Implicit Framing in Obstetric Counseling Notes: A Grounded LLM Pipeline on a VBAC-Eligible Cohort
Clinical framing -- the linguistic manner in which clinical information is presented -- can influence patient understanding and decision-making, with important implications for healthcare outcomes. Obstetrics is a high-stakes domain in which physicians counsel patients on delivery mode choices such as vaginal birth after cesarean (VBAC) and repeat cesarean section (RCS), yet counseling language remains underexplored in large-scale clinical text analysis. In this work, we analyze physician counseling language in 2,024 obstetric history and physical narratives for a rigorously defined cohort of patients for whom both VBAC and RCS were clinically viable options. To control for confounding du...
| Authors | Baris Karacan, Barbara Di Eugenio, Patrick Thornton et al. |
|---|---|
| Primary category | cs.CL |
| Published | 24 April 2026 |
| Last updated at source | 24 April 2026 |
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