Converging epistemologies: critical issues in Canadian Inuit childbirth and pregnancy.
Bibliographic record
Abstract
OBJECTIVES: To relate the cultural beliefs and environmental issues surrounding pregnancy and childbirth among the Canadian Inuit to the critical issues facing maternal and child health in the Inuit population. STUDY DESIGN: This is a literature based comparative historical study. METHODS: Anthropological, historical, biomedical and first person narratives were analyzed to determine Inuit beliefs concerning pregnancy and childbirth. These were compared with the risk factors for Inuit maternal and child health identified in the biomedical literature. RESULTS: Inuit beliefs concerning pregnancy and childbirth are rooted in an epistemological framework that differs in important ways from Southern/ biomedical theoretical norms. Evacuation to Southern hospitals for childbirth and the environmental contaminants discourse have both clashed in significant ways with Inuit beliefs, to the detriment of Inuit physical and social health. CONCLUSIONS: Inuit beliefs concerning pregnancy and childbirth are incompatible with biomedical theory, but are not incompatible with biomedical practice. As long as researchers and practitioners become aware of Inuit concerns and adapt biomedical practices to accommodate Inuit cultural and social priorities satisfactory clinical outcomes may be expected.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.012 | 0.018 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.004 | 0.005 |
| Science and technology studies | 0.043 | 0.042 |
| Scholarly communication | 0.010 | 0.005 |
| Open science | 0.003 | 0.008 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".