A Fuzzy Expert System to Predict the Risk of Postpartum Hemorrhage

© 2019 Yussriya Hanaa Doomah, Song-Yuan Xu, Li-Xia Cao, Sheng-Lian Liang, Gloria Francisca Nuer-Allornuvor, Xiao-Yan Ying..

INTRODUCTION: The American College of Obstetricians and Gynecologists (ACOG) defines postpartum hemorrhage (PPH) as a blood loss of >500mL following vaginal delivery or >1000mL following cesarean section. PPH is widely recognized as a common cause of maternal death. However, there is currently no effective method to predict its risk of occurrence.

AIM: To develop a fuzzy expert system to predict the risk of developing PPH and to evaluate its performance in the clinical setting.

METHODS: This system was developed using MATLAB software. Mamdani inference was used to simulate reasoning of experts in the field. To evaluate the performance of the system, a dataset of 1705 patients admitted at the Labor and Delivery ward of The Second Affiliated Hospital of Nanjing Medical University from 2017-10 to 2018-04, was considered.

RESULTS: The Negative Predictive value (NPV), Positive Predictive value PPV), Specificity and Sensitivity were calculated and were 99.72%, 18.50%, 87.48% and 92.16% respectively.

CONCLUSIONS: Our findings suggest that the fuzzy expert system can be used to predict PPH in clinical settings and thus decrease maternal mortality rate due to hemorrhage.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH - 27(2019), 5 vom: 25. Dez., Seite 318-3326

Sprache:

Englisch

Beteiligte Personen:

Doomah, Yussriya Hanaa [VerfasserIn]
Xu, Song-Yuan [VerfasserIn]
Cao, Li-Xia [VerfasserIn]
Liang, Sheng-Lian [VerfasserIn]
Nuer-Allornuvor, Gloria Francisca [VerfasserIn]
Ying, Xiao-Yan [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Maternal death
Postpartum hemorrhage
Retained placenta
Uterine inertia

Anmerkungen:

Date Revised 13.04.2022

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.5455/aim.2019.27.318-326

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM307964396