Realtime prediction of C-section risk for laboring mothers
summary
Cedars‑Sinai builds a real‑time C‑section risk pipeline that scores laboring mothers at admission and then updates real-time updates every 10 minutes using streaming EHR feeds, medication events, cervical exams and fetal heart tracings. An automated‑ML stack (random forest for admission, XGBoost for continuous) yields AUC 0.75 admission and improves to AUC 0.96 continuous after hours of labor. A Tableau dashboard shows per‑patient trajectories, feature attributions, and prospective validation and fairness monitoring (Fairlearn) are underway before clinical rollout.
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chapters (9)
- 0:00Introduction and speaker intro
- 1:05Project background and goals
- 9:53Target physician selection
- 12:00Model development roadmap
- 13:26Admission factors model results
- 16:33Intrapartum factors model results
- 20:43Productionalizing the model
- 25:40Ongoing work and validation
- 29:29Q&A session
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