucial for assessing fetal condition during pregnancy. However, current fECG extraction algorithms are not suitable for wearable devices due to their high computational cost and multi-channel signal requirement. The paper introduces a novel and efficient algorithm called Adaptive Improved Permutation Entropy (AIPE), which can extract fetal QRS from a single-channel abdominal ECG (aECG). The proposed algorithm is robust and computationally efficient, making it a reliable and effective solution for wearable devices. To evaluate the performance of the proposed algorithm, we utilized our clinical data obtained from a pilot study with 10 subjects, each recording lasting 20 min. Additionally, data from the PhysioNet 2013 Challenge bank with labeled QRS complex annotations were simulated. The proposed methodology demonstrates an average positive predictive value ( + P ) of 91.0227%, sensitivity (Se) of 90.4726%, and F1 score of 90.6525% from the PhysioNet 2013 Challenge bank, outperforming other methods. The results suggest that AIPE could enable continuous home-based monitoring of unborn babies, even when mothers are not engaging in any hard physical activities., (© 2024. Australasian College of Physical Scientists and Engineers in Medicine.)

Monitoring of electrocardiogram (ECG) provides vital information as well as any cardiovascular anomalies. Recent advances in the technology of wearable electronics have enabled compact devices to acquire personal physiological signals in the home setting; however, signals are usually contaminated with high level noise. Thus, an efficient ECG filtering scheme is a dire need. In this paper, a novel method using Ensemble Kalman Filter (EnKF) is developed for denoising ECG signals. We also intensively explore various filtering algorithms, including Savitzky-Golay (SG) filter, Ensemble Empirical mode decomposition (EEMD), Normalized Least-Mean-Square (NLMS), Recursive least squares (RLS) filter, Total variation denoising (TVD), Wavelet and extended Kalman filter (EKF) for comparison. Data from the MIT-BIH Noise Stress Test database were used. The proposed methodology shows the average signal to noise ratio (SNR) of 10.96, the Percentage Root Difference of 150.45, and the correlation coefficient of 0.959 from the modified MIT-BIH database with added motion artifacts.