Decision Tree Model for Maternal Risk Classification Based on Kartu Skor Poedji Rochjati
Keywords:
Maternal Health, Decision Tree, Kartu Skor Poedji Rochjati, SMOTE, Class WeightingAbstract
Maternal mortality remains a serious public health issue. This can be prevented by taking preventive measures through early identification of pregnancy risks. This study aims to develop a classification model for screening maternal pregnancy risks using the “Kartu Skor Poedji Rochjati” (KSPR) as a clinical basis for data labelling. This research applies the Cross-Industry Standard Process for Medical Data Mining (CRISP-MED-DM) methodology to ensure a systematic and clinically relevant modelling process. A dataset containing 998 medical records from the Maternal Health and High-Risk Pregnancy Dataset was used, with rule-based labelling adapted from KSPR to classify maternal risk into three categories: Low-Risk Pregnancy, High-Risk Pregnancy, and Very High-Risk Pregnancy. Experiments were conducted with three Decision Tree models, namely the Baseline Model, Model with SMOTE, and Model with Class Weighting. Based on these experiments, it was found that the Decision Tree algorithm enhanced with the Synthetic Minority Oversampling Technique (SMOTE) to overcome class imbalance was the most optimal model. This model achieved balanced performance across all classes with an accuracy of 0.86 and a weighted average F1-Score of 0.87.
References
[1] M. A. Ratnaningtyas and F. Indrawati, “Karakteristik Ibu Hamil dengan Kejadian Kehamilan Risiko Tinggi,” Higeia Journal of Public Health Research and Development, vol. 3, pp. 334–344, 2023, doi: 10.15294/higeia/v7i3/64147.
[2] World Health Organizations, “Maternal mortality ratio (per 100 000 live births).” Accessed: Jan. 29, 2025. [Online]. Available: https://data.who.int/indicators/i/C071DCB/AC597B1
[3] Badan Sensus Penduduk, Hasil Sensus Penduduk. Jakarta: Badan Pusat Statistik, 2020.
[4] United Nations, “The 17 Goals Sustainable Development Goals.” Accessed: Jan. 30, 2025. [Online]. Available: https://sdgs.un.org/goals
[5] G. M. Damaraji, “Pendeteksian Jenis Risiko Kehamilan pada Ibu Hamil Menggunakan Algoritma LSTM,” 2022.
[6] P. Rochjati, Skrining Antenatal pada Ibu Hamil, 2nd ed. Surabaya: Airlangga University Press, 2023.
[7] A. Alkatiri, R. T. N. Handayani, O. Rosa, M. A. Bahruna, and D. P. Arum, “Optimalisasi Pelayanan Posyandu RW 4 Klurak, Candi Melalui Implementasi Sistem Informasi Aplikasi Web Sikuat Sidoarjo,” KARYA: Jurnal Pengabdian Kepada Masyarakat, vol. 4, no. 2, pp. 368–373, Aug. 2024, [Online]. Available: https://jurnalfkip.samawa-university.ac.id/KARYA_JPM/article/view/796
[8] M. M. Preethi, A. Bhoomadevi, and A. Amutha, “Electronic Medical Records (EMR) over manual documentation of in-patient records: a scientific insight,” 2021.
[9] N. Yudistira, “Peran Big Data dan Deep Learning untuk Menyelesaikan Permasalahan Secara Komprehensif,” EXPERT: Jurnal Manajemen Sistem Informasi dan Teknologi, vol. 11, no. 2, p. 78, Dec. 2021, doi: 10.36448/expert.v11i2.2063.
[10] H. Habehh and S. Gohel, “Machine Learning in Healthcare,” Curr. Genomics, vol. 22, no. 4, pp. 291–300, Dec. 2021, doi: 10.2174/1389202922666210705124359.
[11] M. K. Biddinika, A. Masitha, H. Herman, and V. A. N. Fatimah, “Machine Learning Techniques for Heart Disease Prediction Using a Multi-Algorithm Approach,” JUITA: Jurnal Informatika, vol. 12, no. 2, p. 149, Nov. 2024, doi: 10.30595/juita.v12i2.24153.
[12] A. Yahyaoui, A. Jamil, J. Rasheed, and M. Yesiltepe, “A Decision Support System for Diabetes Prediction Using Machine Learning and Deep Learning Techniques,” in 2019 1st International Informatics and Software Engineering Conference (UBMYK), IEEE, Nov. 2019, pp. 1–4. doi: 10.1109/UBMYK48245.2019.8965556.
[13] A. Narin, C. Kaya, and Z. Pamuk, “Automatic detection of coronavirus disease (COVID-19) using X-ray images and deep convolutional neural networks,” Pattern Analysis and Applications, vol. 24, no. 3, pp. 1207–1220, Aug. 2021, doi: 10.1007/s10044-021-00984-y.
[14] H. Taherdoost, “Deep Learning and Neural Networks: Decision-Making Implications,” Symmetry (Basel)., vol. 15, no. 9, p. 1723, Sep. 2023, doi: 10.3390/sym15091723.
[15] D. Muhammad and M. Bendechache, “Unveiling the black box: A systematic review of Explainable Artificial Intelligence in medical image analysis,” Comput. Struct. Biotechnol. J., vol. 24, pp. 542–560, Dec. 2024, doi: 10.1016/j.csbj.2024.08.005.
[16] T. Hulsen, “Explainable Artificial Intelligence (XAI): Concepts and Challenges in Healthcare,” AI, vol. 4, no. 3, pp. 652–666, Aug. 2023, doi: 10.3390/ai4030034.
[17] D. J. N. Wong et al., “Developing and Validating Subjective and Objective Risk-Assessment Measures for Predicting Mortality After Major Surgery: An International Prospective Cohort Study,” PLoS Med., vol. 17, no. 10, p. e1003253, Oct. 2020, doi: 10.1371/journal.pmed.1003253.
[18] D. Bertsimas and G. A. Margonis, “Explainable vs. interpretable artificial intelligence frameworks in oncology,” Transl. Cancer Res., vol. 12, no. 2, pp. 217–220, Feb. 2023, doi: 10.21037/tcr-22-2427.
[19] Z. Farhani, “Sistem Klasifikasi Risiko Kehamilan dengan Algoritma CART (Classification and Regression Tree),” Universitas Gadjah Mada, 2024.
[20] O. Niaksu, “CRISP Data Mining Methodology Extension for Medical Domain. ,” 2015.
[21] A. Chayan, “Maternal Health and High-Pregnancy Risk Dataset,” 2024, IEEE DataPort. doi: https://dx.doi.org/10.21227/ddfa-mf77.
[22] H. Chan, L. M. Hadjiiski, and R. K. Samala, “Computer‐aided diagnosis in the era of deep learning,” Med. Phys., vol. 47, no. 5, May 2020, doi: 10.1002/mp.13764.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Dyah Megawati Surip Solekhah, Annisa Maulida Ningtyas

This work is licensed under a Creative Commons Attribution 4.0 International License.

JUITA: Jurnal Informatika is licensed under a Creative Commons Attribution 4.0 International License.








