Search Results: MCHLine

Annotation: This issue brief describes the public health advantages to increasing freestanding birthing centers (FSBCs); the policies that affect the opening, staffing, associated costs, and access to FSBC care; and the actions policymakers and national/state-level leaders can take to make FSBCs more accessible, thereby contributing to efforts to address the maternal health crisis.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Access to care, Barriers, Birthing centers, Policy

Annotation: This toolkit to support vaginal birth and reduce primary cesarean sections includes evidence-based tools and resources to support pregnant patients who transfer to the hospital from a community birth center and to effectively integrate midwifery care and doula support into the hospital setting. The toolkit serves as a “how to” guide to help educate and motivate maternity clinicians to apply best practices to support vaginal birth. Included are strategies to (1) improve the culture of care, awareness, and education for cesarean reduction; (2) support intended Vaginal Birth; (3) manage labor abnormalities and safely reduce cesarean births; and (4) use data to drive reduction in cesareans. Twenty appendices include checklists, guidelines, partograms, performance measures, and assessment tools for healthcare providers.

Contact: California Maternal Quality Care Collaborative, Stanford University Medical School Office Building, 1265 Welch Road, MS 5415, Stanford, CA 94305, Telephone: (650) 725-6108 Fax: (650) 721-5751 E-mail: [email protected] Web Site: http://www.cmqcc.org Available from the website.

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Keywords: Birthing Centers, California , Cesarean section, Childbirth, Doulas, Hospitals Quality assurance, Labor, Midwives, Model programs, Pregnant women, Prevention, Vaginal birth

Annotation: This consensus study report reviews and evaluates maternal and newborn care in the United States; the epidemiology of social and clinical risks in pregnancy and childbirth; research on birth settings; and access to and choice of birth settings in America. Maternal and neonatal interventions and health outcomes are compared across birth settings, including hospitals, birthing centers, and home birth environments.

Contact: National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, 500 Fifth Street, N.W., Washington, DC 20001, Telephone: (202) 334-2352 Fax: (202) 334-1412 E-mail: [email protected] Web Site: https://www.nationalacademies.org/hmd Available from the website.

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Keywords: Access to care, Birthing centers, Cesarean section, Childbirth, Health facilities, Home childbirth, Hospitals, Infant care, Maternal health, Maternal morbidity, Maternity hospitals, Measures, Midwifery, Policy , Pregnancy, Pregnancy outcome, Risk factors, Social factors, Statistics, Trends

Annotation: This brief uses data from the State of Babies Yearbook: 2020 to examine state-level differences in how infants and toddlers living in rural areas are faring. It includes key findings on health care utilization among pregnant women and select infant/toddler outcome measures such as infant mortality, preterm birth, breastfeeding, vaccine uptake, and preventive checkups) Several recommendations for policy makers to help ensure equitable health care access for infants and toddlers living in rural areas are also provided.

Contact: Child Trends , 7315 Wisconsin Avenue, Suite 1200 W, Bethesda, MD 20814, Telephone: (240) 223-9200 E-mail: Web Site: http://www.childtrends.org

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Keywords: Access to health care, Birthing centers, Data, Health insurance, Home births, Infant health, Outcome evaluation, Policy development, Prenatal care, Rural health, Toddlers

Annotation: This report summarizes a workshop convened to update a 1982 report on the assessment of childbirth settings in the United States. Topics include birth and birth setting trends and statistics; assessment of risk in pregnancy; health outcomes associated with birth setting; work force issues related to birth setting; data systems and measurement; and cost, value, and reimbursement issues.

Contact: National Academies Press, 500 Fifth Street, N.W., Keck 360, Washington, DC 20001, Telephone: (202) 334-3313 Secondary Telephone: (888) 624-8373 Fax: (202) 334-2451 E-mail: [email protected] Web Site: http://www.nap.edu Available free from the website; print copies $44.00.

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Keywords: Alternative birth styles, Birthing centers, Childbirth, Delivery rooms, MCH research, Maternal health services, Research methodology, Trends

Annotation: This resource provides a schedule of presentations and panel discussions that took place during a workshop convened in March 2013 to update a 1982 report on the assessment of childbirth settings in the United States. Topics include birth and birth setting trends and statistics; assessment of risk in pregnancy; health outcomes associated with birth setting; work force issues related to birth setting; data systems and measurement; and cost, value, and reimbursement issues. The resource includes a statement of the workshop committee's statement of task, a committee roster, biographical sketches, and a list of workshop participants.

Contact: National Academies Press, 500 Fifth Street, N.W., Keck 360, Washington, DC 20001, Telephone: (202) 334-3313 Secondary Telephone: (888) 624-8373 Fax: (202) 334-2451 E-mail: [email protected] Web Site: http://www.nap.edu Available in libraries.

Keywords: Alternative birth styles, Birthing centers, Childbirth, Delivery rooms, MCH research, Maternal health services, Meetings, Research methodology, Trends

Annotation: This document presents guidelines and evaluation criteria for hospitals and birthing centers seeking Baby-Friendly designation. The Baby-Friendly Hospital Initiative is a global program to encourage and recognize hospitals and birthing centers that offer an optimal level of care for breastfeeding. Guidelines address the following steps: (1) having a written breastfeeding policy, (2) training staff to implement the policy, (3) informing pregnant women about the benefits and management of breastfeeding, (4) helping mothers initiate breastfeeding within 1 hour of birth, (5) showing mothers how to breastfeed and how to maintain lactation, (6) giving infants breast milk only unless medically indicated, (7) practicing rooming in, (8) encouraging breastfeeding on demand, (9) giving no pacifiers or artificial nipples to breastfeeding infants, and (10) fostering the establishment of breastfeeding support groups and referring mothers to them after discharge.

Contact: U.S. Committee for UNICEF, U.S. Baby-Friendly Hospital Initiative, 125 Wolf Road, Suite 311, Albany, MNY 12205, Telephone: (518) 621-7982 Fax: (518) 621-7983 E-mail: [email protected] Web Site: http://www.babyfriendlyusa.org Available from the website.

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Keywords: Birthing centers, Breastfeeding promotion, Breastfeeding promotion programs, Communities, Evaluation, Guidelines, Hospital programs, Infant health, Newborn infants, Quality assurance, Reproductive health, Support groups, Women', s health

Annotation: This supplemental issue of the Journal of Perinatal Education focuses on the Coalition for Improving Maternity Services' initiative for improving maternity services and promoting normal birth. It describes principles underlying the Mother-Friendly Childbirth Initiatives, identifies the ten steps of Mother-Friendly Care and the evidence basis for the ten steps in separately authored articles. The appendix includes an article discussing the rationales and systematic reviews of both home birth and freestanding birth centers. Additional discussion and commentary is provided.

Contact: Lamaze International, 2025 M Street, N.W., Suite 800, Washington, DC 20036 , Telephone: (202) 367-1128 Secondary Telephone: (800) 368-4404 Fax: (202) 367-2128 E-mail: [email protected] Web Site: http://www.lamaze.org Available from the website.

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Keywords: Alternative birth styles, Birthing centers, Consumer satisfaction, Delivery rooms, Health services delivery, Home childbirth, Labor, Mothers, Physician patient relations, Pregnancy

Annotation: This book provides information on the history of midwifery in America and discusses the safety, quality, and cost effectiveness of such care. It discusses the development of direct-entry midwifery; safety of out-of-hospital births in the U.S.; midwifery in Europe, Canada, Australia, and Japan; effect of midwifery on costs and other special contributions; and recommendations for the future. The book ends with a list of references.

Contact: Temple University Press, 1601 North Broad Street, Philadelphia, PA 19122, Telephone: (800) 621-2736 Fax: (800) 621-8471 Web Site: http://www.temple.edu/tempress/ $54.95. Document Number: ISBN 1-56639-565-8.

Keywords: Birthing centers, Childbirth, Cost effectiveness, Managed care, Midwifery, Safety

Annotation: The purpose of this study was to assess the relationship of birth setting to mother-infant interaction in the first postnatal year, and simultaneously, to evaluate the differences among birth settings in providing opportunities for optimal mother-infant interaction among birth settings in providing opportunities for optimal mother-infant contact. Mothers were recruited from three local sites and delivered in one of three settings (birthing room, freestanding birth center, and delivery room). The subjects were enrolled at 32-36 weeks gestation. The study found that the birth settings differed dramatically both in provisions for mother-infant interaction, and in other related items of health care delivery. Among the most important implications of the study, however, is that freestanding birth centers are not more advantageous than hospital birthing rooms in terms of fostering early mother-infant interaction. In addition, the study points out that mothers in high-risk social groups often receive the medical care least likely to foster positive mother-infant interaction. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB89-223580.

Keywords: Birthing centers, Birthing rooms, Delivery rooms, Infants, Mother-infant attachment, Mothers

Annotation: This book describes the modern day practices of childbirth in hospitals with medications and contrasts this approach with natural childbirth. It discusses male dominated views of American childbirth, midwifery, and the return of home births and birthing centers. The author argues against episiotomy, drugs, induced labor, and the supine birth position. Sprinkled throughout the book are personal accounts of women who have had hospital births and home births.

Keywords: Birthing centers, Childbirth, Home childbirth, Midwifery, Midwives, Natural childbirth, Nurse midwives, Pregnancy