Fuzzy Logic Prediction of Hypertensive Disorders in Pregnancy Using the Takagi–Sugeno and C-Means Algorithms

Abstract

Hypertensive disorders in pregnancy, which include preeclampsia, eclampsia, and chronic hypertension, complicate approximately 10% of all pregnancies in the world, constituting one of the most serious causes of mortality and morbidity in gestation. To help predict the occurrence of hypertensive disorders, a study based on algorithms that help model this health problem using mathematical tools is proposed. This study proposes a fuzzy c-means (FCM) model based on the Takagi–Sugeno (T-S) type of fuzzy rule to predict hypertensive disorders in pregnancy. To test different modeling methodologies, cross-validation comparisons were made between random forest, decision tree, support vector machine, and T-S and FCM methods, which achieved 80.00%, 66.25%, 70.00%, and 90.00%, respectively. The evaluation consisted of calculating the true positive rate (TPR) over the true negative rate (TNR), with equal error rate (EER) curves achieving a percentage of 20%. The learning dataset consisted of a total of 371 pregnant women, of which 13.2% were diagnosed with a condition related to gestational hypertension. The dataset for this study was obtained from the Secretaría de Salud del Estado de Hidalgo (SSEH), México. A random sub-sampling technique was used to adjust the class distribution of the data set, and to eliminate the problem of unbalanced classes. The models were trained using a total of 98 samples. The modeling results indicate that the T-S and FCM method has a higher predictive ability than the other three models in this research.