Prediction of labor onset type: Spontaneous vs induced; role of electrohysterography?

Computer Methods and Programs in Biomedicine
J Alberola-RubioA Perales

Abstract

Induction of labor (IOL) is a medical procedure used to initiate uterine contractions to achieve delivery. IOL entails medical risks and has a significant impact on both the mother's and newborn's well-being. The assistance provided by an automatic system to help distinguish patients that will achieve labor spontaneously from those that will need late-term IOL would help clinicians and mothers to take an informed decision about prolonging pregnancy. With this aim, we developed and evaluated predictive models using not only traditional obstetrical data but also electrophysiological parameters derived from the electrohysterogram (EHG). EHG recordings were made on singleton term pregnancies. A set of 10 temporal and spectral parameters was calculated to characterize EHG bursts and a further set of 6 common obstetrical parameters was also considered in the predictive models design. Different models were implemented based on single layer Support Vector Machines (SVM) and with aggregation of majority voting of SVM (double layer), to distinguish between the two groups: term spontaneous labor (≤41 weeks of gestation) and IOL late-term labor. The areas under the curve (AUC) of the models were compared. The obstetrical and EHG parameters...Continue Reading

Citations

Feb 2, 2019·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·N Punitha, S Ramakrishnan
Feb 7, 2018·Physiological Measurement·J Garcia-CasadoA Perales
May 4, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Joanna SichitiuDavid Desseauve
Jun 29, 2021·Biophysics Reviews·Thierry R JossouDavide Piaggio

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