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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (43 total).

Karp C, Lai Y-H, Garcia S, Grason H, Strobino D, Minkovitz C. 2017. Strengthen the evidence base for maternal and child health programs: NPM 2–Low-risk cesarean deliveries [NPM 2 brief]. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 3 pp.

Annotation: This brief and evidence review summarize the literature on evidence-based and evidence-informed strategies to promote the safety and effectiveness of receiving oral health care during pregnancy. They provide background information on oral health during pregnancy, discuss key research methods and results, and present key findings and implications. [Funded by the Maternal and Child Health Bureau]

Contact: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 615 North Wolfe Street, Room E4143, Baltimore, MD 21205, Telephone: (410) 502-5450 Fax: (410) 502-5831 Web Site: http://www.jhsph.edu/wchpc Available from the website.

Keywords: Block grants, Cesarean section, Childbirth, Childbirth education, Doulas, Evidence-based practice, Intervention, Literature reviews, Measures, Model programs, Patient care, Policy development, Program planning, Resources for professionals, State MCH programs, Therapeutics, Title V programs

Karp C, Lai YH, Minkovitz C, Grason H, Garcia S, Payne E, Strobino D. 2017. Strengthen the evidence for maternal and child health programs: National performance measure 2 low-risk cesarean deliveries evidence review. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 42 pp. (brief 3 pp.).

Annotation: This document identifies evidence-informed strategies that state Title V programs might consider implementing to decrease the proportion of cesarean deliveries among low-risk first-time mothers. Contents include an introduction and background; review methods and results, including search results, characteristics of studies reviewed, intervention components, summary of study results, and evidence rating and evidence continuum; and implications of the review. [Funded by the Maternal and Child Health Bureau]

Contact: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 615 North Wolfe Street, Room E4143, Baltimore, MD 21205, Telephone: (410) 502-5450 Fax: (410) 502-5831 Web Site: http://www.jhsph.edu/wchpc Available from the website.

Keywords: , Block grants, Cesarean section, Childbirth, Childbirth education, Doulas, Evidence-based practice, Intervention, Literature reviews, Measures, Model programs, Patient care, Policy development, Program planning, Resources for professionals, State MCH programs, Therapeutics, Title V programs

Association of Maternal and Child Health Programs. 2016. Title V program approaches to lower non-medically indicated deliveries before 39 weeks of gestation. Washington, DC: Association of Maternal and Child Health Programs, 9 pp.

Annotation: This brief describes efforts to reduce non-medically indicated deliveries before 39 weeks and methods that Title V programs can use to improve birth outcomes. Contents include information about the health and financial implications of non-medically indicated deliveries before 39 weeks gestation; key priorities at the national level; and example strategies in California, Oklahoma, North Carolina, South Carolina, and Texas. Information about the role of Title V as conduit, expert advisor, expediter, and funder of initiatives is included.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

Keywords: Cesarean section, Childbirth, Collaboration, Costs, Health care reform, Infant mortality, Low income groups, Measures, Pregnant women, Program improvement, Public private partnerships, Quality assurance, Risk factors, Role, State MCH programs, Title V programs

Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center. 2015. Strengthen the evidence for MCH programs: Environmental scan of strategies National Performance Measure (NPM) #2: Low risk cesarean deliveries. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 17 pp.

Annotation: This environmental scan identifies collections of strategies to advance performance for NPM #2: Low Risk Cesarean Deliveries--percent of cesarean deliveries among low-risk first births. It includes a list of reviews and compilations on the topic; frameworks and landmark initiatives; databases and related search terms; and inclusion and exclusion criteria. [Funded by the Maternal and Child Health Bureau]

Contact: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 615 North Wolfe Street, Room E4143, Baltimore, MD 21205, Telephone: (410) 502-5450 Fax: (410) 502-5831 Web Site: http://www.jhsph.edu/wchpc Available from the website.

Keywords: Block grants, Cesarean section, Childbirth, Evidence-based practice, Literature reviews, Measures, Model programs, Policy development, Program planning, Resources for professionals, State MCH programs, Title V programs

Osterman MJK, Martin JA. 2014. Primary cesarean delivery rates, by state: Results from the revised birth certificate, 2006-2012. Hyattsville, MD: National Center for Health Statistics, 10 pp. (National vital statistics reports; v. 63, no. 1)

Annotation: This report describes state-specific trends on primary cesarean delivery rates for states that had implemented the 2003 U.S. Standard Certificate of Live Birth, with particular focus on changes from 2009 to 2012. Primary cesareans are defined as a first cesarean delivery regardless of parity. State-specific changes in primary cesarean delivery by gestational age are also explored.

Contact: National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Room 5419, Hyattsville, MD 20782, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 Fax: (301) 458-4020 E-mail: nchsquery@cdc.gov Web Site: http://www.cdc.gov/nchs Available from the website.

Keywords: Cesarean section, Childbirth, Gestational age, Statistical data, Trends

Kuyper E, Vitta B, Dewey K. 2014. Implications of cesarean delivery for breastfeeding outcomes and strategies for breastfeeding support. Washington, DC: Alive and Thrive, 9 pp. (Insight. A&T technical brief 8. February 2014.)

Santoro KL. 2014. Born too early: Improving maternal and child health by reducing early elective deliveries. Washington, DC: National Institute for Health Care Management Foundation, 10 pp. (NIHCM Foundation issue brief)

Annotation: This brief discusses the health risks and costs associated with early elective deliveries (EED),federal and national initiatives to support full-term pregnancies, and health plan and health plan foundation approaches to reducing EED. Topics include the potential negative health consequences of EED; average payments for maternal and newborn care and payment reform; and hospital, provider, patient, and member education initiatives. [Funded by the Maternal and Child Health Bureau]

Contact: National Institute for Health Care Management Foundation, 1225 19th Street, N.W., Suite 710, Washington, DC 20036, Telephone: (202) 296-4426 Fax: (202) 296-4319 E-mail: http://www.nihcm.org/contact Web Site: http://www.nihcm.org Available from the website.

Keywords: Adverse effects, Cesarean section, Childbirth, Costs, Federal initiatives, Foundations, Health education, Health plans, Induced labor, Intervention, National initiatives, Pregnant women, Program improvement, Reimbursement

Association of State and Territorial Health Officials. 2014. State levers for change. Arlington, VA: Association of State and Territorial Health Officials, multiple items.

Annotation: This resource for state leaders provides tools and examples from states working to address early elective deliveries. Topics include policy/leadership, increasing capacity/systems of care, partnerships and collaborations/community engagement, messaging, and data.

Contact: Association of State and Territorial Health Officials, 2231 Crystal Drive, Suite 450, Arlington, VA 22202, Telephone: (202) 371-9090 Fax: (571) 527-3189 Web Site: http://www.astho.org Available from the website.

Keywords: Adverse effects, Cesarean section, Childbirth, Federal initiatives, Health education, Induced labor, Intervention, Pregnant women, Program improvement, Resources for professionals, State initiatives

National Quality Forum. 2014. Playbook for the successful elimination of early elective deliveries. Washington, DC: National Quality Forum, 27 pp.

Annotation: This document provides guidance on and strategies for reducing rates of early elective delivery (EED). Topics include the current landscape for eliminating EED, barriers to reducing EED and strategies to overcome them, challenges and barriers to monitoring performance and progress toward eliminating EED, key strategies to promote readiness for EED activities, and measurement guidance. Additional contents include educational tools, resources, and exemplars to support EED elimination efforts, as well as instructions for accessing relevant data.

Contact: National Quality Forum, 1030 15th Street, N.W., Suite 800, Washington, DC 20005, Telephone: (202) 783-1300 Fax: (202) 783-3434 E-mail: info@qualityforum.org Web Site: http://www.qualityforum.org Available from the website.

Keywords: Barriers, Cesarean section, Childbirth, Hospitals, Induced labor, Measures, Obstetrical care, Policy development, Program improvement, Quality assurance

Association of State and Territorial Health Officials. 2014. Early elective delivery. Arlington, VA: Association of State and Territorial Health Officials, 7 pp.

Annotation: This issue brief defines early elective delivery (EED) as a public health concern and describes the role of state health agencies in reducing EEDs. Topics include rates of labor induction, cesarean section, and EEDs; policy options and national initiatives; data collection and reporting; and examples from states.

Contact: Association of State and Territorial Health Officials, 2231 Crystal Drive, Suite 450, Arlington, VA 22202, Telephone: (202) 371-9090 Fax: (571) 527-3189 Web Site: http://www.astho.org Available from the website.

Keywords: Cesarean section, Childbirth, Data collection, Government role, Induced labor, National initiatives, Policy development, State agencies

Children's Health Care Quality Measures Core Set Technical Assistance and Analytic Support Program. 2014. Strategies for using vital records to measure quality of care in Medicaid and CHIP programs. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 5 pp. (Technical assistance brief; no. 4)

Annotation: This technical assistance brief discusses strategies for accessing vital records for quality measurement and improvement efforts related maternal and infant health care in Medicaid and the Children's Health Insurance Program. The brief also gives guidance and describes resources available to states for linking vital records and Medicaid/CHIP data to increase states' capacity to report two measures in the core set of children's health care quality measures: low birth weight rate and Cesarean section rate.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov Available from the website.

Keywords: Cesarean section, Children's Health Insurance Program, Data linkage, Low birthweight, Measures, Medicaid, Program improvement, Public health infrastructure, Quality assurance, Resources for professionals, Technical assistance, Vital statistics

Osterman MJK, Martin JA. 2014. Trends in low-risk cesarean delivery in the United States, 1990-2013. National Vital Statistics Reports 63(6):1-15,

Annotation: This report describes trends in low-risk cesarean delivery rates in the United States from 1990 through 2013. Trends in low-risk cesarean delivery by state of residence, gestational age, age of mother, and race and Hispanic origin of mother are examined.

Contact: National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Room 5419, Hyattsville, MD 20782, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 Fax: (301) 458-4020 E-mail: nchsquery@cdc.gov Web Site: http://www.cdc.gov/nchs Available from the website.

Keywords: Cesarean section, Childbirth, Statistical data, Trends

Childbirth Connection. 2012. What every pregnant woman needs to know about cesarean section (rev. ed.). New York, NY: Childbirth Connection, 12 pp.

Annotation: This booklet for pregnant women presents questions and answers on cesarean section (c-section). Questions include Which is safer, vaginal birth or c-section? What are the possible benefits and harms of vaginal birth and c-section? What is it like to have a c-section? If my doctor or midwife suggests a c-section, how should I decide if it is right for me? Is it possible to safely prevent a c-section? and What happens if I need a c-section?

Contact: National Partnership for Women and Families, Childbirth Connection Programs, 1875 Connecticut Avenue, N.W., Washington, DC 20009, E-mail: info@childbirthconnection.org Web Site: http://www.childbirthconnection.org Available from the website.

Keywords: Cesarean section, Childbirth, Informed consent, Patient rights, Pregnant women, Research, Safety, Vaginal birth

Childbirth Connection. 2012. United States maternity care facts and figures. New York, NY: Childbirth Connection, 2 pp.

Annotation: This fact sheet updates various national maternity statistics provided in the document, Evidence-Based Maternity Care: What It Is and What It Can Achieve, with new data now available. The fact sheet provides data on the size of the population, hospital care of childbearing women and newborns, maternity outcomes, paying for maternity care, and international comparisons.

Contact: National Partnership for Women and Families, Childbirth Connection Programs, 1875 Connecticut Avenue, N.W., Washington, DC 20009, E-mail: info@childbirthconnection.org Web Site: http://www.childbirthconnection.org Available from the website.

Keywords: Cesarean section, Childbirth, Costs, Financing, Hospital services, Insurance, Medicaid, Newborn infants, Pregnant women

Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission. 2012. Recommendations for use of antiretroviral drugs in pregnant HIV-1-infected women for maternal health and interventions to reduce perinatal HIV transmission in the United States. Rockville, MD: AIDSinfo, 235 pp.

Annotation: These guidelines provide health professionals with information for discussion with HIV-infected pregnant women to enable the patient-health professional team to make informed decisions about the use of antiretroviral drugs during pregnancy and the use of elective Cesarean delivery to reduce perinatal HIV transmission. The recommendations in the guidelines are accompanied by discussion of various circumstances that commonly occur in clinical practice and the factors influencing treatment considerations. Topics include (1) lessons learns from clinical trials of antiretroviral interventions to reduce perinatal transmission of HIV, (2) preconception counseling and care for HIV-infected women of childbearing age, (3) antepartum care, (4) intrapartum care, (5) postpartum care, and (6) neonatal postnatal care.

Contact: AIDSinfo, P.O. Box 6303, Rockville, MD 20849-6303, Telephone: (800) 448-0440 Secondary Telephone: (888) 480-3739 Fax: (301) 315-2818 E-mail: ContactUs@aidsinfo.nih.gov Web Site: http://aidsinfo.nih.gov Available from the website.

Keywords: Cesarean section, Counseling, Disease transmission, Guidelines, HIV infected patients, Pediatric HIV, Physician patient relations, Postnatal care, Postpartum care, Preconception care, Pregnant women, Prenatal care, Prevention, Treatment

National Priorities Partnership. 2012. NPP Maternity Action Pathway final 2012 progress report: Improving maternity care for mothers and babies. Washington, DC: National Quality Forum, 25 pp.

Annotation: This report focuses on efforts of the National Priorities Partnership (NPP) to improve maternity care for mothers and infants. Specifically, NPP sought to reduce the percentage of infants electively delivered prior to 80 weeks' gestation to 5 percent or less and to reduce Cesarean births among low-risk women to 15 percent or less. Topics include goals and strategies (including measurement in hospitals to increase transparency and create a culture for improvement, systems improvement, and consumer engagement), considerations for moving forward (including vaginal birth after Cesarean, prenatal care and breastfeeding, and definitions and standardization), and the path forward.

Contact: National Quality Forum, 1030 15th Street, N.W., Suite 800, Washington, DC 20005, Telephone: (202) 783-1300 Fax: (202) 783-3434 E-mail: info@qualityforum.org Web Site: http://www.qualityforum.org Available from the website.

Keywords: Breastfeeding, Cesarean section, Childbirth, Health systems, Infant health, Pregnant women, Prenatal care, Reproductive health, Vaginal birth after Cesarean, Women's health

Lewis RM, McKoy JN, Andrews JC, Jerome RN, Likis FE, Surawicz TS, Walker SH, Hartmann KE. 2012. Future research needs for strategies to reduce cesarean birth in low-risk women: Identification of future research needs from comparative effectiveness review no. 80. Rockville, MD: U.S. Agency for Healthcare Research and Quality, Effective Health Care Program, 27 pp. (Future research needs paper; no. 22)

Annotation: This report presents results from a multistep process for identifying, multiplying, and prioritizing research questions to advance research in the area of strategies to reduce cesarean birth in women at low risk. Contents include an actionable list of research topics to fill specific knowledge gaps. Topics include standardization strategies for induction and arrest of labor, systems-level strategies, and staffing models.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1104 Secondary Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available from the website. Document Number: AHRQ Pub. No. 12(13)-EHC131-EF.

Keywords: Cesarean section, Childbirth, Comparative analysis, Health care systems, Models, Research, Standards, Treatment effectiveness evaluation

Washington State Department of Health and Department of Social and Health Services. 2011. Key indicators of perinatal health for Washington residents. [Olympia, WA]: Washington State Department of Health, 25 pp.

Annotation: This document provides key information to identify perinatal health issues and help guide decision-making by the Washington State Department of Health and the Department of Social and Health Services. The indicators were derived from Washington State birth, fetal death, and death certificate data, the First Steps Database, and the Pregnancy Risk Assessment Monitoring System. The report includes highlights, a list of areas of concern, and series of key indicator tables. A list of sources is included.

Contact: Washington State Department of Health, Office of Maternal and Child Health, Assessment Unit, P.O. Box 47835, Olympia, WA 98504-7835, Telephone: (360) 236-3533 E-mail: mchassess.support@doh.wa.gov Available from the website.

Keywords: Breastfeeding, Cesarean section, Infant health, Infant mortality, Low birthweight, Medicaid, Perinatal health, Pregnancy, Smoking during pregnancy, Statistics, Washington, Women's health

Choices in Childbirth. 2011. Guide to a healthy birth - New York City. New York, NY: Choices in Childbirth, 73 pp. (No. 5)

Annotation: This guide was designed to connect women and families with practitioners who share their belief that childbirth is a normal, natural process. The guide begins with a description of The Mother-Friendly Childbirth Initiative, including some of the initiative's main principles. The remainder of the guide includes four articles, each by a different author, on the following topics: (1) birthing in a land of contradictions, (2) cesarean sections, (3) breastfeeding basics, and (4) home births. A list of resources is included.

Contact: Choices in Childbirth, 441 Lexington Avenue, 19th Floor, New York, NY 10017, Telephone: (212) 983-4122 E-mail: info@choicesinchildbirth.org Web Site: http://choicesinchildbirth.org Available from the website.

Keywords: Breastfeeding, Cesarean section, Childbirth, Families, Hom childbirth, Initiatives, Women's health

Eunice Kennedy Shriver National Institute of Child Health and Human Development. 2011. Scientific Vision Workshop on Pregnancy and Pregnancy Outcomes: Workshop white paper. Rockville, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, 15 pp.

Annotation: This white paper summarizes the findings of a workshop organized to address the challenge of improving pregnancy and birth outcomes in the United States.Topics include understanding the biology of pregnancy, applying biology in clinical settings, viewing pregnancy as a lifecourse event, and developing tools needed to advance research. Breakout group discussions on the following issues are presented: new methodologies, balancing maternal and fetal risks and timing of delivery, preventing Cesarean deliveries, pregnancy and future health, placental medicine and syndromes, and preterm birth.

Contact: Eunice Kennedy Shriver National Institute of Child Health and Human Development, P.O. Box 3006, Rockville, MD 20847, Telephone: (800) 370-2943 Secondary Telephone: (888) 320-6942 Fax: (866) 760-5947 Web Site: https://www.nichd.nih.gov/Pages/index.aspx Available from the website.

Keywords: Cesarean section, Childbirth, Infant health, Pregnancy, Pregnant women, Preterm birth, Prevention, Reproductive health, Research, Risk factors, Women's health

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.