ADDITIVE VS ADDITIVE–MULTIPLICATIVE MODELS FOR NONINVASIVE FETAL ELECTROCARDIOGRAPHY: CASCADE EXTRACTION METHODS AND NOISE ROBUSTNESS

Authors

DOI:

https://doi.org/10.35546/kntu2078-4481.2025.3.2.60

Keywords:

FECG, MECG, additive model, additive-multiplicative model, LMS, ICA, DWT/CWT, MRA, Wiener filter, bispectrum, noise, baseline drift, motion artifacts

Abstract

Transcutaneous fetal electrocardiogram (ECG) recording is considered a task of separating components in a mixed abdominal signal containing maternal ECG (MECG), fetal ECG (FECG), and noise. The article systematically compares two formulations – additive (linear superposition) and additive-multiplicative – in the time and frequency domains, including parameter identification and component separation procedures, as well as the assessment of resistance to typical interference and recording artifacts. It is shown that for most practical scenarios, an additive model with a processing cascade is adequate: zero-phase band filtering and amplitude normalization; adaptive suppression of the maternal component (LMS/RLS in the presence of a chest reference or ICA for multichannel recordings); local isolation of informative details using wavelet and multiresolution analysis (CWT/DWT, MRA); final refinement by weighted least squares. When cross-terms cause combinatorial frequencies, it is advisable to switch to an additive-multiplicative model, detecting nonlinearities through bispectral analysis and selectively suppressing them in the time-frequency representation.If spectral power estimates are available, a Wiener filter is effective. Quality is assessed by SNR, relative reproduction error (RRE), and QRS detection metrics (sensitivity, positive predictive value). The proposed cascade scheme minimizes overfiltering, preserves QRS morphology, and increases noise immunity to isoline drift, network interference, motion/ contact, and myogenic artifacts.

References

World Health Organization. Birth defects. 2021. URL: https://www.who.int/news-room/factsheets/detail/birth-defects. Accessed on: August 26, 2025

Global Stillbirth Policy Review – Outcomes And Implications Ahead of the 2030 Sustainable Development Goal Agenda / N. A. Mensah Abrampah et al. International Journal of Health Policy and Management. 2023. Vol. 12. Iss. 1. Pp. 1–11. DOI: https://doi.org/10.34172/ijhpm.2023.7391

Aminu M., van den Broek N. Stillbirth in low- and middle-income countries: addressing the «silent epidemic». International Health. 2019. Vol. 11. № 4. Pp. 237-239. DOI: https://doi.org/10.1093/inthealth/ihz015

Facility-based stillbirth review processes used in different countries across the world: a systematic review / Y. Y. Boo et al. eClinicalMedicine. 2023. Vol. 59. Pp. 1-17. DOI: https://doi.org/10.1016/j.eclinm.2023.101976

Stillbirths: Contribution of preterm birth and size‐for‐gestational age for 125.4 million total births from nationwide records in 13 countries, 2000–2020 / Y. B. Okwaraji et al. BJOG: An International Journal of Obstetrics & Gynaecology. 2023. Pp. 1–12. DOI: https://doi.org/10.1111/1471-0528.17653

Noninvasive fetal electrocardiography for the detection of fetal arrhythmias / J. A. Behar et al. Prenatal Diagnosis. 2019. Vol. 39. № 3. Pp. 178–187. DOI: https://doi.org/10.1002/pd.5412

World Health Organization. Stillbirth. 2019. URL: https://www.who.int/health-topics/stillbirth accessed on: August 26, 2025

A deep learning framework for noninvasive fetal ECG signal extraction / M. Wahbah et al. Frontiers in Physiology. 2024. Vol. 15. Pp. 01–13. DOI: https://doi.org/10.3389/fphys.2024.1329313

Jaros R., Tomicova E., Martinek R. Template subtraction-based methods for non-invasive fetal electrocardiography extraction. Scientific Reports. 2024. Vol. 14. № 1. DOI: https://doi.org/10.1038/s41598-024-51213-5

Vilimkova Kahankova R., Martinek R., Bilik P. Non-invasive Fetal ECG Extraction from Mater-nal Abdominal ECG Using LMS and RLS Adaptive Algorithms. AECIA 2016: Proceedings of the Third International Afro-European Conference for Industrial Advancement – AECIA 2016, Marrakesh, Morocco, 21–23 November 2016, pp. 258–271. DOI: https://doi.org/10.1007/978-3-319-60834-1_27

World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. 2018. URL: https://academic.oup.com/inthealth/article/11/4/237/5488741. Accessed on: August 26, 2025.

Prasanth K., Paul B., Balakrishnan A. A. Fetal ECG Extraction Using Adaptive Filters. International Journal of Advanced Research in Electrical, Electronics and Instrumentation Engineering. 2012. Vol. 2. № 4. Pp. 1483–1487.

Downloads

Published

2025-11-28