Towards Pragmatic Awareness in Question Answering: A Case Study in Maternal and Infant Health

Questions posed by information-seeking users often contain implicit false or potentially harmful assumptions. In a high-risk domain such as maternal and infant health, a question-answering system must recognize these pragmatic constraints and go beyond simply answering user questions, examining them in context to respond helpfully. To achieve this, we study pragmatic inferences made when mothers ask questions about pregnancy and infant care. Some of the inferences in these questions evade detection by existing methods, risking the possibility of QA systems failing to address them which can have dangerous health and policy implications. We explore the viability of detecting inferences from questions using large language models and illustrate that informing existing QA pipelines with pragmatic inferences produces responses that can mitigate the propagation of harmful beliefs.