Application of machine learning to identify risk factors of birth asphyxia

Abstract Background Developing a prediction model that incorporates several risk factors and accurately calculates the overall risk of birth asphyxia is necessary. The present study used a machine learning model to predict birth asphyxia. Methods Women who gave birth at a tertiary Hospital in Bandar...

Full description

Bibliographic Details
Main Authors: Fatemeh Darsareh, Amene Ranjbar, Mohammadsadegh Vahidi Farashah, Vahid Mehrnoush, Mitra Shekari, Malihe Shirzadfard Jahromi
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-05486-9
_version_ 1797863283778125824
author Fatemeh Darsareh
Amene Ranjbar
Mohammadsadegh Vahidi Farashah
Vahid Mehrnoush
Mitra Shekari
Malihe Shirzadfard Jahromi
author_facet Fatemeh Darsareh
Amene Ranjbar
Mohammadsadegh Vahidi Farashah
Vahid Mehrnoush
Mitra Shekari
Malihe Shirzadfard Jahromi
author_sort Fatemeh Darsareh
collection DOAJ
description Abstract Background Developing a prediction model that incorporates several risk factors and accurately calculates the overall risk of birth asphyxia is necessary. The present study used a machine learning model to predict birth asphyxia. Methods Women who gave birth at a tertiary Hospital in Bandar Abbas, Iran, were retrospectively evaluated from January 2020 to January 2022. Data were extracted from the Iranian Maternal and Neonatal Network, a valid national system, by trained recorders using electronic medical records. Demographic factors, obstetric factors, and prenatal factors were obtained from patient records. Machine learning was used to identify the risk factors of birth asphyxia. Eight machine learning models were used in the study. To evaluate the diagnostic performance of each model, six metrics, including area under the receiver operating characteristic curve, accuracy, precision, sensitivity, specificity, and F1 score were measured in the test set. Results Of 8888 deliveries, we identified 380 women with a recorded birth asphyxia, giving a frequency of 4.3%. Random Forest Classification was found to be the best model to predict birth asphyxia with an accuracy of 0.99. The analysis of the importance of the variables showed that maternal chronic hypertension, maternal anemia, diabetes, drug addiction, gestational age, newborn weight, newborn sex, preeclampsia, placenta abruption, parity, intrauterine growth retardation, meconium amniotic fluid, mal-presentation, and delivery method were considered to be the weighted factors. Conclusion Birth asphyxia can be predicted using a machine learning model. Random Forest Classification was found to be an accurate algorithm to predict birth asphyxia. More research should be done to analyze appropriate variables and prepare big data to determine the best model.
first_indexed 2024-04-09T22:33:05Z
format Article
id doaj.art-a1877d47e4784469ac44822e3b4c856a
institution Directory Open Access Journal
issn 1471-2393
language English
last_indexed 2024-04-09T22:33:05Z
publishDate 2023-03-01
publisher BMC
record_format Article
series BMC Pregnancy and Childbirth
spelling doaj.art-a1877d47e4784469ac44822e3b4c856a2023-03-22T12:38:12ZengBMCBMC Pregnancy and Childbirth1471-23932023-03-012311710.1186/s12884-023-05486-9Application of machine learning to identify risk factors of birth asphyxiaFatemeh Darsareh0Amene Ranjbar1Mohammadsadegh Vahidi Farashah2Vahid Mehrnoush3Mitra Shekari4Malihe Shirzadfard Jahromi5Mother and Child Welfare Research Center, Hormozgan University of Medical SciencesFertility and Infertility Research Center, Hormozgan University of Medical SciencesEndocrinology and Metabolism Research Center, Hormozgan University of Medical SciencesMother and Child Welfare Research Center, Hormozgan University of Medical SciencesMother and Child Welfare Research Center, Hormozgan University of Medical SciencesMother and Child Welfare Research Center, Hormozgan University of Medical SciencesAbstract Background Developing a prediction model that incorporates several risk factors and accurately calculates the overall risk of birth asphyxia is necessary. The present study used a machine learning model to predict birth asphyxia. Methods Women who gave birth at a tertiary Hospital in Bandar Abbas, Iran, were retrospectively evaluated from January 2020 to January 2022. Data were extracted from the Iranian Maternal and Neonatal Network, a valid national system, by trained recorders using electronic medical records. Demographic factors, obstetric factors, and prenatal factors were obtained from patient records. Machine learning was used to identify the risk factors of birth asphyxia. Eight machine learning models were used in the study. To evaluate the diagnostic performance of each model, six metrics, including area under the receiver operating characteristic curve, accuracy, precision, sensitivity, specificity, and F1 score were measured in the test set. Results Of 8888 deliveries, we identified 380 women with a recorded birth asphyxia, giving a frequency of 4.3%. Random Forest Classification was found to be the best model to predict birth asphyxia with an accuracy of 0.99. The analysis of the importance of the variables showed that maternal chronic hypertension, maternal anemia, diabetes, drug addiction, gestational age, newborn weight, newborn sex, preeclampsia, placenta abruption, parity, intrauterine growth retardation, meconium amniotic fluid, mal-presentation, and delivery method were considered to be the weighted factors. Conclusion Birth asphyxia can be predicted using a machine learning model. Random Forest Classification was found to be an accurate algorithm to predict birth asphyxia. More research should be done to analyze appropriate variables and prepare big data to determine the best model.https://doi.org/10.1186/s12884-023-05486-9Birth asphyxiaRisk factorsMachine learning
spellingShingle Fatemeh Darsareh
Amene Ranjbar
Mohammadsadegh Vahidi Farashah
Vahid Mehrnoush
Mitra Shekari
Malihe Shirzadfard Jahromi
Application of machine learning to identify risk factors of birth asphyxia
BMC Pregnancy and Childbirth
Birth asphyxia
Risk factors
Machine learning
title Application of machine learning to identify risk factors of birth asphyxia
title_full Application of machine learning to identify risk factors of birth asphyxia
title_fullStr Application of machine learning to identify risk factors of birth asphyxia
title_full_unstemmed Application of machine learning to identify risk factors of birth asphyxia
title_short Application of machine learning to identify risk factors of birth asphyxia
title_sort application of machine learning to identify risk factors of birth asphyxia
topic Birth asphyxia
Risk factors
Machine learning
url https://doi.org/10.1186/s12884-023-05486-9
work_keys_str_mv AT fatemehdarsareh applicationofmachinelearningtoidentifyriskfactorsofbirthasphyxia
AT ameneranjbar applicationofmachinelearningtoidentifyriskfactorsofbirthasphyxia
AT mohammadsadeghvahidifarashah applicationofmachinelearningtoidentifyriskfactorsofbirthasphyxia
AT vahidmehrnoush applicationofmachinelearningtoidentifyriskfactorsofbirthasphyxia
AT mitrashekari applicationofmachinelearningtoidentifyriskfactorsofbirthasphyxia
AT maliheshirzadfardjahromi applicationofmachinelearningtoidentifyriskfactorsofbirthasphyxia