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The National Academies of Sciences, Engineering and Medicine
Board on Children Youth and  Families
Division of Behavioral and Social Sciences and Education
  Assessing Health Outcomes by Birth Settings
            



 

Project Description:

An ad hoc committee will provide an evidence-based analysis of the complex findings in the research on birth settings, focusing particularly on health outcomes experienced by sub-populations of women. It will bring together key stakeholders in a public workshop to further inform this analysis, including representatives from government, academia, healthcare provider organizations, third party payors, and women’s health organizations.


The ad hoc committee will explore and analyze the current state of science on the following topics, identifying those questions that cannot be answered given available findings.


Statement of Task:

I. Risk factors that affect maternal mortality and morbidity

II. Access to and choice in birth settings

III. Social determinants that influence risk and outcomes in varying birth settings

IV. Financing models for childbirth across settings

V. Licensing, training, and accreditation issues pertaining to professionals providing maternity care across all settings
VI. Learning from International experiences 






Previous Reports:

An Update on Research Issues in the Assessment of Birth Settings Workshop Summary (2013)


Birth Settings Workshop Cover 

Description: 

More than 30 years ago, the Institute of Medicine (IOM) and the National Research Council (NRC) convened a committee to determine methodologies and research needed to evaluate childbirth settings in the United States. The committee members reported their findings and recommendations in a consensus report, Research Issues in the Assessment of Birth Settings (IOM and NRC, 1982). An Update on Research Issues in the Assessment of Birth Settings is the summary of a workshop convened in March, 2013, to review updates to the 1982 report. Health care providers, researchers, government officials, and other experts from midwifery, nursing, obstetric medicine, neonatal medicine, public health, social science, and related fields presented and discussed research findings that advance our understanding of the effects of maternal care services in different birth settings on labor, clinical and other birth procedures, and birth outcomes. These settings include conventional hospital labor and delivery wards, birth centers, and home births. This report identifies datasets and relevant research literature that may inform a future ad hoc consensus study to address these concerns.

Download The Report Here 



Research Issues in the Assessment of Birth Settings (1982) 
                                                         
                                                                                           
Birth Settings Cover
                                                                   
                                                                     
Description:

The Institute of Medicine (IOM) of the National Academy of Sciences (NAS) collaborated in this study with the Board on Maternal, Child, and Family Health Research of the Commission on Life Sciences of the National Research Council (NRC) to determine methodologies needed to evaluate current childbirth settings in the United States. Although the proportion of non-hospital births runs as high as 4.4 percent annually in Oregon, insufficient data exist to permit complete evaluation of the various birth settings. The application of good research methods should lead to scientific findings that provide the basis for informed, rational decision making about alternative settings for childbirth.

Download The Report Here 


 
 


 

Activity Information


Type: Consensus Study

Topics: Children, Youth

Board: Board on Children, Youth, and Families

Email: Birth_settings@nas.edu 
 


 

Staff Information
 

Elizabeth Howe-Huist, Associate Program Officer 
Lesley Webb, Senior Program Assistant

 

 

Committee Members

To Be Determined  




 

Sponsors



Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)





 

Contact


For more information, contact:

Natacha Blain, JD, PhD, Board Director 
Phone: (202) 334-2286

Elizabeth Howe-Huist
Phone: (202) 334-3451
 

   Lesley Webb

Phone: (202) 334-1663

Mailing Address

Keck Center

500 Fifth Street, NW

Washington, DC 20001

 

         
         

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