Weitao Tang, Johann Vargas-Calixto, Nasim Katebi et al.
Introduction: This study presents FetalSleepNet, the first published deep learning approach to classifying sleep states from the ovine electroencephalogram (EEG). Fetal EEG is complex to acquire and difficult and laborious to interpret consistently. However, accurate sleep stage classification may aid in the early detection of abnormal brain maturation associated with pregnancy complications (e.g. hypoxia or intrauterine growth restriction). Methods: EEG electrodes were secured onto the ovine dura over the parietal cortices of 24 late gestation fetal sheep. A lightweight deep neural network originally developed for adult EEG sleep staging was trained on the ovine EEG using transfer learning from adult EEG. A spectral equalisation-based domain adaptation strategy was used to reduce cross-domain mismatch. Results: We demonstrated that while direct transfer performed poorly, full fine tuning combined with spectral equalisation achieved the best overall performance (accuracy: 86.6 percent, macro F1-score: 62.5), outperforming baseline models. Conclusions: To the best of our knowledge, FetalSleepNet is the first deep learning framework specifically developed for automated sleep staging from the fetal EEG. Beyond the laboratory, the EEG-based sleep stage classifier functions as a label engine, enabling large scale weak/semi supervised labeling and distillation to facilitate training on less invasive signals that can be acquired in the clinic, such as Doppler Ultrasound or electrocardiogram data. FetalSleepNet's lightweight design makes it well suited for deployment in low power, real time, and wearable fetal monitoring systems.