Ontario Midwifery Clients' Experiences with the Management of Hyperbilirubinemia
Bibliographic record
Abstract
Hyperbilirubinemia is the most common reason for the hospitalization of a newborn within the first week of life. Very little is known, however, about the impact this diagnosis and subsequent management has on parents, particularly within the midwifery context. The Clinical Knowledge Translation department at the Association of Ontario Midwives conducted a multimethod qualitative research study in 2017 to better understand the experiences of midwifery clients whose newborns have been diagnosed with and required management of severe hyperbilirubinemia. Three focus-group discussions and one in-depth, in-person interview were conducted with midwifery clients in Ontario. Findings were analyzed using NVivo software, resulting in the extraction of key themes. Clients discussed how the transition from midwifery-led care to care being led by other health care providers in the hospital impacted them in the postpartum period. Clients also observed changes in the continuity of care provided by their midwives during management of hyperbilirubinemia, and discussed both the positive and negative impacts these changes had on their broader experience of the early postpartum period. These findings have informed the development of a series of knowledge translation tools that support midwives in providing optimal care to clients whose infants require phototherapy. This article has been peer reviewed.
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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 | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| 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".