Automated voice calls with health information are a proven method for disseminating maternal and child health information among beneficiaries and are deployed in several programs around the world. However, these programs often suffer from beneficiary dropoffs and poor engagement. In previous work, through real-world trials, we showed that an AI model, specifically a restless bandit model, could identify beneficiaries who would benefit most from live service call interventions, preventing dropoffs and boosting engagement. However, one key question has remained open so far: does such improved listenership via AI-targeted interventions translate into beneficiaries' improved knowledge and health behaviors? We present a first study that shows not only listenership improvements due to AI interventions, but also simultaneously links these improvements to health behavior changes. Specifically, we demonstrate that AI-scheduled interventions, which enhance listenership, lead to statistically significant improvements in beneficiaries' health behaviors such as taking iron or calcium supplements in the postnatal period, as well as understanding of critical health topics during pregnancy and infancy. This underscores the potential of AI to drive meaningful improvements in maternal and child health.

Birth weight serves as a fundamental indicator of neonatal health, closely linked to both early medical interventions and long-term developmental risks. Traditional predictive models, often constrained by limited feature selection and incomplete datasets, struggle to achieve overlooking complex maternal and fetal interactions in diverse clinical settings. This research explores machine learning to address these limitations, utilizing a structured methodology that integrates advanced imputation strategies, supervised feature selection techniques, and predictive modeling. Given the constraints of the dataset, the research strengthens the role of data preprocessing in improving the model performance. Among the various methodologies explored, tree-based feature selection methods demonstrated superior capability in identifying the most relevant predictors, while ensemble-based regression models proved highly effective in capturing non-linear relationships and complex maternal-fetal interactions within the data. Beyond model performance, the study highlights the clinical significance of key physiological determinants, offering insights into maternal and fetal health factors that influence birth weight, offering insights that extend over statistical modeling. By bridging computational intelligence with perinatal research, this work underscores the transformative role of machine learning in enhancing predictive accuracy, refining risk assessment and informing data-driven decision-making in maternal and neonatal care. Keywords: Birth weight prediction, maternal-fetal health, MICE, BART, Gradient Boosting, neonatal outcomes, Clinipredictive.

Various methods have recently been proposed to estimate causal effects with confidence intervals that are uniformly valid over a set of data generating processes when high-dimensional nuisance models are estimated by post-model-selection or machine learning estimators. These methods typically require that all the confounders are observed to ensure identification of the effects. We contribute by showing how valid semiparametric inference can be obtained in the presence of unobserved confounders and high-dimensional nuisance models. We propose uncertainty intervals which allow for unobserved confounding, and show that the resulting inference is valid when the amount of unobserved confounding is small relative to the sample size; the latter is formalized in terms of convergence rates. Simulation experiments illustrate the finite sample properties of the proposed intervals and investigate an alternative procedure that improves the empirical coverage of the intervals when the amount of unobserved confounding is large. Finally, a case study on the effect of smoking during pregnancy on birth weight is used to illustrate the use of the methods introduced to perform a sensitivity analysis to unobserved confounding.

Standard causal inference characterizes treatment effect through averages, but the counterfactual distributions could be different in not only the central tendency but also spread and shape. To provide a comprehensive evaluation of treatment effects, we focus on estimating quantile treatment effects (QTEs). Existing methods that invert a nonsmooth estimator of the cumulative distribution functions forbid inference on probability density functions (PDFs), but PDFs can reveal more nuanced characteristics of the counterfactual distributions. We adopt a semiparametric conditional distribution regression model that allows inference on any functionals of counterfactual distributions, including PDFs and multiple QTEs. To account for the observational nature of the data and ensure an efficient model, we adjust for a double balancing score that augments the propensity score with individual covariates. We provide a Bayesian estimation framework that appropriately propagates modeling uncertainty. We show via simulations that the use of double balancing score for confounding adjustment improves performance over adjusting for any single score alone, and the proposed semiparametric model estimates QTEs more accurately than other semiparametric methods. We apply the proposed method to the North Carolina birth weight dataset to analyze the effect of maternal smoking on infant's birth weight.

OBJECTIVES: Childhood blindness from retinopathy of prematurity (ROP) is increasing as a result of improvements in neonatal care worldwide. We evaluate the effectiveness of artificial intelligence (AI)-based screening in an Indian ROP telemedicine program and whether differences in ROP severity between neonatal care units (NCUs) identified by using AI are related to differences in oxygen-titrating capability. All images were assigned an ROP severity score (1-9) by using the Imaging and Informatics in Retinopathy of Prematurity Deep Learning system. We calculated the area under the receiver operating characteristic curve and sensitivity and specificity for treatment-requiring retinopathy of prematurity. Using multivariable linear regression, we evaluated the mean and median ROP severity in each NCU as a function of mean birth weight, gestational age, and the presence of oxygen blenders and pulse oxygenation monitors.

Background: Overweight and obesity are an increasing phenomenon worldwide. Predicting future overweight or obesity early in the childhood reliably could enable a successful intervention by experts. While a lot of research has been done using explanatory modeling methods, capability of machine learning, and predictive modeling, in particular, remain mainly unexplored. In predictive modeling models are validated with previously unseen examples, giving a more accurate estimate of their performance and generalization ability in real-life scenarios. Objective: To find and review existing overweight or obesity research from the perspective of employing childhood data and predictive modeling methods. Methods: The initial phase included bibliographic searches using relevant search terms in PubMed, IEEE database and Google Scholar. The second phase consisted of iteratively searching references of potential studies and recent research that cite the potential studies. Results: Eight research articles and three review articles were identified as relevant for this review. Conclusions: Prediction models with high performance either have a relatively short time period to predict or/and are based on late childhood data. Logistic regression is currently the most often used method in forming the prediction models. In addition to child's own weight and height information, maternal weight status or body mass index was often used as predictors in the models.

Quantile regression is a tool for learning conditional distributions. In this paper we study quantile regression in the setting where a protected attribute is unavailable when fitting the model. This can lead to "unfair'' quantile estimators for which the effective quantiles are very different for the subpopulations defined by the protected attribute. We propose a procedure for adjusting the estimator on a heldout sample where the protected attribute is available. The main result of the paper is an empirical process analysis showing that the adjustment leads to a fair estimator for which the target quantiles are brought into balance, in a statistical sense that we call $\sqrt{n}$-fairness. We illustrate the ideas and adjustment procedure on a dataset of 200,000 live births, where the objective is to characterize the dependence of the birth weights of the babies on demographic attributes of the birth mother; the protected attribute is the mother's race.

One of the key challenges I've faced in my data science career is translating findings from exploratory analysis into scalable models that can power products. In the game industry, I built several predictive models for identifying player churn, but it was always a struggle to get these models put into production. I've written about some of the processes used to productize models at Twitch, but each product team required a unique approach and different infrastructure. At Windfall, we're empowering our data science team to own the process for productizing models. Rather than relying on a engineering team to translate a model specification to a production system, we provide our data scientists with the tools needed to scale models.

During the millions of pregnancies that occur in the United States every year, expectant moms learn oodles about their developing fetuses over months of gestation. But the placenta, a vital and temporary organ that shelters the fetus--delivering life-sustaining nutrients and oxygen, getting rid of toxic by-products and modulating the immune system to protect the pregnancy--largely remains a mystery. A team of Children's National Health System research scientists is beginning to provide insights about the poorly understood placenta. Using three-dimensional (3D) magnetic resonance imaging (MRI), the research team characterized the shape, volume, morphometry and texture of placentas during pregnancy and, using a novel framework, predicted with high accuracy which pregnancies would be complicated by fetal growth restriction (FGR). "When the placenta fails to carry out its essential duties, both the health of the mother and fetus can suffer and, in extreme cases, the fetus can die. Because there are few non-invasive tools that reliably assess the health of the placenta during pregnancy, unfortunately, placental disease may not be discovered until too late--after impaired fetal growth already has occurred," says Catherine Limperopoulos, Ph.D., co-director of research in the Division of Neonatology at Children's National Health System and senior author of the study published online July 22 in Journal of Magnetic Resonance Imaging.