92: Does The Prenatal Consultation for Preterm Labor Worry, Reassure Or Both?
Bibliographic record
Abstract
Recommendations encourage informing mothers at risk of preterm labor. To evaluate whether prenatal consultations for preterm labor worry or reassure women at risk of preterm delivery. This was a prospective survey of hospitalized women at risk of preterm delivery 26 to 32 weeks GA, who had met the neonatologist for prenatal consultation in the last 72 h. The tool was developed using data from a qualitative exploratory study; construct and content validity were accounted for through several validation phases. A single-center study was conducted in 2008, leading to a multicenter trial in three tertiary care university hospitals (Apr. 2012–Sept. 2013). Variables were analyzed using Chi2 tests; qualitative data was transcribed and categorized to identify emerging themes. A total of 229 of 334 surveys were returned (67.2%). Participants' experiences were positive (89.9%). 23.3% were worried by the consultation, while 87.2% were reassured by it – reasons provided in table. Longer consultations were associated with reassurance (P<0.001). 66.1% of women's perception of prematurity changed after the consultation. Of these, 51.3% changed for the better: the facts that the complications of prematurity and survival rates were better than anticipated, that feeling informed was a reassurance, and that a sense of competence and trust were instilled by neonatologists all contributed to this improvement. 6.3% changed for the worse due to prematurity's complications being greater than expected. 33.9% of women's perceptions – mostly negative or worried – remained unchanged; many reported already knowing about prematurity, but felt better informed by the meeting. GA (below vs. over 30 wks GA) was associated with a change in perception on prematurity (P<0.05), but not with worrisome or reassuring consultations. To be reassuring, neonatologists should strive to establish a trusting relationship with mothers, in which realistic, clear, but optimistic, information is offered. Most women's outlooks on prematurity can improve through such a process, especially at an earlier GA.
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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 | 0.009 | 0.046 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.007 | 0.002 |
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".