Artificial Intelligence-Driven Mobile Platform for Thermographic Imaging to Support Maternal Health Care

Abstract

Maternal health care during labor requires the continuous and reliable monitoring of analgesic procedures, yet conventional systems are often subjective, indirect, and operator-dependent. Infrared thermography (IRT) offers a promising non-invasive approach for labor epidural analgesia (LEA) monitoring, but its practical implementation is hindered by clinical and hardware limitations. This work presents a novel artificial intelligence-driven mobile platform to overcome these hurdles. The proposed solution integrates a lightweight deep learning model for semantic segmentation, a B-spline-based free-form deformation (FFD) approach for non-rigid dermatome registration, and efficient on-device inference. Our analysis identified a U-Net with a MobileNetV3 backbone as the optimal architecture, achieving a high Dice score of 0.97 and a 4.5% intersection over union (IoU) gain over heavier backbones while being 73% more parameter-efficient. The entire AI pipeline is deployed on a commercial smartphone via TensorFlow Lite, achieving an on-device inference time of approximately two seconds per image. Deployed within a user-friendly interface, our approach provides straightforward feedback to support decision making in labor management. By integrating thermal imaging with deep learning and mobile deployment, the proposed system provides a practical solution to enhance maternal care. By offering a quantitative, automated tool, this work demonstrates a viable pathway to augment or replace subjective clinical assessments with objective, data-driven monitoring, bridging the gap between advanced AI research and point-of-care practice in obstetric anesthesia.