{"id":"W4387773295","doi":"10.1136/bmj-2022-073991","title":"Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked","year":2023,"lang":"en","type":"article","venue":"BMJ","topic":"Maternal and Perinatal Health Interventions","field":"Medicine","cited_by":29,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; University of British Columbia; CARE Canada; Impact","funders":"Michael Smith Health Research BC; BC Children's Hospital","keywords":"Forceps; Medicine; Vaginal delivery; Maternal morbidity; Forceps delivery; Obstetrics; Fetal head; Caesarean delivery; Episiotomy; Obstetrical Forceps; Birth trauma; Neonatal mortality; Birth injury; Pregnancy; Fetus; Surgery; Infant mortality; Caesarean section; Population","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0001138153,0.00008431642,0.0001363299,0.00007803439,0.00009268308,0.00002042235,0.00003112355,0.00004540294,0.0004166334],"category_scores_gemma":[0.00001014163,0.00007223488,0.00004153049,0.00005407532,0.00003430756,0.00006675983,0.00007587098,0.00009241481,0.00004919961],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00001564874,"about_ca_system_score_gemma":0.00001013467,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0005179351,"about_ca_topic_score_gemma":0.00005932515,"domain_scores_codex":[0.9993115,0.0000121326,0.0001977762,0.0001517214,0.0001365999,0.0001902595],"domain_scores_gemma":[0.9996881,0.00002015135,0.00003608868,0.00009283223,0.00002068139,0.0001421197],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.007200573,0.0002177528,0.5849584,0.03388989,0.0004977505,0.009255294,0.004511062,0.000007265038,0.03009597,0.004256022,0.01758144,0.3075286],"study_design_scores_gemma":[0.001265931,0.0001614049,0.9749976,0.0002670602,0.00001479878,0.0009462892,0.0001303158,0.0004598576,0.005814201,0.00004179502,0.01581628,0.00008447902],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9957818,0.0001268406,0.000003598431,0.002968843,0.000152953,0.0002147502,0.0001246413,0.00007239874,0.0005541803],"genre_scores_gemma":[0.971495,0.0001092629,0.00009150948,0.0003019126,0.0001904341,0.00002269392,0.00001234778,0.00001250444,0.02776434],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.3900391,"threshold_uncertainty_score":0.4561843,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04638801973533983,"score_gpt":0.3412504204823228,"score_spread":0.2948624007469829,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}