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I have developed my career in biomedical research, building on my expertise in machine learning, computing and mathematics, but specialising in intrapartum (in labour) fetal monitoring. I am now leading an ambitious programme to develop data-driven decision-support software in this clinical field. I am uniquely positioned to achieve this by working with the world’s largest and most complete birth cohort of routine labour data (100,000 deliveries).

I obtained a BSc(Hons) in Applied Mathematics from the Technical University of Sofia (Bulgaria) and a PhD in Computer Science from Portsmouth University. I joined the Nuffield Department of Obstetrics and Gynaecology and the Institute of Biomedical Engineering at Oxford for a post-doctoral position in 2007. In 2012, I founded the Oxford Centre for Fetal Monitoring Technologies, of which I am the Scientific Director. In 2016 I was awarded a NIHR Career Development Fellowship to grow my independent research group. In the same year, I also joined the newly formed  Big Data Institute at Oxford. 


2021-2024 Invention for Innovation National Institute for Health Research (NIHR) Product Development Award (£1,118,105)

2021-2024 EPSRC Healthcare Technologies with Dr Ivan Jordanov (£600,069)

2017-2021 NIHR Career Development Fellowship (£559,468)

2020-2021 The University Challenge Seed Fund (£56,450)

2020-2021 Medical and Life Sciences Translational Fund (£68,300)

2012-2016 Action Medical Research (£133,262)

Antoniya Georgieva

BSc (Hons) PhD

Associate Professor & Scientific Director, Oxford Centre for Labour Monitoring

  • NIHR Career Development Fellow
  • Wolfson College Research Fellow
  • Group Leader
  • Based jointly at the Big Data Institute and the Nuffield Department of Women's and Reproductive Health

Committed to preventing fetal compromise in labour


I am leading a research team to develop data-driven cardiotocography (CTG) systems/software to continuously assess fetal wellbeing at the onset of and during term labour. CTG is the gold standard worldwide to detect if a fetus may benefit from an emergency delivery. Unreliable, empirical CTG interpretation will be replaced with quantified computer- and data-based individualised risk assessment.

We already have a prototype system (OxSys), as the starting point. It is derived from a large birth cohort (100,000 term deliveries) by systematic analysis of computer-based CTG features and clinical risk factors in relation to perinatal outcomes. In tests 'off-line' with the data, the current prototype has shown to perform better than clinicians in clinical practice. We have developed a tablet app that runs OxSys in real time data at the John Radcliffe Hospital, analysing all CTGs as they are being taken (maternity admission unit, delivery suite or wards). We are continuously improving the app's interface in collaboration with the clinicians. The app takes in information from the user about any risk factors if present and modifies the analysis accordingly.

In the coming years, we will continue to use  'big data' to derive new understanding and improved methods for CTG interpretation in the patient-specific clinical context. Beyond this, we will ensure refined optimal performance of OxSys on the birth cohort; validate OxSys on additional data from Oxford & London (approx. 40,000 births). We will then take the first steps towards translation to the bedside. 

Our work will potentially benefit families, clinicians and healthcare systems by reducing brain injuries, perinatal deaths and unnecessary interventions


Submission is still open for a Research Topic in Frontiers of Pediatrics:

Fetal-Maternal Monitoring in the Age of Artificial Intelligence and Computer-Aided Decision Support: A Multidisciplinary Perspective


International Workshop on Signal Processing and Monitoring in Labour 2017 - Computerized data-driven interpretation of the intrapartum CTG: progress at Oxford

International Workshop on Signal Processing and Monitoring in Labour 2019 - Big data for intrapartum fetal monitoring: OxSys developments


We are an organiser of the international Workshop on Signal Processing and Monitoring (SPaM) in Labour: see webpage.

We are deciding  how to proceed with SPaM in Labour due to the COVID-19 pandemic. We are looking into holding it face-to-face in early June 2022. Watch this space.

Please email Antoniya if you wish to be added to the mailing list for SPaM in labour news.

Recent publications

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