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...
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Format: | Article |
Language: | English |
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BMC
2023-03-01
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Series: | BMC Pregnancy and Childbirth |
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Online Access: | https://doi.org/10.1186/s12884-023-05486-9 |
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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 |
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