Perinatal health predictors using artificial intelligence: A review
Advances in public health and medical care have enabled better pregnancy and birth outcomes. The rates of perinatal health indicators such as maternal mortality and morbidity; fetal, neonatal, and infant mortality; low birthweight; and preterm birth have reduced over time. However, they are still a...
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doaj-15d2ac0141b54c32bf4f9b9af7b91ae32021-09-14T22:03:38ZengSAGE PublishingWomen's Health1745-50652021-09-011710.1177/17455065211046132Perinatal health predictors using artificial intelligence: A reviewRema Ramakrishnan0Shishir Rao1Jian-Rong He2National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UKDeep Medicine, Oxford Martin School, University of Oxford, Oxford, UKDivision of Birth Cohort Study, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaAdvances in public health and medical care have enabled better pregnancy and birth outcomes. The rates of perinatal health indicators such as maternal mortality and morbidity; fetal, neonatal, and infant mortality; low birthweight; and preterm birth have reduced over time. However, they are still a public health concern, and considerable disparities exist within and between countries. For perinatal researchers who are engaged in unraveling the tangled web of causation for maternal and child health outcomes and for clinicians involved in the care of pregnant women and infants, artificial intelligence offers novel approaches to prediction modeling, diagnosis, early detection, and monitoring in perinatal health. Machine learning, a commonly used artificial intelligence method, has been used to predict preterm birth, birthweight, preeclampsia, mortality, hypertensive disorders, and postpartum depression. Real-time electronic health recording and predictive modeling using artificial intelligence have found early success in fetal monitoring and monitoring of women with gestational diabetes especially in low-resource settings. Artificial intelligence–based methodologies have the potential to improve prenatal diagnosis of birth defects and outcomes in assisted reproductive technology too. In this scenario, we envision artificial intelligence for perinatal research to be based on three goals: (1) availability of population-representative, routine clinical data (rich multimodal data of large sample size) for perinatal research; (2) modification and application of current state-of-the-art artificial intelligence for prediction and classification in health care research to the field of perinatal health; and (3) development of methods for explaining the decision-making processes of artificial intelligence models for perinatal health indicators. Achieving these three goals via a multidisciplinary approach to the development of artificial intelligence tools will enable trust in these tools and advance research, clinical practice, and policies to ensure optimal perinatal health.https://doi.org/10.1177/17455065211046132 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rema Ramakrishnan Shishir Rao Jian-Rong He |
spellingShingle |
Rema Ramakrishnan Shishir Rao Jian-Rong He Perinatal health predictors using artificial intelligence: A review Women's Health |
author_facet |
Rema Ramakrishnan Shishir Rao Jian-Rong He |
author_sort |
Rema Ramakrishnan |
title |
Perinatal health predictors using artificial intelligence: A review |
title_short |
Perinatal health predictors using artificial intelligence: A review |
title_full |
Perinatal health predictors using artificial intelligence: A review |
title_fullStr |
Perinatal health predictors using artificial intelligence: A review |
title_full_unstemmed |
Perinatal health predictors using artificial intelligence: A review |
title_sort |
perinatal health predictors using artificial intelligence: a review |
publisher |
SAGE Publishing |
series |
Women's Health |
issn |
1745-5065 |
publishDate |
2021-09-01 |
description |
Advances in public health and medical care have enabled better pregnancy and birth outcomes. The rates of perinatal health indicators such as maternal mortality and morbidity; fetal, neonatal, and infant mortality; low birthweight; and preterm birth have reduced over time. However, they are still a public health concern, and considerable disparities exist within and between countries. For perinatal researchers who are engaged in unraveling the tangled web of causation for maternal and child health outcomes and for clinicians involved in the care of pregnant women and infants, artificial intelligence offers novel approaches to prediction modeling, diagnosis, early detection, and monitoring in perinatal health. Machine learning, a commonly used artificial intelligence method, has been used to predict preterm birth, birthweight, preeclampsia, mortality, hypertensive disorders, and postpartum depression. Real-time electronic health recording and predictive modeling using artificial intelligence have found early success in fetal monitoring and monitoring of women with gestational diabetes especially in low-resource settings. Artificial intelligence–based methodologies have the potential to improve prenatal diagnosis of birth defects and outcomes in assisted reproductive technology too. In this scenario, we envision artificial intelligence for perinatal research to be based on three goals: (1) availability of population-representative, routine clinical data (rich multimodal data of large sample size) for perinatal research; (2) modification and application of current state-of-the-art artificial intelligence for prediction and classification in health care research to the field of perinatal health; and (3) development of methods for explaining the decision-making processes of artificial intelligence models for perinatal health indicators. Achieving these three goals via a multidisciplinary approach to the development of artificial intelligence tools will enable trust in these tools and advance research, clinical practice, and policies to ensure optimal perinatal health. |
url |
https://doi.org/10.1177/17455065211046132 |
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