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
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
Kenne Dibner, Program Officer firstname.lastname@example.org Elizabeth Howe-Huist, Associate Program Officer email@example.com
Dara Shefska, Research Associate firstname.lastname@example.org
Lesley Webb, Senior Program Assistant email@example.com
Lori Trego, (NAM) Distinguished Nurse Scholar-in-Residence firstname.lastname@example.org
Susan Scirmshaw, Chair Jill Alliman Wanda Barfield Melissa Cheyney Michelle Collins Brownsyne Tucker Edmonds Wendy Gordon Marian MacDorman Kathryn M. Menard Karen Milgate Jochen Profit Carol Sakala Neel Shah Kathleen Simpson Ruth Enid Zambrana