{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.008802539,0.0004051197,0.0007487172,0.001134511,0.004733904,0.005279809,0.002566848,0.01357303,0.003894229],"category_scores_gemma":[0.09062663,0.0005902615,0.000989157,0.0008798514,0.007077527,0.003366938,0.003485249,0.01866779,0.002297405],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.007913473,"about_ca_system_score_gemma":0.03741881,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.1598914,"about_ca_topic_score_gemma":0.2800749,"domain_scores_codex":[0.9890655,0.002616059,0.001261805,0.000661583,0.004481796,0.001913149],"domain_scores_gemma":[0.9231723,0.02898886,0.00862675,0.003887888,0.0243595,0.01096474],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00008662572,0.00006981999,0.01398406,0.0004223316,0.00007437638,0.001354169,0.002110674,0.0001240457,0.0004157495,0.008127077,0.9051948,0.06803617],"study_design_scores_gemma":[0.0001128257,0.0001798564,0.04654329,0.00471163,0.0001436352,0.00538609,0.01232152,0.0003486056,0.001381039,0.03668256,0.8919604,0.0002286152],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.002722811,0.003445799,0.000634031,0.9649683,0.01774335,0.00001575571,0.00006918872,0.0000605672,0.01034019],"genre_scores_gemma":[0.1064941,0.008824135,0.003164554,0.8380579,0.03637143,0.00005657246,0.0001179438,0.0001038157,0.00680962],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.1598914,"threshold_uncertainty_score":0.3179215,"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."}}