Dual transmission model and related spectral content of the fetal heart sounds

A dual transmission model of the fetal heart sounds is presented in which the properties of the signals received on a sensor, installed on the maternal abdominal surface, depend upon the position of the fetus. For a fetus in the occiput anterior position, the predominant spectral content lies in the frequency band 16-50Hz ("impact" mode), but for a fetus in the occiput posterior position, it lies in the frequency band 80-110Hz ("acoustic" mode). Signal processing comprises digital bandpass filtering, matched filtering, Teager energy operator, autocorrelation, and figure of merit algorithms. The digital filter permits the user to select the frequency band that best conforms to the prevailing signal mode. Clinical tests on twelve patients, with some in the occiput anterior and some in the occiput posterior fetal positions, support the validity of the dual transmission model.