| 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
An Update on Research Issues in the Assessment of Birth Settings Workshop Summary (2013)
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.
Research Issues in the Assessment of Birth Settings (1982)
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.
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Type: Consensus Study
Topics: Children, Youth
Board: Board on Children, Youth, and Families
Elizabeth Howe-Huist, Associate Program Officer
Lesley Webb, Senior Program Assistant
To Be Determined
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
For more information, contact:
Natacha Blain, JD, PhD, Board Director
Phone: (202) 334-2286
Phone: (202) 334-3451
Phone: (202) 334-1663
500 Fifth Street, NW
Washington, DC 20001