Репродуктивная эндокринология (Aug 2022)

The prospects for the use of artificial intelligence in obstetrics in Ukraine

  • N.Y. Zhylka,
  • O.S. Shcherbinska,
  • I.P. Netskar

DOI
https://doi.org/10.18370/2309-4117.2022.66.39-45
Journal volume & issue
no. 66
pp. 39 – 45

Abstract

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In Ukraine, there is a steady trend towards an increase in the incidence of various forms of hypertensive disorders, both mild and severe, among pregnant women. Preeclampsia and eclampsia are severe forms of hypertensive disorders during pregnancy, the rates of which tend to increase, and lead to severe morbidity, disability and mortality in both women and newborns. The article reveals the question of the artificial intelligence (AI) use in modern midwifery in the national health care system of Ukraine in order to prevent pregnancy complications, in particular eclampsia. Implementation of AI systems in medicine is one of the most important modern trends in global healthcare. AI technologies are fundamentally changing the world health care system, allowing to radically rework the system of medical diagnostics, the development of new medicines, and also to generally improve the quality of health care services while simultaneously reducing costs for medical clinics. AI allows analyzing placenta samples and calculating the risk for a woman’s health in future pregnancies. The system is designed to help obstetrician-gynecologists, who will find it useful to forecast possible complications of future births. The use of AI in clinical practice makes it possible to identify the most serious prognostic signs of damage to blood vessels of the placenta, which is called decidual vasculopathy in preeclampsia and eclampsia. If preeclampsia is detected at an early stage, the patient can be treated before symptoms appear. AI use must be in compliance with six principles of the WHO in order to limit risks and increase the possibilities of using AI technologies: protection of human autonomy; promotion of human well-being and safety and public interests; ensuring transparency and comprehensibility; promoting responsibility and accountability; ensuring inclusiveness and fairness; promotion of AI in accordance with the principles of adaptability and sustainable development. Adherence to the ethical principles of AI gives the green light for the development of modern health care systems. It can become an effective method of preventing eclampsia in pregnant women, women in labor, and newborns and preserving their health and life.

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