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Disparities in Severe Maternal Morbidity and Mortality—A Call for Inclusion of Disability in Obstetric Research and Health Care Professional Education

2021· letter· en· W4200502335 on OpenAlexaff
Hilary K. Brown

Bibliographic record

VenueJAMA Network Open · 2021
Typeletter
Languageen
FieldMedicine
TopicMaternal and Perinatal Health Interventions
Canadian institutionsPublic Health OntarioUniversity of TorontoThe Scarborough Hospital
Fundersnot available
KeywordsInclusion (mineral)MedicineNursingMaternal healthHealth careMaternal morbidityFamily medicinePregnancyEnvironmental healthPolitical scienceSociologyGender studiesHealth servicesPopulation

Abstract

fetched live from OpenAlex

Despite advances in medicine, rates of adverse maternal outcomes, such as severe maternal morbidity and maternal mortality, are increasing in high-income countries. 1 Of particular concern is the observation that such increases include widening disparities among underserved and minoritized populations. They found women with disabilities were at elevated risk of a range of obstetric interventions, including cesarean delivery (adjusted relative risk [aRR], 1.33; 95% CI, 1.25-1.42), and adverse maternal outcomes, including individual markers of severe maternal morbidity, such as cardiovascular events (aRR, 4.02; 95% CI, 2.87-5.63), infection (aRR, 2.69; 95% CI, 1.97-3.67), and venous thromboembolism (aRR, 6.08; 95% CI, 4.03-9.16) as well as maternal

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.

How this classification was reachedexpand

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)0.002
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: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.186
Threshold uncertainty score0.937

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.002
Research integrity0.0000.001
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 head0.154
GPT teacher head0.483
Teacher spread0.329 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations8
Published2021
Admission routes1
Has abstractyes

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