Fetal heart rate research uses big data to reduce childbirth risks

March 6, 2018 by Alan Scher Zagier, Missouri University of Science and Technology
Dr. Steve Corns, right, and graduate student Vinayaka Nagendra Harikishan Gude Divya Sampath confer on their fetal heart rate research. Credit: Sam O’Keefe/Missouri S&T.

Giving birth to a child can be described as a sacred, spiritual and life-changing experience. It can also be fraught with pain, fear, complications and injury to both child and mother. For Dr. Steve Corns, associate professor of engineering management and systems engineering, the key to removing some of the uncertainty associated with giving birth may lie not with woman or man, but with machine—machine learning, to be precise.

Working in collaboration with researchers from Phelps County Regional Medical Center, Corns and graduate student Vinayaka Nagendra Harikishan Gude Divya Sampath are studying fetal heart rate patterns to develop a computational model to predict the risk of dangerous conditions such as fetal hypoxia and acidosis after a mother has entered labor.

The research is funded through the Ozark Biomedical Initiative, a partnership between PCRMC and Missouri S&T that provides seed money to support biomedical research. The research team, which includes Dr. James Davison, a retired physician in obstetrics and gynecology at PCRMC, is also seeking additional financial support from the National Institutes of Health.

"The goal is to look at the heart rate to try to predict what those conditions are (that cause oxygen deprivation during birth)," Corns says. "And then before we get to the situation where the baby is highly acidotic, go in and do an intervention."

In the U.S., about 700 women die each year as a result of pregnancy or delivery complications, according the Centers for Disease Control and Prevention. Complications affect more than 50,000 women annually, the CDC reports—with the risk of pregnancy-related death among black women three to four times higher than for expectant white mothers.

Despite advances in medical technology, those numbers have increased in recent decades, the CDC notes, from slightly more than 7 deaths per 100,000 live births three decades ago to a high of 17.8 deaths per 100,000 live births in both 2009 and 2011.

As Corns explains, doctors monitoring mothers in the early stages of labor typically rely on cardiotocography, also known as an electronic fetal monitor, to record fetal heartbeat and uterine contractions, usually reviewing the results every 10 to 20 minutes.

But rather than rely on case-by-case observation, the Corns-led research team wants to analyze tens of thousands of discrete data points that could more accurately predict patterns—and pitfalls ─ to arm physicians and nurses with more informed decision-making tools than the current three-tiered classification system for fetal .

"Instead of having those 10-minute windows with a marker, we'd have a computer keep track much further back, and keep track of patterns, and use pattern recognition to not just predict categories, which are a secondhand artifact, but predict what trajectory this baby is on," he says.

The early results are promising. In a research paper presented at the 2017 IEEE International Conference on Computational Intelligence in Bioinformatics and Computational Biology, Missouri S&T researchers found that support vector machines and random forest classifiers, two types of algorithms, demonstrated a 96 percent accuracy rate in predicting outcomes in the three classifications: normal, indeterminate and abnormal.

Experts advise that fetal heart rates falling into the indeterminate category should be closely monitored, with those in the abnormal category requiring further intervention.

Explore further: Is continuous electronic fetal monitoring useful for all women in labor?

More information: Vinayaka Nagendra et al. Evaluation of support vector machines and random forest classifiers in a real-time fetal monitoring system based on cardiotocography data, 2017 IEEE Conference on Computational Intelligence in Bioinformatics and Computational Biology (CIBCB) (2017). DOI: 10.1109/CIBCB.2017.8058546

Related Stories

Is continuous electronic fetal monitoring useful for all women in labor?

December 5, 2017
Electronic fetal monitoring is often used during labour to detect unborn babies at risk of brain damage (neonatal encephalopathy) from a lack of oxygen (hypoxia). In the UK, continuous monitoring is used only for women in ...

New study finds fetal heart rate not a good indicator of a baby's health

October 26, 2011
Physicians preparing to deliver a baby look at fetal heart rate patterns to guide them in deciding whether or not to perform a C- section. But a new study by maternal-fetal medicine specialists at Intermountain Medical Center ...

Multidisciplinary team completes first-ever EXIT to ventricular pacing procedure

February 16, 2018
Researchers at Children's Hospital Colorado (Children's Colorado) have completed the first-ever EXIT (Ex Utero Intrapartum Treatment) to ventricular pacing procedure. The patient, a 36-week fetus, who suffered from complete ...

1 in 4 U.S. stillbirths might be prevented

January 19, 2018
(HealthDay)—About 1 in every 160 pregnancies in the United States ends in stillbirth. Now, a new study suggests many of these tragedies are "potentially" avoidable.

New method for monitoring fetal heartbeat

September 11, 2017
Researchers have developed a technique to accurately isolate fetal heart sounds from background noise in acoustic recordings, allowing them to distinguish between different segments of the fetal heartbeat. This technique ...

ACOG: interventions can be limited during labor, birth

January 30, 2017
(HealthDay)—Women can meet their labor and birth goals with minimal intervention, according to an American College of Obstetricians and Gynecologists Committee Opinion published in the February issue of Obstetrics & Gynecology.

Recommended for you

Female biology – two X chromosomes and ovaries – extends life and protects mice from aging

December 18, 2018
Around the world, women outlive men. This is true in sickness and in health, in war and in peace, even during severe epidemics and famine. In most animal species, females live longer than males.

Get a warrant: Researchers demand better DNA protections

December 18, 2018
New laws are required to control access to medical genetic data by law enforcement agencies, an analysis by University of Queensland researchers has found.

Wound care revolution: Put away your rulers and reach for your phone

December 18, 2018
Monitoring a wound is critical, especially in diabetic patients, whose lack of sensation due to nerve damage can lead to infection of a lesion and, ultimately, amputation. Clinicians and healthcare professionals at the McGill ...

Using light to stop itch

December 17, 2018
Itch is easily one of the most annoying sensations. For chronic skin diseases like eczema, it's a major symptom. Although it gives temporary relief, scratching only makes things worse because it can cause skin damage, additional ...

Law professor suggests a way to validate and integrate deep learning medical systems

December 13, 2018
University of Michigan professor W. Nicholson Price, who also has affiliations with Harvard Law School and the University of Copenhagen Faculty of Law, suggests in a Focus piece published in Science Translational Medicine, ...

Exercise-induced hormone irisin triggers bone remodeling in mice

December 13, 2018
Exercise has been touted to build bone mass, but exactly how it actually accomplishes this is a matter of debate. Now, researchers show that an exercise-induced hormone activates cells that are critical for bone remodeling ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.