Reduction of Total Labor Length Through the Addition of Parenteral Dextrose Solution in Induction of Labor in Nulliparous: Results of DEXTRONS Prospective Randomized Controlled Trial
Bibliographic record
Abstract
(Am J Obstet Gynecol. 2017;216(5):508.e1–508.e7) Nulliparous women undergoing labor induction are particularly susceptible to having very long labors which are associated with negative effects for both mother and child. Since glucose supplementation improves athletic performance during prolonged exercise and labor could be considered a similar activity, it is thought that the addition of glucose during labor might help muscle performance and shorten labor length. Previous studies have had conflicting results as to the usefulness of the addition of carbohydrates to the overall length of labor, with one study showing an increase in cesarean deliveries and another an increase in neonatal hypoglycemia. To add to this research, a double-blind randomized controlled trial was set up to investigate whether the addition of intravenous glucose shortened active labor, had an effect on the rate of cesarean deliveries or affected neonatal 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 | 0.002 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.005 | 0.004 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 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".