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The rise of generative models has led to increased use of large-scale datasets collected from the internet, often with minimal or no data curation. This raises concerns about the inclusion of sensitive or private information. In this work, we explore the presence of pregnancy ultrasound images, which contain sensitive personal information and are often shared online. Through a systematic examination of LAION-400M dataset using CLIP embedding similarity, we retrieve images containing pregnancy ultrasound and detect thousands of entities of private information such as names and locations. Our findings reveal that multiple images have high-risk information that could enable re-identification or impersonation. We conclude with recommended practices for dataset curation, data privacy, and ethical use of public image datasets.
Background: Pregnancy-associated thrombotic microangiopathy (P-TMA) is rare but life-threatening. Early risk prediction before overt clinical presentation remains challenging, as the associated laboratory abnormalities are subtle, multidimensional, and frequently masked by common physiological changes such as gestational thrombocytopenia and pregnancy-related proteinuria, thus overlapping heavily with benign obstetric and renal conditions. This complexity is poorly captured by univariate or rule-based approaches; however, it is addressable by machine learning, which can extract latent, time-dependent risk signatures from longitudinal clinical tests. Methods: This retrospective study included 300 pregnancies comprising 142 P-TMA cases and 158 controls. After exclusion of identifiers and non-informative variables, 146 longitudinal laboratory predictors were retained. Participants were divided into a training cohort (80%) and a held-out test cohort (20%) using stratified sampling. Five algorithms were evaluated: logistic regression, support vector machine with radial basis function kernel, random forest, extra trees, and gradient boosting. The final model was selected by mean cross-va
Infant mortality remains a significant public health concern in the United States, with birth defects identified as a leading cause. Despite ongoing efforts to understand the causes of negative pregnancy outcomes like miscarriage, stillbirths, birth defects, and premature birth, there is still a need for more comprehensive research and strategies for intervention. This paper introduces a novel approach that uses publicly available social media data, especially from platforms like Twitter, to enhance current datasets for studying negative pregnancy outcomes through observational research. The inherent challenges in utilizing social media data, including imbalance, noise, and lack of structure, necessitate robust preprocessing techniques and data augmentation strategies. By constructing a natural language processing (NLP) pipeline, we aim to automatically identify women sharing their pregnancy experiences, categorizing them based on reported outcomes. Women reporting full gestation and normal birth weight will be classified as positive cases, while those reporting negative pregnancy outcomes will be identified as negative cases. Furthermore, this study offers potential applications i
Objective: To validate a novel inter-electrode pulse wave velocity (PWV) method that measures pulse propagation between ECG electrodes without left ventricular ejection time (LVET) estimation. Methods: We analyzed 43 three-channel ECG recordings (1000 Hz) from the FELICITy 2 cohort (approximately 19 and 35 weeks gestation). R-peaks were independently detected per channel using an ensemble approach. Time lags (Delta t) between matched R-peaks across electrode pairs were used to compute PWV as PWV = L / Delta t, where L is effective inter-electrode distance. Three channel pairs yielded independent PWV estimates. Temporal stability was assessed using sliding windows (1-15 minutes). To test whether Delta t reflects morphology or vascular propagation, we evaluated three QRS fiducials (R-peak, QRS onset, maximum dV/dt) and two bandpass filters (0.5-40 and 0.5-100 Hz). Longitudinal changes were compared between control (n=24) and yoga (n=20) groups. Results: PWV values were physiologically plausible and consistent with aortic PWV (5-10 m/s): control 7.40 +/- 1.51 vs 6.98 +/- 1.63 m/s; yoga 7.10 +/- 2.15 vs 8.16 +/- 0.91 m/s (early vs late pregnancy). PWV stabilized at 5 minutes (coefficie
Temporal embryo images and parental fertility table indicators are both valuable for pregnancy prediction in \textbf{in vitro fertilization embryo transfer} (IVF-ET). However, current machine learning models cannot make full use of the complementary information between the two modalities to improve pregnancy prediction performance. In this paper, we propose a Decoupling Fusion Network called DeFusion to effectively integrate the multi-modal information for IVF-ET pregnancy prediction. Specifically, we propose a decoupling fusion module that decouples the information from the different modalities into related and unrelated information, thereby achieving a more delicate fusion. And we fuse temporal embryo images with a spatial-temporal position encoding, and extract fertility table indicator information with a table transformer. To evaluate the effectiveness of our model, we use a new dataset including 4046 cases collected from Southern Medical University. The experiments show that our model outperforms state-of-the-art methods. Meanwhile, the performance on the eye disease prediction dataset reflects the model's good generalization. Our code is available at https://github.com/Ou-You
Historically, females were excluded from clinical research due to their reproductive roles, hindering medical understanding and healthcare quality. Despite guidelines promoting equal participation, females are underrepresented in exercise science, perpetuating misconceptions about female physiology. Even less attention has been given to exercise in the pregnant population. Research on pregnancy and exercise has evolved considerably from the initial bedrest prescriptions but concerns about exercise risks during pregnancy persisted for many decades. Recent guidelines endorse moderate-intensity physical activity during pregnancy, supported by considerable evidence of its safety and benefits. Mental health during pregnancy, often overlooked, is gaining traction, with exercise showing promise in reducing depression and anxiety. While pregnancy guidelines recommend moderate-intensity physical activity, there remains limited understanding of optimal frequency, intensity, type and time (duration) for extremes like elite athletes or those with complications. Female participation in elite sport and physically demanding jobs is rising, but research on their specific needs is lacking. Traditio
Small longitudinal clinical cohorts, common in maternal health, rare diseases, and early-phase trials, limit computational modeling: too few patients to train reliable models, yet too costly and slow to expand through additional enrollment. We present multiplicity-weighted Stochastic Attention (SA), a generative framework based on modern Hopfield network theory that addresses this gap. SA embeds real patient profiles as memory patterns in a continuous energy landscape and generates novel synthetic patients via Langevin dynamics that interpolate between stored patterns while preserving the geometry of the original cohort. Per-pattern multiplicity weights enable targeted amplification of rare clinical subgroups at inference time without retraining. We applied SA to a longitudinal coagulation dataset from 23 pregnant patients spanning 72 biochemical features across 3 visits (pre-pregnancy baseline, first trimester, and third trimester), including rare subgroups such as polycystic ovary syndrome and preeclampsia. Synthetic patients generated by SA were statistically, structurally, and mechanistically indistinguishable from their real counterparts across multiple independent validation
Infertility, a pressing global health concern, affects a substantial proportion of individuals worldwide. While advancements in assisted reproductive technology (ART) have offered effective interventions, conventional in vitro fertilization-embryo transfer (IVF-ET) procedures still encounter significant hurdles in enhancing pregnancy success rates. Key challenges include the inherent subjectivity in embryo grading and the inefficiency of multi-modal data integration. Against this backdrop, the adoption of AI-driven technologies has emerged as a pivotal strategy to address these issues. This article presents a comprehensive review of the progress in AI applications for embryo grading and pregnancy prediction from a novel perspective, with a specific focus on the utilization of different modal data, such as static images, time-lapse videos, and structured tabular data. The reason for this perspective is that reorganizing tasks based on data sources can not only more accurately depict the essence of the problem but also help clarify the rationality and limitations of model design. Furthermore, this review critically examines the core challenges in contemporary research, encompassing t
Cardiotocography (CTG) is a low-cost, non-invasive fetal health assessment technique used globally, especially in underdeveloped countries. However, it is currently mainly used to identify the fetus's current status (e.g., fetal acidosis or hypoxia), and the potential of CTG in predicting future adverse pregnancy outcomes has not been fully explored. We aim to develop an AI-based model that predicts biological age from CTG time series (named CTGage), then calculate the age gap between CTGage and actual age (named CTGage-gap), and use this gap as a new digital biomarker for future adverse pregnancy outcomes. The CTGage model is developed using 61,140 records from 11,385 pregnant women, collected at Peking University People's Hospital between 2018 and 2022. For model training, a structurally designed 1D convolutional neural network is used, incorporating distribution-aligned augmented regression technology. The CTGage-gap is categorized into five groups: < -21 days (underestimation group), -21 to -7 days, -7 to 7 days (normal group), 7 to 21 days, and > 21 days (overestimation group). We further defined the underestimation group and overestimation group together as the high-ris
Google Search increasingly surfaces AI-generated content through features like AI Overviews (AIO) and Featured Snippets (FS), which users frequently rely on despite having no control over their presentation. Through a systematic algorithm audit of 1,508 real baby care and pregnancy-related queries, we evaluate the quality and consistency of these information displays. Our robust evaluation framework assesses multiple quality dimensions, including answer consistency, relevance, presence of medical safeguards, source categories, and sentiment alignment. Our results reveal concerning gaps in information consistency, with information in AIO and FS displayed on the same search result page being inconsistent with each other in 33% of cases. Despite high relevance scores, both features critically lack medical safeguards (present in just 11% of AIO and 7% of FS responses). While health and wellness websites dominate source categories for both, AIO and FS, FS also often link to commercial sources. These findings have important implications for public health information access and demonstrate the need for stronger quality controls in AI-mediated health information. Our methodology provides a
Pregnancy loss is recognized as an important competing event in studies of prenatal medication use. However, a healthy live birth also precludes subsequent adverse pregnancy outcomes, yet these events are often censored. Using Monte Carlo simulation, we examine bias that results from failure to account for healthy live birth as a competing event in estimates of the total effect of prenatal medication use on pregnancy outcomes. We simulated data for 12 trials estimating the effect of antihypertensive initiation versus non-initiation on two outcomes: (1) composite fetal death or severe prenatal preeclampsia and (2) small-for-gestational-age (SGA) live birth. We used time-to-event methods to estimate absolute risks, risk differences and risk ratios. For the composite outcome, we conducted two analyses where non-preeclamptic live birth was (1) a censoring event and (2) a competing event. For SGA live birth, we conducted three analyses where fetal death and non-SGA live birth were (1) censoring events, (2) a competing event and censoring event, respectively; and (3) competing events. In all analyses, censoring healthy live births led to inflated absolute risk estimates as well as bias a
The long term consequences of unwanted pregnancies carried to term on mothers have not been much explored. We use data from the Wisconsin Longitudinal Study (WLS) and propose a novel approach, namely two team cross-screening, to study the possible effects of unwanted pregnancies carried to term on various aspects of mothers' later-life mental health, physical health, economic well-being and life satisfaction. Our method, unlike existing approaches to observational studies, enables the investigators to perform exploratory data analysis, confirmatory data analysis and replication in the same study. This is a valuable property when there is only a single data set available with unique strengths to perform exploratory, confirmatory and replication analysis. In two team cross-screening, the investigators split themselves into two teams and the data is split as well according to a meaningful covariate. Each team then performs exploratory data analysis on its part of the data to design an analysis plan for the other part of the data. The complete freedom of the teams in designing the analysis has the potential to generate new unanticipated hypotheses in addition to a prefixed set of hypot
The concept of Quality of Life (QoL) refers to a holistic measurement of an individual's well-being, incorporating psychological and social aspects. Pregnant women, especially those with obesity and stress, often experience lower QoL. Physical activity (PA) has shown the potential to enhance the QoL. However, pregnant women who are overweight and obese rarely meet the recommended level of PA. Studies have investigated the relationship between PA and QoL during pregnancy using correlation-based approaches. These methods aim to discover spurious correlations between variables rather than causal relationships. Besides, the existing methods mainly rely on physical activity parameters and neglect the use of different factors such as maternal (medical) history and context data, leading to biased estimates. Furthermore, the estimations lack an understanding of mediators and counterfactual scenarios that might affect them. In this paper, we investigate the causal relationship between being physically active (treatment variable) and the QoL (outcome) during pregnancy and postpartum. To estimate the causal effect, we develop a Causal Machine Learning method, integrating causal discovery and
We conducted this study to determine whether fallopian tube anatomy can predict the likelihood of pregnancy and pregnancy outcomes after tubal sterilization reversal. We built a flexible, non-parametric, multivariate model via generalized additive models to assess the effects of the following tubal parameters observed during tubal reparative surgery: tubal lengths; differences in tubal segment location, and diameters at the anastomosis sites; and, fibrosis of the tubal muscularis. In this study population, age and tubal length - in that order - were the primary factors predicting the likelihood of pregnancy. For pregnancy outcomes, tubal length was the most influential predictor of birth and ectopic pregnancy, while age was the primary predictor of miscarriage. Segment location and diameters contributed slightly to the odds of miscarriage and ectopic pregnancy. Tubal muscularis fibrosis had a little apparent effect. This study is the first to show that a statistical learning predictive model based on fallopian tube anatomy can predict pregnancy and pregnancy outcome probabilities after tubal reversal surgery.
Preterm labor (PL) has globally become the leading cause of death in children under the age of 5 years. To address this problem, this paper will provide a new approach by analyzing the EHG signals, which are recorded on the abdomen of the mother during labor and pregnancy. The EHG signal reflects the electrical activity that induces the mechanical contraction of the myometrium. Because EHGs are known to be non-stationary signals, and because we anticipate connectivity to alter during contraction, we applied the windowing approach on real signals to help us identify the best windows and the best nodes with the most significant data to be used for classification. The suggested pipeline includes i) divide the 16 EHG signals that are recorded from the abdomen of pregnant women in N windows; ii) apply the connectivity matrices on each window; iii) apply the Graph theory-based measures on the connectivity matrices on each window; iv) apply the consensus Matrix on each window in order to retrieve the best windows and the best nodes. Following that, several neural network and machine learning methods are applied to the best windows and best nodes to categorize pregnancy and labor contracti
Background: Researchers typically identify pregnancies in healthcare data based on observed outcomes (e.g., delivery). This outcome-based approach misses pregnancies that received prenatal care but whose outcomes were not recorded (e.g., at-home miscarriage), potentially inducing selection bias in effect estimates for prenatal exposures. Alternatively, prenatal encounters can be used to identify pregnancies, including those with unobserved outcomes. However, this prenatal approach requires methods to address missing data. Methods: We simulated 10,000,000 pregnancies and estimated the total effect of initiating treatment on the risk of preeclampsia. We generated data for 36 scenarios in which we varied the effect of treatment on miscarriage and/or preeclampsia; the percentage with missing outcomes (5% or 20%); and the cause of missingness: (1) measured covariates, (2) unobserved miscarriage, and (3) a mix of both. We then created three analytic samples to address missing pregnancy outcomes: observed deliveries, observed deliveries and miscarriages, and all pregnancies. Treatment effects were estimated using non-parametric direct standardization. Results: Risk differences (RDs) and r
As a solution to methodologic challenges inherent to estimating causal effects of exposures in early pregnancy, we suggest emulating a target trial using a treatment decision design, wherein time zero is centered around clinical landmarks where treatment decisions may occur, such as the date of preconception counseling or prenatal care initiation. These ideas are illustrated via protocols for two target trials in large administrative databases, antidepressant use for pre-existing depressive disorder and antihypertensive medication use for mild-to-moderate chronic hypertension. Careful consideration of these issues is critical to the identification of the causal effects of early-pregnancy pharmacotherapies on pregnancy outcomes.
A high-risk pregnancy is a pregnancy complicated by factors that can adversely affect the outcomes of the mother or the infant. Health insurers use algorithms to identify members who would benefit from additional clinical support. This work presents the implementation of a real-world ML-based system to assist care managers in identifying pregnant patients at risk of complications. In this retrospective evaluation study, we developed a novel hybrid-ML classifier to predict whether patients are pregnant and trained a standard classifier using claims data from a health insurance company in the US to predict whether a patient will develop pregnancy complications. These models were developed in cooperation with the care management team and integrated into a user interface with explanations for the nurses. The proposed models outperformed commonly used claim codes for the identification of pregnant patients at the expense of a manageable false positive rate. Our risk complication classifier shows that we can accurately triage patients by risk of complication. Our approach and evaluation are guided by human-centric design. In user studies with the nurses, they preferred the proposed model
The field of Natural Language Processing which involves the use of artificial intelligence to support human languages has seen tremendous growth due to its high-quality features. Its applications such as language translation, chatbots, virtual assistants, search autocomplete, and autocorrect are widely used in various domains including healthcare, advertising, customer service, and target advertising. To provide pregnancy-related information a health domain chatbot has been proposed and this work explores two different NLP-based approaches for developing the chatbot. The first approach is a multiclass classification-based retrieval approach using BERTbased multilingual BERT and multilingual DistilBERT while the other approach employs a transformer-based generative chatbot for pregnancy-related information. The performance of both stemmed and non-stemmed datasets in Nepali language has been analyzed for each approach. The experimented results indicate that BERT-based pre-trained models perform well on non-stemmed data whereas scratch transformer models have better performance on stemmed data. Among the models tested the DistilBERT model achieved the highest training and validation a
Background Small for gestational age (SGA) birthweight, a risk factor of infant mortality and delayed child development, is associated with maternal educational attainment. Maternal tobacco smoking during pregnancy could contribute to this association. We aimed to quantify the contribution of maternal smoking during pregnancy to social inequalities in child birthweight for gestational age (GA). Methods Data come from the French nation-wide ELFE cohort study, which included 17,155 singletons. Birthweights for GA were calculated using z-scores. Associations between maternal educational attainment, tobacco smoking during pregnancy and child birthweight for GA were ascertained using mediation analysis. Mediation analyses were also stratified by maternal pre-pregnancy body mass index.Results Low maternal educational attainment was associated with an increased odd of tobacco smoking during pregnancy (adjusted OR (ORa)=2.58 [95% CI 2.34, 2.84]) as well as a decrease in child birthweight for GA (RRa=0.94 [95% 0.91, 0.98]). Tobacco smoking during pregnancy was associated with a decrease in offspring birthweight for GA (RRa=0.73 [95% CI 0.70, 0.76]). Mediation analysis suggests that 39% of t