Comparison Of Artificial Neural Network and Decision Tree Methods for Predicting the Maternal Outcome in A Tertiary Care Hospital in Odisha, India

Authors

  • Nihar Ranjan Panda IMS and Sum Hospital, SOA deemed to be University, Bhubaneswar; CV Raman Global University, Bhubaneswar, India
  • Jitendra Kumar Pati CV Raman Global University, Bhubaneswar, Odisha, India
  • Tapasi Pati IMS and Sum Hospital, SOA deemed to be University, Bhubaneswar, Odisha, India
  • Soumya Satpathy IMS and Sum Hospital, SOA deemed to be University, Bhubaneswar, Odisha, India
  • Ruchi Bhuyan IMS and Sum Hospital, SOA deemed to be University, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.55489/njcm.131120222262

Keywords:

Machine learning, maternal outcome, Classifier, Decision tree, ANN

Abstract

Background: This study used an artificial neural network (ANN) and a decision tree to predict maternal outcomes and their major determinants. An artificial neural network (ANN) and a decision tree were used in this study to determine maternal outcomes and their significant determinants.

Methods: Data was gathered from 955 pregnant women at a tertiary care hospital in Bhubaneswar, Odisha. A popular machine learning algorithm, artificial neural networks (ANN), was used to predict maternal outcomes and their determinants.

Results: in the bivariate analysis, we found gestational age is significantly associated with maternal outcome (p=<0.001). The accuracy of the ANN model and decision tree was 0.882 and 0.823, respectively. Based on the variable importance of ANN, the significant determinants of maternal outcome were birth weight, systolic blood pressure, hemoglobin, gestational age, age of mother, diastolic blood pressure etc.

Conclusion:   This model can be utilized in future for Proper precautions and medical checkups required during the maternal period to avoid a negative maternal outcome.

References

United Nations, authors. UN Millennium Development Goals Web site.

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M, Say L, Tunçalp Ö, Vogel JP. Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganization multicountry study. BJOG: An Inter-national Journal of Obstetrics & Gynaecology. 2014 Mar;121:40-8. Doi: https://doi.org/10.1111/1471-0528.12630 PMid:24641534

Lori JR, Rominski S, Richardson J, Agyei-Baffour P, Kweku NE, Gyakobo M. Factors influencing Ghanaian midwifery students' will-ingness to work in rural areas: a computerized survey. International journal of nursing studies. 2012 Jul 1;49(7):834-41. Doi: https://doi.org/10.1016/j.ijnurstu.2012.02.006 PMid:22385911 PMCid:PMC4913468

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. The Lancet global health. 2014 Jun 1;2(6):e323-33. Doi: https://doi.org/10.1016/S2214-109X(14)70227-X

World Health Organization. Strategies towards ending preventable maternal mortality (EPMM).

Magadi MA, Madise NJ, Rodrigues RN. Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities. Social science & medicine. 2000 Aug 15;51(4):551-61. Doi: https://doi.org/10.1016/S0277-9536(99)00495-5

Saroj RK, Anand M. Environmental factors prediction in preterm birth using comparison between logistic regression and decision tree methods: an exploratory analysis. Social Sciences & Humanities Open. 2021 Jan 1;4(1):100216. Doi: https://doi.org/10.1016/j.ssaho.2021.100216

Berhie KA, Gebresilassie HG. Logistic regression analysis on the determinants of stillbirth in Ethiopia. Maternal health, neonatology and perinatology. 2016 Dec;2(1):1-0. Doi: https://doi.org/10.1186/s40748-016-0038-5 PMid:27660718 PMCid:PMC5025573

Lee KS, Ahn KH. Artificial neural network analysis of spontaneous preterm labor and birth and its major determinants. Journal of Korean medical science. 2019 Apr 29;34(16). Doi: https://doi.org/10.3346/jkms.2019.34.e128 PMid:31020816 PMCid:PMC6484180

Schmidt LJ, Rieger O, Neznansky M, Hackelöer M, Dröge LA, Henrich W, Higgins D, Verlohren S. A machine-learning-based algorithm improves prediction of preeclampsia-associated adverse outcomes. American Journal of Obstetrics and Gynecology. 2022 Feb 1. Doi: https://doi.org/10.1016/j.ajog.2022.01.026 PMid:35114187

Paul TD, Hastie R, Tong S, Keenan E, Hiscock R, Brownfoot FC. Prediction of adverse maternal outcomes in preeclampsia at term. Pregnancy Hypertension. 2019 Oct 1;18:75-81. Doi: https://doi.org/10.1016/j.preghy.2019.09.004 PMid:31546156

Dave VS, Dutta K. Neural network based models for software effort estimation: a review. Artificial Intelligence Review. 2014 Aug;42(2):295-307. Doi: https://doi.org/10.1007/s10462-012-9339-x

He H, Garcia EA. Learning from imbalanced data. IEEE Transactions on knowledge and data engineering. 2009 Jun 26;21(9):1263-84. DOI: 10.1109/TKDE.2008.239. Doi: https://doi.org/10.1109/TKDE.2008.239

Mozaffari A, Emami M, Fathi A. A comprehensive investigation into the performance, robustness, scalability and convergence of chaos-enhanced evolutionary algorithms with boundary constraints. Artificial Intelligence Review. 2019 Dec;52(4):2319-80. Doi: https://doi.org/10.1007/s10462-018-9616-4

Goodwin LK, Iannacchione MA. Data mining methods for improving birth outcomes prediction. Outcomes Management. 2002 Apr 1;6(2):80-5.

Abiodun OI, Jantan A, Omolara AE, Dada KV, Mohamed NA, Arshad H. State-of-the-art in artificial neural network applications: A survey. Heliyon. 2018 Nov 1;4(11):e00938. Doi: https://doi.org/10.1016/j.heliyon.2018.e00938 PMid:30519653 PMCid:PMC6260436

Song X, Mitnitski A, Cox J, Rockwood K. Comparison of machine learning techniques with classical statistical models in predicting health outcomes. InMEDINFO 2004 2004 (pp. 736-740). IOS Press. DOI: 10.3233/978-1-60750-949-3-736

Goodwin L, Maher S. Data mining for preterm birth prediction. InProceedings of the 2000 ACM symposium on Applied computing-Volume 1 2000 Mar 19 (pp. 46-51). Doi: https://doi.org/10.1145/335603.335680

Gennaro S, Brooten D, Roncoli M, Kumar SP. Stress and health outcomes among mothers of low-birth-weight infants. West J Nurs Res. 1993 Feb;15(1):97-113. Doi: https://doi.org/10.1177/019394599301500107 PMid:8421923

Magann EF, Chauhan SP, Hitt WC, Dubil EA, Morrison JC. Borderline or marginal amniotic fluid index and peripartum outcomes: a re-view of the literature. Journal of Ultrasound in Medicine. 2011 Apr;30(4):523-8. Doi: https://doi.org/10.7863/jum.2011.30.4.523 PMid:21460153

Lekkala S, Ramarao V, Bonela S, Devi R. Maternal and perinatal outcomes in pregnancies with borderline oligohydramnios versus uncomplicated normal amniotic fluid index. J Med Sci Clin Res. 2020;8:932-8. Doi: https://doi.org/10.18535/jmscr/v8i1.152

Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks' ges-tation. The Journal of reproductive medicine. 1987 Jul 1;32(7):540-2.

Bodnar LM, Siega-Riz AM, Arab L, Chantala K, McDonald T. Predictors of pregnancy and postpartum haemoglobin concentrations in low-income women. Public health nutrition. 2004 Sep;7(6):701-11. Doi: https://doi.org/10.1079/PHN2004597 PMid:15369607

Levy A, Fraser D, Katz M, Mazor M, Sheiner E. Maternal anemia during pregnancy is an independent risk factor for low birthweight and preterm delivery. European journal of obstetrics & gynecology and reproductive biology. 2005 Oct 1;122(2):182-6. Doi: https://doi.org/10.1016/j.ejogrb.2005.02.015 PMid:16219519

Patra S, Pasrija S, Trivedi SS, Puri M. Maternal and perinatal outcome in patients with severe anemia in pregnancy. Int J Gynaecol Ob-stet. 2005 Nov;91(2):164-5. Doi: https://doi.org/10.1016/j.ijgo.2005.07.008 PMid:16125707

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, Ezzati M, Grantham-McGregor S, Katz J, Martorell R, Uauy R. Ma-ternal and child undernutrition and overweight in low-income and middle-income countries. The lancet. 2013 Aug 3;382(9890):427-51. Doi: https://doi.org/10.1016/S0140-6736(13)60937-X

ABDAR M. A survey and compare the performance of IBM SPSS modeler and rapid miner software for predicting liver disease by us-ing various data mining algorithms. Cumhuriyet Üniversitesi Fen Edebiyat Fakültesi Fen Bilimleri Dergisi. 2015;36(3):3230-41.

Khan NA, Sonkar VR, Domple VK, Inamdar IA. Study of Anaemia and Its Associated Risk Factors among Pregnant Women in a Rural Field Practice Area of a Medical College. National Journal of Community Medicine. 2017 Jul 31;8(07):396-400.

Patel PK, Pitre DS, Gupta H. Pregnancy outcome in isolated oligohydramnios at term. National Journal of Community Medicine. 2015 Jun 30;6(02):217-21.

Downloads

Published

2022-11-30

How to Cite

1.
Panda NR, Pati JK, Pati T, Satpathy S, Bhuyan R. Comparison Of Artificial Neural Network and Decision Tree Methods for Predicting the Maternal Outcome in A Tertiary Care Hospital in Odisha, India. Natl J Community Med [Internet]. 2022 Nov. 30 [cited 2024 Dec. 3];13(11):821-7. Available from: https://njcmindia.com/index.php/file/article/view/2262

Issue

Section

Original Research Articles