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Record W2054825159 · doi:10.1136/bmj.323.7307.244

How to manage term breech deliveries

2001· editorial· en· W2054825159 on OpenAlexaff
Andrew Shennan, Susan Bewley

Bibliographic record

VenueBMJ · 2001
Typeeditorial
Languageen
FieldMedicine
TopicMaternal and Perinatal Health Interventions
Canadian institutionsWomen's Health Research Institute
Fundersnot available
KeywordsTerm (time)Computer scienceBreech presentationBreech deliveryData sciencePregnancyMedicine

Abstract

fetched live from OpenAlex

At term 3-4% of all babies will present by the breech. The Term Breech Trial has recently clarified whether a vaginal breech delivery at term should be avoided.1 Until now this argument has been muddied by the emotive debate about natural versus caesarean delivery, against a background of poor evidence to support or refute the safety of breech delivery for mother or baby. The Term Breech Trial showed a significant increase in perinatal mortality and morbidity (3.4%) with planned vaginal delivery. As breech presentation is itself significantly associated with poor perinatal outcome, previous observational studies have been too seriously confounded to be able to inform clinical decisions. Until this trial there had been only two randomised controlled trials comparing planned caesarean section and vaginal breech delivery at term. 2 3 These studies were small (only 313 women) but suggested a worse outcome for the mother and a better outcome for the baby if caesarean section was planned. Some obstetricians routinely performed caesarean sections for breech at term, while others selected appropriate term breech babies …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.030
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.009
Threshold uncertainty score0.021

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.030
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0020.001
Science and technology studies0.0010.001
Scholarly communication0.0030.004
Open science0.0030.001
Research integrity0.0090.017
Insufficient payload (model declined to judge)0.0060.004

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.

Opus teacher head0.029
GPT teacher head0.370
Teacher spread0.341 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEditorial

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".

Quick stats

Citations28
Published2001
Admission routes1
Has abstractyes

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