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Record W3153846996 · doi:10.3798/tia.1937-0237.2110

Rural Health for Pregnant and Birthing People: Access and Advocacy

2021· article· en· W3153846996 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueTheory in Action · 2021
Typearticle
Languageen
FieldMedicine
TopicMaternal and Perinatal Health Interventions
Canadian institutionsDalhousie University
Fundersnot available
KeywordsNursingPsychological interventionContext (archaeology)Health careVulnerability (computing)Maternity careMedicineBusinessPublic relationsPolitical scienceEconomic growthGeographyEconomics

Abstract

fetched live from OpenAlex

Midwifery care is a safe and cost-effective care model; producing excellent outcomes especially for vulnerable and isolated people due to its one-on-one continuity of care and family-centered model. Recent research studies have shown out of hospital birth to have numerous benefits; shorter labors and lower rates of interventions, without an increase in adverse outcomes. These outcomes are more reliable when midwifery care is fully supported and integrated into existing maternity care systems. There are significant barriers to the provision of equitable reproductive health care to pregnant and birthing people in rural and remote areas. This, in the context of the United States being the only country where maternal mortality rates are on the rise. Midwifery care has been proposed as a potential solution but the need for working models of such care exists. The article showcases a working and replicable midwifery care practice model; showing how it can function to address inequity by building collaborative partnerships with other providers to advocate on clients’ behalf and reduce vulnerability to health disparities. This has practice implications for maternity providers and policy makers, introducing how advocacy can help remove the systemic barriers affecting reproductive justice and care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.902
Threshold uncertainty score0.148

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.058
GPT teacher head0.430
Teacher spread0.372 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it