KR100786750B1 - A Controlling System Forchildbirth - Google Patents

Abstract

The present invention relates to a birth control system that can perform remote medical care in real time using a network communication network, and is also configured to select a delivery method according to changes in the body of the mother and the fetus. A plurality of personal terminals for constructing an individual delivery processing information database by acquiring the body information of the fetus in real time; and the individual delivery obtained from the individual terminals so that any one delivery method selected from natural delivery and artificial delivery can be set. A delivery server that receives the processing information database through a wired / wireless network and compares the stored data with the basic delivery processing database in real time and resends the corresponding data to the respective personal terminals; And an observation terminal that is connected to each individual terminal through a wired / wireless network communication network and outputs a sound / image so that a maternity and gynecological obstetrician can visually identify the personal delivery processing information database and the delivery progress that are obtained in real time. Characterized in that comprises a.

Childbirth, Control, Observation, Childbirth, Maternal, Fetus, Natural Childbirth, Artificial Childbirth

Description

A Controlling System Forchildbirth

1 is a block diagram of a birth control system of the present invention,

2 is a flow chart of the birth control system of the present invention,

3 is a conceptual diagram showing a delivery chart of the birth control system of the present invention,

4 is a conceptual diagram showing an embodiment of a delivery chart according to the present invention;

5 is a conceptual diagram showing another embodiment of the delivery chart according to the present invention.

<Description of the symbols for the main parts of the drawings>

10: Individual Month 11: Heart Rate Monitor

12: cervical endoscope 13: fetal drop meter

14: uterine contraction measuring instrument 15: ultrasound imager

16: camera video camera 20: delivery server

30: Observation terminal

The present invention relates to a medical care system configured to perform remote medical care in real time using a network, and to select a delivery method according to changes in the mother and fetus, and more particularly, to a mother through a plurality of connected diagnostic devices. And a plurality of personal terminals configured to acquire the body information of the fetus in real time and construct a personal labor processing information database; and an individual acquired from each personal terminal to set any one of the birth methods selected from natural labor and artificial labor. A delivery server which receives the delivery processing information database through a wired / wireless network and compares the stored delivery data with the basic delivery processing information database in real time, and retransmits the corresponding data to the individual terminals; And an observation terminal that is connected to each individual terminal through a wired / wireless network communication network and outputs a sound / image so that a maternity and gynecological obstetrician can visually identify the personal delivery processing information database and the delivery progress that are obtained in real time. It relates to a birth control system characterized in that it comprises a.

In general, there are several types of delivery methods. It is well known that the progress of delivery is smooth, and both mothers and fetuses are divided into healthy normal delivery and abnormal delivery, which is dangerous to the mother and fetus.

In addition, normal labor is divided into natural labor and artificial labor depending on whether or not it is artificially assisted.

On the other hand, there are several necessary conditions in the delivery process. For example, the mother's physical condition or the fetus's physical condition for normal delivery during the delivery process. However, if any of these conditions are abnormal, obstetricians take appropriate measures to eliminate the risk based on experience and knowledge.

In recent years, a lot of technologies and equipment have been developed that help to deal with the risks that occur during the delivery process faster and more promptly, which reduces the number of medical accidents during delivery.

However, no matter how advanced the technology and equipment, in some cases, the maternity care may be mishandled by the obstetrician's errors such as unnecessary labor or inappropriate response.

This is probably due to the fact that obstetricians disagree with other fields of medicine, especially in their delivery philosophy and management polics.

In particular, medical personnel are subject to a sudden dilemma upon delivery, which means that if complications occur after any delivery, the caregiver will suspect the delivery of the child, and in that situation the fetus and the mother are not given any delivery. If complications occur, the consequences will be more difficult.

As such, existing labor management methods will be difficult to solve various problems. There are three major problems in the existing labor management methods.

First, because there are various definitions in the delivery process and treatment, any delivery process can be mistaken for abnormal medical treatment from another point of view, and it is difficult to personalize medical care due to various definitions.

Second, since delivery is medical care in real time, it is difficult to participate in caregiver and real-time consultation and participation of other gynecologists.

Third, scientifically predict and cope with the instantaneous process of the delivery process in real-time and sequential order, which means that there is no scientific data applied in real time and no devices used in clinical practice in real time. will be.

     In particular, because the risk record is not 100% predictive, mothers at low risk at the onset of labor may eventually have a difficult labor, on the other hand, many high-risk mothers will eventually give birth without complications.

As such, during the delivery process, the normal delivery process is abnormal, and the abnormal delivery process is usually changed to the normal delivery process.

As such, not only the delivery process is diverse, but also the treatment of the delivery process is diverse. Because of these various definitions, it is difficult to personalize individual patients, such as trying to lead birth to babies even in difficult births.

As a result of the unresolved problems of the labor process, the public's doubt about the labor process is increased and the reputation for medical expertise is deteriorated.

And obstetricians often adhere to their own delivery philosophy, unlike other medical practitioners. There are various definitions and delivery processes, and various methods of delivery management, and therefore, there should be extensive research on the effectiveness of various definitions and policies. In reality, there are no realistic studies due to problems such as data unification and policy coordination. The process is based on the experiences and personal opinions of the medical staff, with observational delivery and subsequent diagnosis and treatment. Therefore, it is time for policy-dependent delivery and treatment (process) to realize various delivery philosophies and policies, and a more objective and scientific delivery management system is needed.

Accordingly, in order to implement a more objective and scientific labor management system, consultation with other obstetricians is necessary. This means that labor is delivered in the appropriate manner at the right time and consistently according to the philosophy and policies set in various definitions in the labor process. There is a need for a tool using communication such as the Internet that can represent and control the progress of the review process. In addition, there is a device that can easily and accurately describe the number of delivery procedures in accordance with the philosophy of delivery and policy, without having to rewrite the delivery notes and other documents. The reality is that exchanges need to enable participatory care.

The present invention has been made in view of the above problems, and the first object of the present invention is to perform remote medical treatment in real time using a network, and also to select a delivery method according to the change of the mother and the fetus. To provide birth control systems.

Furthermore, the second object of the present invention is to enable a participatory medical treatment through sufficient exchange of opinions with patients, caregivers and obstetrician obstetricians, and to select a customized delivery method, and more stable birth control through objective and scientific delivery management. To provide a system.

These objects of the present invention, a plurality of personal terminals to obtain the maternal and fetal body information in real time through a plurality of connected diagnostic devices to build a personal delivery information database; and any one selected from natural delivery and artificial delivery In order to set the delivery method, the individual delivery processing information database obtained from each personal terminal is received through wired / wireless network communication network and analyzed in real time with the basic delivery processing information database stored, and the corresponding data is resent to each individual terminal. The delivery server; And an observation terminal that is connected to each individual terminal through a wired / wireless network communication network and outputs a sound / image so that a maternity and gynecological obstetrician can visually identify the personal delivery processing information database and the delivery progress that are obtained in real time. It is achieved by a birth control system characterized in that it comprises a.

The diagnostic device of the personal terminal is preferably made of a heart rate monitor, cervical coronometer, fetal lowering meter, uterine contraction meter, ultrasound imager, camera imager.

The personal delivery processing information database of the personal terminal is preferably composed of measurement data measured by a diagnosis device, selection data in which a delivery method is selected by a mother, and a delivery chart for outputting measurement data and selection data as an image.

In the above delivery chart, it is preferable that the delivery chart is composed of four indicator lines and two interval lines, with the cervical enlargement improved in cm as the size of the uterus being opened as the X axis, and the y axis indicated as the time unit.

In the above description, it is preferable that the interval line be expressed as two vertical lines on the labor chart and labor line on which labor begins and birth line on which birth is expected.

In the above, each of the leader line is preferably composed of a proper indicator line extending from the time when the mother is hospitalized to the pain line where pain begins, and a warning line, a diagnostic line and a diagnosis line indicated sequentially between the pain line and the birth line. Do.

In the above description, each of the leader lines is preferably represented by the equations (1), (2), (3), (4), and (4).

[Equation 1]

Y = aX + b

a is the slope, b is the constant

[Equation 2]

Y = aX + c

a is the slope, c is a constant

[Equation 3]

Y = aX + d

a is the slope, d is the constant

[Equation 4]

Y = aX + e

a is the slope, e is the constant

In the above, the constant of each leader is determined according to the patient delivery information database of the patient, and the constants b, c, d, and e are preferably b> c> d> e.

The basic delivery process information database of the delivery server is preferably composed of reference data as reference data, the reference data, and warning data displayed by comparing and judging the individual delivery process information database.

Other objects, specific advantages and novel features of the present invention will become more apparent from the following detailed description and the preferred embodiments associated with the accompanying drawings.

Hereinafter, with reference to the accompanying drawings with respect to the birth control system according to the present invention will be described in detail.

1 is a block diagram of a birth control system of the present invention.

As shown in FIG. 1, the present invention can perform remote medical treatment in real time using a network, and can also select a delivery method according to the change of the mother and fetus. It is about a birth control system that enables a participatory medical care through sufficient exchange of opinions, and can provide customized delivery methods, and more stable birth management through objective and scientific delivery management.

The birth control system is composed of three parts, which are composed of a plurality of individual terminals 10, delivery server 20, observation terminal 30. This configuration is a structure in which each of the personal terminal 10, the delivery server 20, the observation terminal 30 are interconnected via a wired / wireless network communication network.

Here, each of the personal terminals 10 is configured to obtain a mother and fetus body information in real time through a plurality of connected diagnostic devices to build a personal delivery information database.

At this time, a plurality of diagnostic devices, heart rate monitor (11), cervical coronometer (12), fetal lowering meter (13), uterine contraction measuring instrument (14), ultrasound imager (15), camera imager (16) Can be. The diagnostic devices mentioned herein are not limited thereto, and it is obvious that various diagnostic devices may be connected according to emergency and sudden situations.

In addition, the personal delivery information database is composed of measurement data measured by a diagnostic device, selection data selected by the maternal delivery method, and delivery chart outputting the measurement data according to the selection data as an image.

That is, the personal delivery processing information database is basically configured to input measurement data to the delivery chart of the delivery method when the mother selects the delivery method.

Therefore, the mother, guardian and obstetrician are configured to check the delivery chart in real time according to the delivery method selected by the mother.

On the other hand, the delivery chart is composed of four leader lines and two section lines so that the entire mother's body information can be checked at once. At this time, the body information of the fetus can be represented by a graph or numerical value for each sheet (Sheet) appear in the delivery chart.

Therefore, it is possible to predict labor, birth and emergency over time through four leader lines and two section lines.

In addition, the delivery server 20 compares and analyzes the personal delivery processing information database obtained from the individual terminals 10 in real time through a wired / wireless network communication network and stores the basic delivery processing information database so as to set a delivery method. The data is resent to the personal terminal 10.

Here, the basic delivery process information database is composed of reference data as a reference and warning data displayed by comparing and judging the reference data and the individual delivery process information database.

That is, the reference data are various statistical values including the average value of the accumulated personal labor processing information database. Therefore, by comparing and determining the personal delivery process information database transmitted in real time on the basis of the reference data and transmits the warning data to the corresponding personal terminal 10 according to the variable to respond to an emergency situation.

Here, the warning data is sound, image, or data in which sound and image are combined.

Therefore, even if the mother selects a natural delivery method, it is possible to induce artificial delivery by the delivery server in case of an emergency or emergency.

In addition, the observation terminal 30 is connected to each personal terminal 10 through a wired / wireless network communication network so that the obstetrician can visually identify the personal delivery processing information database and the delivery progress, which are obtained in real time, by sound / video. Is output.

Therefore, the observation terminal 30 is a structure capable of receiving a part or all of the personal delivery processing information database transmitted from each personal terminal 10 to the delivery server 20.

That is, the maternal and fetus received from the personal terminal 10 receives the hourly body changes or physical diagnosis information in real time image, the obstetric obstetrician of the observation terminal 30 to observe the information on the progress of the delivery of the personal terminal 10 Full exchange of opinions with the obstetrician and doctors of the clinic allows for participatory medical care and induction of personalized delivery.

2 is a flow chart of a birth control system of the present invention.

As shown in FIG. 2, first, the mother is hospitalized when colic begins or childbirth begins.

When admitted, the mother chooses the birthing method of her choice between natural and artificial delivery.

After the selection, the mother, guardian, and the obstetrician will receive the mother's and fetus's physical information in a delivery chart of the delivery method in real time through a diagnostic device connected to the personal terminal.

At this time, the personal terminal is connected to the observation terminal of other consultation doctors and the delivery server having basic delivery processing information through a wired / wireless network communication network.

Here, if the mother wants natural delivery but the measurement value of the delivery chart measured by the personal terminal in real time is different, the personal terminal expresses the voice and video by the warning data of the delivery server.

In this case, remote consultations can be made through the consultation obstetrician in the terminal, and other consultation obstetricians can also offer their opinions, and can coordinate with the mother and guardian.

Therefore, even if the mother wants a natural delivery, artificial delivery can be induced to the mother according to the body information of the mother and fetus measured in real time.

 As described above, according to the birth control method according to the present invention, it is not limited to obstetrics and gynecology, and can be applied to various medical fields (for example, orthopedic, internal medicine, dentistry, etc.).

3 is a conceptual diagram showing a delivery chart of the birth control system of the present invention.

As shown in FIG. 3, the delivery chart has four indicator lines, with the Y-axis representing the size of the cervix opening in cm and the X-axis representing the time for which the mother is hospitalized and waiting in an hour unit. It consists of two section lines.

Here, the two segment lines are composed of a labor line in which labor begins, and a birth line in which birth is expected, and is represented by two vertical lines on the delivery chart.

In the above, the pain line is the point of time when the labor progresses actively (usually 1cm / hour), and it is the interval line determined by the delivery method in the progression of 3-5cm of the cervix, and the progression of the interval line is evaluated as time-lapse. The pain relief line is abnormal if it exceeds the set time (more than), such as a certain time (6 hours) up to 3cm, a certain time (8 hours) up to 4cm, a certain time (10 hours) up to 5cm for each delivery method. Diagnose with

The birth line is a line that is determined according to the delivery method in the range of 1-4 hours after the cervix is 10 cm (completely open), and the birth progress is evaluated over time. It is diagnosed as abnormal when the time set for each delivery method is exceeded (more than 2 hours, 1 hour for fertility women).

The four leader is there is a fair leader, warning leader, leader diagnosis, confirmed the leader, each of the leader evaluates these in accordance with the presence or absence and the leader passed through delivery speed (cervical dilatation rate, lowering speed).

In addition, the four leader lines are composed of an appropriate indicator line extending from the time when the mother is hospitalized to the pain line at which analgesia begins, and a warning line, a diagnostic line, and a confirmation line that are sequentially displayed between the two section lines.

Here, the titration indicator is a leader that is the minimum appropriate delivery standard, which corresponds to the cervical opening speed of 1 cm per hour from the time of admission, and is a guideline for setting a time limit for delivery progression according to the delivery method. For example, if the delivery line produced by the measurement data according to the passage of labor passes the titration line set according to the method on the delivery chart by the reference data, it is diagnosed as abnormal delivery.The titration line is delivered within the range of the titration guidance line. In order to make the delivery point accompanied by active treatment, treatment should be performed even if it exceeds a certain range (set time) set by the titration line (including cesarean section).

In addition, the warning indicator line is a leader line corresponding to the cervical palpation rate of 1 cm per hour from the analgesic line, which is a reference line for the estimation of delivery disorder.

In addition, the diagnosis leader line is a leader line in a state of parallel progress for about 1 to 8 hours, which is set by the delivery method in the warning indicator line, and is a guide line for determining whether to treat a delivery disorder as well as a standard for diagnosis of delivery disorder.

The confirmation leader line is a leader line in a state of 1 to 8 hours that is set for each delivery method in parallel with the diagnosis leader line and is a reference line for the confirmation of delivery disorder.

Each of the leader lines as described above is preferably represented by the following equations 1 (titration leader line), equation 2 (warning leader line), equation 3 (diagnosis leader line), and equation 4 (proving leader line).

[Equation 1]

Y = aX + b

a is the slope, b is the constant

[Formula 2]

Y = aX + c

a is the slope, c is a constant

[Equation 3]

Y = aX + d

a is the slope, d is the constant

[Equation 4]

Y = aX + e

a is the slope, e is the constant

The slope a is a constant determined by experiments and experience. (For example, it may be a basic labor processing information database which is an average value calculated by checking a mother's condition.)

At this time, the constant of each of the leader line is determined according to the patient delivery information database of the patient, it is preferable that the constants b, c, d, e is b> c> d> e.

In addition, it is apparent that the two section lines and the four leader lines may be changed in position according to a personal delivery processing information database measured by a mother (patient).

Hereinafter, the delivery chart will be briefly described together with the accompanying drawings.

4 is a conceptual diagram showing an embodiment of a delivery chart according to the present invention, Figure 5 is a conceptual diagram showing another embodiment of a delivery chart according to the present invention.

Prior to the description with the drawings, the proper indicator is omitted because it is a normal delivery.

First, as shown in FIG. 4, the delivery chart sets two section lines and three leader lines in a range allowing maximum natural delivery.

First, line 1 indicates the rate at which the mother's neck is stretched along with pain after the hospitalization of the mother. Able to know.

And line 2 extends to the warning line, which is normal, but it is a presumption of childbirth disorders. Thus, obstetricians may need to be more cautious in their delivery.

And in the third line, cervical masses do not open from the beginning of analgesia, cervical masses are opened after 2-3 hours, and after 14 hours to 15 hours of hospitalization, cervical masses become large enough to produce a fetus. In addition, it can be seen that the diagnosis of labor disorders is required to determine whether to treat the labor disorders. Even after treatment, prolonged delivery to the confirmation line is confirmed, and emergency measures such as cesarean section are required.

FIG. 5 is a graph for inducing partial natural labor by setting two segment lines and three leader lines which are varied according to the mother's body information, without allowing the maximum of natural birth as shown in FIG. 4. Therefore, although FIG. 4 and FIG. 5 show a delivery chart allowing the same natural delivery, the definition of delivery disorder is different and the point of treatment is different.

On the other hand, as described above, the personal terminal or observation terminal of the birth control system according to the present invention can warn you of a dangerous situation directly in accordance with the mother's body information (individual birth processing information database) displayed on the delivery chart (diagnostic warning alarm) For example, graphs in red letters or red lines can be used to directly monitor the obstetrician's or hyupjin's obstetrician's doctors, diagnostic indicator alarms (along with warning alarms such as a beeper) and confirmation indicator alarms (video and Can be configured to alert you by audible or flashing monitor.

As described above, according to the birth control system according to the present invention, a remote medical treatment can be performed in real time using a network, and a delivery method can be selected according to the change of the mother and the fetus.

In addition, through the full exchange of opinions with mothers, guardians and consultation doctors, it is possible to take part in medical consultations and choose a customized delivery method, and it is characterized by more stable birth through objective and scientific delivery management.

Although the present invention has been described in connection with the above-mentioned preferred embodiments, various other modifications and variations may be made without departing from the spirit and scope of the invention. Accordingly, it is intended that the appended claims cover such modifications and variations as fall within the true scope of the invention.

Claims (9)

delete delete A plurality of personal terminals 10 for acquiring maternal and fetal body information in real time through a plurality of connected diagnosers and constructing a personal labor processing information database; In order to set any one of the methods of natural delivery and artificial delivery, the individual delivery processing information database acquired from each personal terminal 10 is received and stored through the wired / wireless network communication network and the default delivery processing information database stored in real time. Comparative server to the delivery server 20 for resending the data to the individual terminal 10; And Observation terminal which is connected to each personal terminal 10 through a wired / wireless network communication network and outputs audio / video so that the obstetrician obstetrician can visually identify the personal delivery processing information database and the delivery progress that are obtained in real time ( 30); including, Personal delivery processing information database of the personal terminal 10, Birth control system comprising a measurement data measured with a diagnostic device, the selection data selected by the delivery method of the mother, and the delivery chart to output the measurement data according to the selection data as an image. The method of claim 3, wherein The delivery chart, It consists of 4 indicator lines and 2 section lines, with the Y-axis representing the size of the uterus opening in cm and the X-axis representing the time the mother is hospitalized and waiting in one hour. And the interval line is variable according to the delivery method and is set in the delivery chart. The method of claim 4, wherein The section line is a birth control system characterized in that the labor line is started labor and the birth line is expected to give birth as two vertical lines on the delivery chart. The method of claim 4, wherein Each of the leader line, The birth control system, characterized in that consisting of a warning indicator line, a diagnostic indicator line and a diagnosis indicator line sequentially displayed between the pain line and the birth line from the time when the mother is hospitalized, pain relief line begins. The method of claim 6, Each of the leader lines is represented by the equations of Equation 1 (Treasure Leader), Equation 2 (Warning Leader), Equation 3 (Diagnostic Leader), and Equation 4 (Confirmation Leader). [Equation 1] Y = aX + b a is the slope, b is the constant [Equation 2] Y = aX + c a is the slope, c is a constant [Equation 3] Y = aX + d a is the slope, d is the constant [Equation 4] Y = aX + e a is the slope, e is the constant The method of claim 7, wherein The constant of each leader is determined according to the patient's personal delivery information database, and constants b, c, d, e are b> c> d> e. A plurality of personal terminals 10 for acquiring maternal and fetal body information in real time through a plurality of connected diagnosers and constructing a personal labor processing information database; In order to set any one of the methods of natural delivery and artificial delivery, the individual delivery processing information database acquired from each personal terminal 10 is received and stored through the wired / wireless network communication network and the default delivery processing information database stored in real time. Comparative server to the delivery server 20 for resending the data to the individual terminal 10; And Observation terminal which is connected to each personal terminal 10 through a wired / wireless network communication network and outputs audio / video so that the obstetrician obstetrician can visually identify the personal delivery processing information database and the delivery progress that are obtained in real time ( 30); including, Basic delivery processing information database of the delivery server 20, Birth control system, characterized in that consisting of the reference data, the reference data, the reference data, and the personal data of the individual delivery process information and the warning data expressed.

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