Evaluation and Comparison of Patterns of Maternal Complications Using Generalized Linear Models of Count Data Time Series
Bibliographic record
Abstract
Studying patterns of maternal complications is critical before, during and after childbirth. However, there is limited information on comparative trends of different maternal complications, particularly, in a resource-limited setting. In this study, we fit six different types of maternal complications namely ante-partum haemorrhage (APH), eclampsia, obstructed labour, post-partum haemorrhage (PPH), ruptured uterus and sepsis to time series generalized linear model. We systematically compare the performance of the model in light of real data by checking its flexibility and serial correlation and the conditional distribution. We then, compute model fitting, assessment and prediction analysis for each maternal complication. Additionally, we provide a comparative review of the results by assessing the effect of intervention 1: basic emergency obstetric and new-born care (BEmONC) and intervention 2: comprehensive emergency obstetric and new-born care (CEmONC) services on trends in maternal complications. Results show that women with APH, eclampsia and obstructed labour at the time of delivery are significantly high. Maternal complication did not statistically vary by counties. The results of count GLM for APH showed presence of Intervention1 (BEmONC) reduces APH by a factor -0.189 (LCI =- 0.298, UCI= -0.0805) while CEmONC was not statistically significance. Similar inference is registered by PPH i.e. Intervention1 (BEmONC) is -0.17 (LCI =-0.258, UCI= - 0.082) while CEmONC remains insignificant. This can be interpreted to mean that public health facilities only require the basic minimum (BEmONC) infrastructure to cub APH and PPH. Mothers with sepsis and eclampsia were significantly more likely to experience maternal and perinatal deaths when delivering at facilities that lack BEmONC. Caregivers, who perform obstetric and maternal care, need be alert of maternal complications associated with PPH and obstructed labour. Introduction of BEmONC and CEmONC packages in maternal and neonatal clinics improved performance of caregivers in reducing maternal and pediatric complications and mortality.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.017 | 0.034 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.004 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".