Medical decision support systems in obstetrics: opportunities and prospects


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Abstract

This literature review is dedicated to the medical decision support system (MDSS), a promising area in clinical medicine, which is gaining recognition and dissemination. The authors describe 23 key publications on MDSS in the period from 2008 to 2019, review potential and realized opportunities, limitations, features of introducing and using MDSS, and also consider solutions in obstetrics and related specialties. They give a classification of mathematical methods used in the creation of decision-making models and provide explanations of the advantages and disadvantages of various MDSS implementations. The authors identify 9 publications on complicated pregnancy, 6 on childbirth and decision-making support during obstetric care, 4 on the evaluation of the fetal status, and 4 universal systems. They present hypercoagulable states, hypertensive disorders, systemic lupus erythematosus, gestational diabetes mellitus, miscarriage, and ectopic pregnancy among the examined pathologies during pregnancy. The review also includes works on the detection of fetal abnormalities and fetal distress syndrome. Searching for publications revealed no articles on the description or introduction of MDSS in obstetrics; however, the review also presents Russian works on the development of MDSS in related medicine fields. The authors formulate the conclusions that despite a significant number of experimental developments, the main difficulties occur when implementing the results of studies in real clinical practice; at the same time, the introduction is generally limited to the framework of individual health care facilities.

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About the authors

Olga S. Altukhova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: olg333@yandex.ru
Software Engineer, Bioinformatics Laboratory

Ivan S. Balashov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: i_balashov@oparina4.ru
Junior Researcher, Bioinformatics Laboratory

Ksenia A. Gorina

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: k_gorina@oparina4.ru
Junior researcher the Department of Pregnancy Pathology

Vadim V. Lagutin

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: laggi@mail.ru
Software Engineer, Bioinformatics Laboratory

Vladimir A. Naumov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: looongdog@gmail.com
Researcher, Bioinformatics Laboratory

Pavel I. Borovikov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: p_borovikov@oparina4.ru
Head of Bioinformatics Laboratory

Zulfiya S. Khodzhaeva

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: z_khodzhaeva@oparina4.ru
Khodzhaeva, Deputy Director of Obstetrics Institute

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