Obstetric Outcomes and Complications After Vaginal Radical Trachelectomy: A Case Report
Bibliographic record
Abstract
We report a healthy 35-year-old Caucasian primigravida with a history of vaginal trachelectomy, cervical cerclage and laparoscopic pelvic lymphadenectomy for stage 1b1 cervical cancer. She had had a spontaneous conception and received appropriate antenatal care. She presented at 23+5 weeks gestation for leaking of liquor. Speculum examination confirmed preterm premature ruptured of membrane (PPROM) with her ultrasound showing oligohydramnios. She was admitted and despite intravenous (IV) antibiotics, developed chorioamnionitis. Emergency cesarean section was immediately performed due to maternal sepsis from chorioamnionitis. There was significant hemorrhage requiring the use of carbetocin for uterine contraction. A baby girl weighing 890 g was delivered via breech extraction with an Apgar score of 4 at 1 minute and 6 at 5 minutes of birth. The baby was admitted into NICU after intubation due to poor respiratory effort and developed complications of extreme prematurity, such as respiratory disorders, cardiovascular malformations, neurological and ophthalmological complications. Maternal post-operative recovery had also been complicated by wound infection that required extended antibiotics and regular wound care. J Med Cases. 2016;7(1):22-25 doi: http://dx.doi.org/10.14740/jmc2382w
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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 | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
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".