SSL-ECGv2 (Maternal/Fetal Stress Detection)

Self-supervised learning (SSL) model that identifies chronically stressed mother-fetus dyads from raw maternal abdominal ECG (aECG), which contains both maternal and fetal cardiac signals. Built on a self-supervised representation-learning approach originally developed for ECG-based emotion recognition, the model is pretrained on public ECG datasets and evaluated on a cohort of pregnant women with chronic stress exposure validated by psychological inventory, maternal hair cortisol, and the fetal stress index (FSI). Using maternal ECG alone with the publicly pretrained model, it detected the chronic-stress-exposure group with AUROC 0.982 and predicted psychological stress score (R2 0.943), FSI (R2 0.946), and maternal hair cortisol (R2 0.931).