A283 THE IMPACT INFLAMMATORY BOWEL DISEASE HAS ON BREASTFEEDING PATTERNS
Bibliographic record
Abstract
Inflammatory Bowel Disease (IBD) is a group of diseases characterized by inflammation of the digestive tract.Crohn’s disease(CD) can affect any part from the esophagus to the anus, whiled ulcerative colitis (UC) only affects the large intestine. Factors that can contribute to the development of IBD include genetics, environment and microbiome. Breastmilk influences development of the neonatal microbiome and immune system. It is recommended that infants breastfeed until 12 months,to ensure nutritional and immunological development. Women with IBD have been reported to breastfeed less than healthy women. To investigate the impact IBD has on breastfeeding patterns Adult women with IBD attending the Pregnancy in IBD clinic were invited to fill out questionnaires regarding breastfeeding 2 or 3, 6, 9 and 12 months post partum (PP). They were asked if they were breastfeeding or not, and why not at each time points. They were also asked about their clinical disease activity using Harvey Bradshaw Index (HBI) for CD and Partial Mayo (pMayo) for UC. For subjects who are still in follow up (within the 12 months), we included any of their completed surveys up until July 2016. Incomplete or missing surveys were excluded from the analyses. SPSS 23.0 was used to analyze the data. Fifty women completed surveys; 46% of patients had stopped breastfeeding by 12 months, while 36% of the patients (who completed all time points) breastfed through to 12 months. There was no significant pattern when breastfeeding stopped. The top three reasons reported for cessation of breastfeeding were insufficient milk, medications and sickness. Cessation of breastfeeding was not correlated to disease activity. Almost half of patients with IBD stopped breastfeeding by 12 months postpartum. Having IBD itself was not found to be associated with cessation of breastfeeding. Insufficient milk, medications, and fatigue were the top 3 reported reasons for cessation of breastfeeding. Additional studies are being conducted to investigate if IBD affects milk production, and to address patient concerns about medications in breastfeeding. University of Alberta
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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 | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.008 | 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".