The SHAP summary bar plot revealed that first trimester exposure, antiepileptic drug (AED) use, and elevated BMI were among the most influential features driving higher malformation risk predictions.

The SHAP plot below visualizes feature contributions to predictions, with bar lengths encoding the magnitude of influence—red indicating positive contributions and blue denoting negative impacts.

Feature importance and model interpretability were evaluated using SHAP. Setting: First Hospital of Zhengzhou University. Population: 48,514 fresh IVF cycles from August 2009 to May 2018. Methods: ...

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