P383 Breast feeding practices differ between mothers with IBD and mothers without IBD
Bibliographic record
Abstract
Breastfeeding is important for infant health, with recommendations to exclusively breastfeed until 6 months postpartum. Women with inflammatory bowel disease (IBD) have been reported in retrospective and survey studies to avoid initiating or cease breastfeeding early, with rates that differ between countries, and decades. We aimed to explore breastfeeding practices among a cohort of women with IBD and healthy volunteer mothers through a prospective longitudinal survey study. Adult women with and without IBD were invited to complete surveys regarding breastfeeding status at delivery, postpartum 3, 6, 9, and 12 months. Sociodemographic data on education and income level were obtained. Women with IBD were assessed for clinical disease activity using the Harvey Bradshaw Index for Crohn’s disease (CD) or partial Mayo score for ulcerative colitis (UC). Rates of breastfeeding were calculated at each time point and compared between maternal groups. A total of 80 IBD (25 CD and 43 UC) mothers and 12 healthy mothers completed surveys. Similar proportions of IBD mothers and healthy mothers initiated breastfeeding (95.6% vs. 100.0%, p = 0.458) and continued until 3 months postpartum (75.0% vs. 91.7%, p = 0.202). Fewer IBD mothers breastfed at 6 months compared with healthy mothers (54.4% vs. 90.9%, p = 0.023). There was no significant difference in breastfeeding based on delivery method, or IBD disease activity (for IBD mothers). Lower income mothers were less likely to breastfeed than those with higher income brackets. The main reasons reported for cessation of breastfeeding were insufficient milk production, initiation of new medications, and baby was sick/unwilling to breastfeed. Breastfeeding practices differ among mothers with IBD and healthy mothers, with a large proportion of IBD mothers ceasing to breastfeed earlier than the recommended 6 months postpartum. Future research into these reasons may contribute towards a better understanding of the complex interaction between maternal IBD and milk production, IBD medications and breast milk composition, and impact of maternal IBD and breast feeding on infant health.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.004 | 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".