14 <sup>th</sup> Breastfeeding and Feminism International Conference: Roots and Wing: Looking Back, Looking Forward
Bibliographic record
Abstract
"Background: Considered a key area influencing children’s survival and the promotion of their healthy growth and development, infant nutrition remains a global public health priority. Situated within a web of gendered, social, political, institutional, and cultural dynamics, decisions surrounding infant feeding are complex and multifaceted. National and international health agencies (e.g., the American Public Health Association, Health Canada, and the World Health Organization) all advocate human milk as the optimal form of infant nutrition for the first 6 months of life and beyond. Nevertheless, when breast(chest)feeding is not possible or sustainable, many families opt for, or require, alternatives to their own milk to nourish their infants. For families of premature or critically ill infants hospitalized in the Neonatal Intensive Care Unit (NICU), the infant feeding process involves unique challenges and barriers. Ensuring optimal nutrition is a key concern for NICU providers in light of the medical fragility of the neonates under their care. As a result, feeding support for families in the NICU often focuses on the mechanical transfer of essential nutrition as opposed to the relational dimensions of the feeding experience for both mother and baby. In an environment where the decision to breast(chest)feed or to use alternative methods/modalities of feeding often goes beyond choice, NICU nurses and families engage in a unique feeding support dynamic. While infant feeding support has been previously studied in both qualitative and quantitative research domains, this area remains largely under-explored using a feminist lens within the neonatal intensive care environment. Purpose: Using a feminist, poststructural approach, the purpose of the proposed study is to deconstruct infant support interactions between primary feeding parents and nurses in the neonatal intensive care unit. Narrative: Primary feeding parents whose infants are admitted to a Level III NICU in Atlantic Canada will be recruited for participation. While individual, semi-structured, face-to-face interviews will be the primary method of data collection, participant observation during infant feeding support interactions is also planned. Interview transcripts and field notes taken during observation will be interrogated and interpreted using Discourse Analysis (DA), which is a cornerstone in feminist poststructural methodology. Conclusion: The results of the proposed study are intended to bring voice to the “unseeable” and “unsaid” complexities embedded in the interactions that nurses and primary feeding parents have in the NICU setting. In doing so, there exists the possibility of not only challenging the status quo but also identifying opportunities for necessary change and action."@eng
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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 | 0.003 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.008 | 0.004 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.681 | 0.296 |
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".