Re‐centering Relationships: Obstetric Violence, Health Care Rationalities, and Pandemic Childbirth in Canada
Bibliographic record
Abstract
Emerging evidence suggests that the COVD-19 pandemic is eroding childbirth rights. Drawing on narratives of women who gave birth in Canada during the pandemic, this article exposes a paradox in that policies aimed at limiting interpersonal contact implicitly acknowledge the connection between health, well-being, and the social context of people's lives, yet they frame this relationality as a liability to be eliminated. They do this despite the many benefits that social support is known to confer for pregnancy and childbirth. I suggest that obstetric violence theory could be expanded to include the perinatal health care system's failure to consider the well-being of pregnant and birthing persons as necessarily interdependent with that of close others. Conscientiously and routinely making the safeguarding of these relationships a priority in perinatal health care planning may strengthen existing health care systems against certain forms of obstetric violence. [childbirth, COVID-19, obstetric violence, relational personhood, Canada].
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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 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.033 | 0.014 |
| Scholarly communication | 0.006 | 0.002 |
| Open science | 0.002 | 0.007 |
| Research integrity | 0.002 | 0.005 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
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.
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".