<![CDATA[Fetal health assessment is essential for preventing perinatal complications, yet manual interpretation of cardiotocography (CTG) signals is prone to variability and diagnostic delays. This study introduces TMBA–ELM, a hybrid intelligent model that optimizes Extreme Learning Machine (ELM) parameters using the Triple Mutation Bat Algorithm (TMBA). The novelty of this work lies in extending TMBA—originally designed for continuous optimization—into a mixed-variable optimization framework that simultaneously tunes the hidden-node size and the activation function. This is achieved through the integrated use of Cauchy, Gaussian, and time-based mutation strategies, representing the first adaptation of TMBA for ELM parameter optimization and its first application to CTG-based fetal health classification. The model was evaluated on an imbalanced CTG dataset comprising 2,126 samples and benchmarked against BA-ELM, EMD-FA-ELM, and PSO-EM-ELM. TMBA-ELM achieved 89.23% ± 0.44% accuracy, outperforming BA-ELM (ELM models with parameters tunned by ELM) with accuracy 87.37%±0.63%, PSO-EM-ELM (Error-minimizaed-ELM parameters tunned with particle swarm optimization) with accuracy 82.76% ± 1.83%, and EMD-FA-ELM (ELM parameters tunned with firefly algorithm and data decompositioned by empirical decomposition) with accuracy 87.76% ± 1.95%. However, TMBA-ELM required 164.23 ± 12.76 seconds of computation time, which is substantially higher than BA-ELM and PSO-EM-ELM with computing time 60.9 ± 10.24 seconds and 59.69 ± 5 seconds, respectively. Overall, TMBA-ELM provides improved accuracy compared with existing ELM-based models, while its increased computational cost represents a limitation for time-constrained applications.]]>
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