A Toronto Midwifery Practice’s Postpartum Visit Schedule and Chest/ Breastfeeding Rates before and during the COVID-19 Pandemic
Bibliographic record
Abstract
Objective: This study aims to determine whether the alternate midwifery postpartum visit schedule imposed by the COVID-19 pandemic affected the chest/breastfeeding rate of midwifery clients compared to the standard postpartum visit schedule. Methods: Three hundred anonymized records of midwifery clients at a Toronto midwifery practice were analyzed for the total number of postpartum parent–infant visits and method of infant feeding at Day 3, 2 weeks, and 6 weeks postpartum. The pre-pandemic cohort (n1 = 150) gave birth from January to October 2018. The pandemic cohort (n2 = 150) gave birth from April to November 2020. Results: The cohort comparison showed that the average number of postpartum visits during the COVID-19 pandemic remained unchanged. The exclusive chest/breastfeeding rate at 6 weeks postpartum was not significantly different, and it remained high. Conclusion: Midwifery clients and midwives persevered through the COVID-19 pandemic, demonstrating a high commitment to protecting individualized dyad-centred care and in-person chest/breastfeeding support. RÉSUMÉObjectif : Cette étude vise à déterminer si le calendrier alternatif des visites postnatales imposé par la pandémie de COVID-19 a eu une incidence sur le taux d’allaitement maternel des clientes des sages-femmes par rapport au calendrier standard des visites postnatales. Méthodes : Trois cents dossiers anonymisés de clientes d’une pratique de sages-femmes à Toronto ont été analysés afin de déterminer le nombre total de visites postnatales des parents et des nourrissons et la méthode d’alimentation des nourrissons au troisième jour, à deux semaines et à six semaines après l’accouchement. La cohorte pré-pandémique (n1 = 150) a accouché entre janvier et octobre 2018. La cohorte pandémique (n2 = 150) a accouché entre avril et novembre 2020. Résultats : La comparaison des cohortes a montré que le nombre moyen de visites post-partum pendant la pandémie de COVID-19 est resté inchangé. Le taux d’allaitement maternel exclusif à 6 semaines après l’accouchement n’était pas significativement différent et est resté élevé. Conclusion : Les clientes des sages-femmes et les sages-femmes ont persévéré pendant la pandémie de COVID-19, démontrant un engagement fort en faveur de la protection des soins individualisés centrés sur la dyade et du soutien à l’allaitement maternel en personne.
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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 | 0.024 | 0.157 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.001 | 0.005 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.004 |
| 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".