An Early Pregnancy Uterine Artery Doppler Framework for Predicting Maternal and Perinatal Adverse Outcomes Using Risk-Stratified Clinical Analytics

Abstract

There are many developments, but still significant problems in pregnancy that cause morbidity in mother and fetus like preeclampsia, FGR and premature birth. Early identification of high-risk pregnancy is of great importance for good clinical outcome. The aim of this study is to develop a RSCAF based on the measurement of the uterine artery Doppler performed in the first trimester of pregnancy, which will allow to predict the adverse maternal and perinatal outcomes. The framework is based upon the use of uterine artery PI to identify vulnerable pregnancies early in pregnancy, risk stratification, maternal outcomes monitoring and assessment of perinatal outcomes. Experimental analysis showed high risk pregnancy groups had a higher incidence of preeclampsia, gestational hypertension, fetal growth restriction, SFA and preterm delivery. Moreover, the proposed framework was able to obtain an accuracy of 92.6%, sensitivity of 90.8%, specificity of 93.9%, precision of 89.7%, and F1- score of 90.2%. The results indicate the capability of the proposed system to assist in early risk detection and give timely medical support which will enhance the health of mothers and newborns.