Wolff-Parkinson-White Syndrome in Pregnancy, Labour, and Birth: A Case Study
Bibliographic record
Abstract
Wolff-Parkinson-White syndrome is a cardiac condition which can complicate pregnancy, especially for patients with a new diagnosis. While common management recommendations for labour have been documented, there is very little information about the condition specifically in the case of a new diagnosis, and even less is documented when a patient declines the recommended monitoring during labour. This is a case study of a primip with a prenatal diagnosis of Wolff-Parkinson-White syndrome. She had one episode about two years prior to pregnancy; a second minor episode occurred near the time that she found out she was pregnant, which pregnancy spontaneously resolved and was not investigated; then at 22+5 weeks’ gestation, she had a significant episode which spurred testing and diagnosis. Symptoms and common management, including the medical care team’s recommendations for pregnancy and labour for individuals with Wolff-Parkinson-White, are discussed. Midwifery care and supporting patient/client-centred informed choice for expectant management versus prophylactic options are explored, including specifically supporting a client choosing care outside of recommendations.
 RÉSUMÉLe syndrome de Wolff, Parkinson et White est un trouble cardiaque qui risque de compliquer la grossesse, en particulier pour les patientes et les patients dont le diagnostic est nouveau. Des recommandations de prise en charge courante ont été documentées pour le travail, mais il y a sur cette maladie très peu de renseignements qui traitent spécifiquement d’un nouveau diagnostic et encore moins de la marche à suivre lorsque la patiente ou le patient refuse le monitorage conseillé durant le travail. Le présent article est une étude de cas d’une primipare avec un diagnostic prénatal de syndrome de Wolff, Parkinson et White. Elle aconnu un épisode environ deux ans avant sa grossesse. Un deuxième épisode, mineur, est survenu à peu près au moment où elle a appris qu’elle était enceinte. La grossesse a spontanément résolu le problème, qui n’a pas été examiné. Puis, à 22 semaines et 5 jours de gestation, la patiente a connu un épisode important qui a entraîné la réalisation de tests et l’établissement d’un diagnostic. Les autrices traitent des symptômes et de la prise en charge courante, y compris des recommandations de l’équipe de soins médicaux relatives àla grossesse et au travail des personnes atteintes du syndrome de Woff, Parkinson et White. Elles examinent aussi les soins sage-femme et le soutien du choix éclairé de la patiente ou de la cliente entre la prise en charge non interventionniste et les options prophylactiques, en particulier l’appui d’une cliente choisissant des soins autres que ceux qui sont recommandés.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".