We aimed to determine the best-performing machine learning (ML)-based algorithm for predicting gestational diabetes mellitus (GDM) with sociodemographic and obstetrics features in the pre-conceptional period. We collected the data of pregnant women who were admitted to the obstetric clinic in the first trimester. The maternal age, body mass index, gravida, parity, previous birth weight, smoking status, the first-visit venous plasma glucose level, the family history of diabetes mellitus, and the results of an oral glucose tolerance test of the patients were evaluated. The women were categorized into groups based on having and not having a GDM diagnosis and also as being nulliparous or primiparous. 7 common ML algorithms were employed to construct the predictive model. 97 mothers were included in the study. 19 and 26 nulliparous were with and without GDM, respectively. 29 and 23 primiparous were with and without GDM, respectively. It was found that the greatest feature importance variables were the venous plasma glucose level, maternal BMI, and the family history of diabetes mellitus. The eXtreme Gradient Boosting (XGB) Classifier had the best predictive value for the two models with the accuracy of 66.7% and 72.7%, respectively. The XGB classifier model constructed with maternal sociodemographic findings and the obstetric history could be used as an early prediction model for GDM especially in low-income countries.
10 December 2020 in International Journal Of Clinical Practice
Objective To investigate the effect of COVID‐19 on sexual dysfunction in women. Material and methods The women diagnosed with COVID‐19 and hospitalized at a tertiary hospital were included. They completed the Introductory Data Form, the Female Sexual Function Index‐(FSFI), and the Short Form‐36 Quality of Life Scale (SF‐36). Results 15 women between the ages of 19‐49 who completed the treatment protocol, discharged at least 14 days before, and who had not been diagnosed as sexual dysfunction sexually active earlier were included to the study. It was detected that weekly sexual intercourse before and after COVID‐19 significantly differed (p=0.047). The frequency of relationships decreased statistically after COVID‐19. The mean value of the FSFI satisfaction score differs from COVID‐19 before and after diagnosis (p=0.012). The mean satisfaction score before COVID‐19 was 3.47, and after COVID‐19 was 2.93. The score of the subgroups of FSFI did not differ from COVID‐19 before and after diagnosis (p>0.050). The median value of SF‐36 pain differs from COVID‐19 before and after diagnosis (p=0.008). Conclusion It was concluded that the frequency of sexual intercourse, sexual satisfaction in women decreased after COVID‐19 disease, and the quality of life scores did not change in a statistically significant way.
1 December 2016 in European Journal of Obstetrics & Gynecology and Reproductive Biology