Entre attentes maternelles et objectifs médicaux : l'échographie fœtale est-elle source de malentendus ?
Bibliographic record
Abstract
Fetal ultrasound is a major examination in pregnancy follow up. It is important for both prenatal nursing staff: screening of fetal anomalies, delivery term, monitoring and also for women/couples. Publications on this subjetc focus on psychological aspects but also on ethical stakes surrounding this specific examination. Some writers have been describing a misunderstanding regarding the purposes of fetal ultrasound: medical objectives standardized with professional and ethical requirements and material goals based on emotions and encounter. In this study, we have chosen to question this misunderstanding with women giving birth, before their ultrasound exam. In order to do so, we have arranged meetings with women, before their first quarter ultrsound, to ask them about their expectations and feelings. The purposes of this work were to identify and understand maternal expectations with regards to this ultrasound exam and also to evaluate their knowledge as well as the medical information given, in order to have a better understanding of the context. It appears that women need to visualize their fetus in order to make their pregnancy a reality and be reassured on the positive evolution of the pregnancy. They have a partial kwowledge of ultrasound examination and the medical information is quite poor. However it seems that in the end, they are quite aware of medical stakes even though the latter are not clearly meaningful. Consequently, in our study, we could only find a partial misunderstanding with regards to the misunderstanding described in publications, we think therefore that it is more accurate to qualify this misunderstanding as a discrepancy between maternal expectations and the medical objectives of ultrasound examinations. It appears to us that, in the end, this discprepancy is quite classic and normal, as emotions are not all the same. However it seems that the medical information surrounding fetal ultrasound, so as to obtain maternal consent for various screenings, should be pondered in order to be improved.
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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 | 0.006 | 0.032 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.005 |
| Scholarly communication | 0.006 | 0.004 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
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".