Supportive and Affirming Queer Perinatal Health Care: A Qualitative Study
Bibliographic record
Abstract
Queer people may experience barriers to accessing safe and affirming perinatal care. Representative doula support may mitigate barriers to accessing care and improve outcomes. The objectives of this qualitative study were to understand priorities for key queer community stakeholders to address the needs of queer patients/families and to identify potential roles for doula support in improving care. Recruitment for this community-university partnership study was conducted using purposeful and snowball sampling. Interviews with key stakeholders in the field of perinatal health were conducted in summer and fall 2022. Data were analyzed using reflexive thematic analysis. A total of 12 participants participated in an interview. Key themes include the challenges accessing and navigating affirming care, steps forward for improving perinatal experiences and the role of doulas. Findings suggest gaps in care persist for Queer patients/families, and appropriately trained and representative doula support may interrupt heteronormative bias in perinatal care to improve experiences and outcomes.
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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 | 0.012 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.014 | 0.008 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 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".