Centre for Biotechnology, Siksha O Anusandhan (Deemed to be University), Kalinga Nagar, Ghatikia, Bhubaneswar, Odisha 751003, India.
Department of Biotechnology, Odisha University of Technology & Research, Bhubaneswar, Odisha 751003, India.
Eur J Obstet Gynecol Reprod Biol. 2024 Jun;297:241-248. doi: 10.1016/j.ejogrb.2024.04.012. Epub 2024 Apr 10.
One of the factors that worry obstetricians the most is the method of delivery. In recent years, the rate of caesarean sections has steadily climbed and now exceeds the threshold advised by medical organizations. Obstetricians typically lack the tools they need to assess whether vaginal delivery or a caesarean delivery is more appropriate. In this work, we suggested a computerized decision-making process for deciding on the best birthing style. The data was collected from 101 pregnant subjects who were admitted to hospital in eastern India for delivery from January 2021 to September 2021.The data set had 101 instances & 11 variables. The response was a binary variable with "caesarean" & "vaginal" as the outputs. A deep neural network model (DNN) was developed by using train set with h2o package. The model was selected on the basis of AUC (Area under the Curve) & KS (Kolmogorov-Smirnov) score. The AUC, KS score for train set were 0.99, 0.98 respectively. The prediction error rates for caeseraen & vaginal classes in train data are 0.02 & 0.00 respectively. The results support the use of these algorithms in the creation of a clinical decision system to help gynaecologists choose the most appropriate delivery method.
产科医生最担心的因素之一是分娩方式。近年来,剖宫产率稳步攀升,现已超过医学组织建议的阈值。产科医生通常缺乏评估阴道分娩或剖宫产更合适的工具。在这项工作中,我们提出了一种计算机决策过程,以决定最佳分娩方式。数据来自于 2021 年 1 月至 9 月在印度东部医院分娩的 101 名孕妇,数据集共有 101 个实例和 11 个变量。反应是一个二元变量,输出为“剖宫产”和“阴道”。使用 h2o 包的训练集开发了深度神经网络模型(DNN)。该模型是根据 AUC(曲线下面积)和 KS(柯尔莫哥洛夫-斯米尔诺夫)得分选择的。训练集的 AUC、KS 得分分别为 0.99、0.98。在训练数据中,剖宫产和阴道分娩的预测错误率分别为 0.02 和 0.00。结果支持在创建临床决策系统中使用这些算法,以帮助妇科医生选择最合适的分娩方式。