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Artificial Intelligence in Health                                       Advancing fetal health classification



            6. Limitations, challenges, and future work        6.3. Future works
            in the field of fetal health classification        6.3.1. Data collection

            6.1. Limitations                                   Collecting more data is the prime direction to advance
            6.1.1. Data availability                           ML-based fetal health classification in future. This data
                                                               should be of high quality and should be representative of
            One  of the main  limitations of  ML-based  fetal  health   the population of pregnant women.
            classification is the availability of data. Fetal health data
            are often difficult to obtain, as specialized equipment and   6.3.2. Data cleaning and preprocessing
            expertise are required in the data extraction process. This   Future work should also focus on cleaning and
            significantly restricts the training and evaluation of ML   preprocessing the data. This will help to improve the
            models for fetal health classification.            accuracy of ML models.
            6.1.2. Data quality                                6.3.3. Model development
            Another limitation of ML-based fetal health classification   Future work should focus on developing more accurate
            is the quality of data. Fetal health data can be fraught with   and interpretable ML models. This could be done by using
            noises and incompleteness issue, which render the training   different ML algorithms or by incorporating additional
            of accurate ML models difficult.                   features into the models.

            6.1.3. Bias                                        6.3.4. Evaluation
            ML models can be biased, which means that they can   Evaluating the performance of ML models in clinical
            make inaccurate predictions for certain groups of people.   settings should be one of the key future directions in this
            This  is a  particular  concern  for ML-based fetal health   area. This will help to ensure that the models are safe and
            classification, as it could lead to inaccurate predictions for   effective.
            pregnant women from minority groups.
                                                               6.3.5. Regulations
            6.2. Challenges
                                                               Future work should also focus on developing regulations
            6.2.1. Interpretability                            governing  the  use  of  ML models in  fetal  health
            One of the challenges of ML-based fetal health classification   classification. This will help to ensure that the models are
            is interpretability. ML models are often regarded as black   safe and effective.
            boxes, meaning that it is to understand why they make the   Overall, ML has the potential to revolutionize the way
            predictions that they do. Therefore, this leaves users having   that fetal health is assessed and managed. However, there
            low level of trust in ML models and discourages them to   are a number of limitations, challenges, and future work
            use these models in clinical practice.             that need to be addressed before ML can be widely adopted
                                                               in clinical practice.
            6.2.2. Regulations
            ML-based fetal health classification is a relatively new area,   7. Implementation and dataset
            and there are currently no regulations governing the use of   The source of the implementation code and dataset used
            ML models for this purpose. This could lead to concerns   for the experiments described in this paper are disclosed in
            about the safety and efficacy of ML models for fetal health   the availability of data section (in back matter). This allows
            classification.                                    researchers and practitioners to reproduce results and
                                                               validate methodology presented in this paper, and further
            6.2.3. Ethical considerations
                                                               explore the proposed approach. The code and dataset
            Ethical concerns are an inevitable aspect of the integration   used in this study are available at  and , respectively.
                                                                                                [49]
                                                                                           [48]
            of ML in obstetrics for fetal health classification. Issues such   The code is written in Python, and the dataset is in CSV
            as data privacy, consent, and potential biases in training   format. The code is well-documented and easy to follow.
            data may arise, underscoring the importance of responsible   The dataset is large and diverse, and it includes a variety of
            and fair use of this technology in the rather sensitive health-  features that can be used to train and evaluate ML models
            care domain. Addressing ethical considerations becomes   for fetal health classification. These resources are valuable
            crucial to ensure the equitable and respectful application   to the research community and will help to advance the
            of ML models in the field of obstetrics.           field of ML-based fetal health classification.


            Volume 1 Issue 1 (2024)                         64                        https://doi.org/10.36922/aih.2121
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