Here's the way that I sort of understand it. We have the definition:
##P(\overrightarrow{y} | M) = \int P(\overrightarrow{y} | \overrightarrow{\theta}, M) P(\overrightarrow{\theta} | M) d \overrightarrow{\theta}##
##\overrightarrow{y}## is the vector of observations, ##M## is the model, and ##\overrightarrow{\theta}## is the vector of parameters in the model. Now, let ##Q(\overrightarrow{\theta})## be defined by:
##Q(\overrightarrow{\theta}) = log(P(\overrightarrow{y} | \overrightarrow{\theta}, M) P(\overrightarrow{\theta} | M))##
Then we are trying to approximate the integral:
##\int exp(Q(\overrightarrow{\theta})) d \overrightarrow{\theta}##
What we assume is ##Q## has a maximum at some particular value of the vector ##\overrightarrow{\theta}##, call it ##\overrightarrow{\Theta}##, and that it rapidly declines as you get away from its maximum. Under that assumption, you can approximate ##Q## by a Taylor expansion around its maximum:
##Q(\overrightarrow{\theta}) \approx Q(\overrightarrow{\Theta}) + (\overrightarrow{\theta} - \overrightarrow{\Theta}) \cdot \nabla_{\overrightarrow{\theta}} Q + \frac{1}{2} (\overrightarrow{\theta} - \overrightarrow{\Theta})^T H (\overrightarrow{\theta} - \overrightarrow{\Theta}) ##
where ##H## is a matrix of the second derivatives of ##Q##:
##\frac{1}{2} (\overrightarrow{\theta} - \overrightarrow{\Theta})^T H (\overrightarrow{\theta} - \overrightarrow{\Theta}) = \frac{1}{2} \sum_{ij} (\theta^i - \Theta^i) H_{ij} (\theta^j - \Theta^j)##
where
$$H_{ij} = \frac{\partial^2 Q}{\partial \theta^i \partial \theta^j}|_{\overrightarrow{\theta} = \overrightarrow{\Theta}}$$
The maximum of ##Q## occurs when the linear term vanishes. So we have:
##Q(\overrightarrow{\theta}) \approx Q(\overrightarrow{\Theta}) + \frac{1}{2} (\overrightarrow{\theta} - \overrightarrow{\Theta})^T H (\overrightarrow{\theta} - \overrightarrow{\Theta}) ##
So the integral becomes:
##\int exp(Q(\overrightarrow{\theta})) d\overrightarrow{\theta} \approx exp(Q(\overrightarrow{\Theta})) \int exp(\frac{1}{2} (\overrightarrow{\theta} - \overrightarrow{\Theta})^T H (\overrightarrow{\theta} - \overrightarrow{\Theta})) d \overrightarrow{\theta}##