An update on Research issues in the assessment of birth by Pray, Leslie A.

By Pray, Leslie A.

"More than 30 years in the past, the Institute of medication (IOM) and the nationwide examine Council (NRC) convened a committee to figure out methodologies and study had to evaluation childbirth settings within the usa. The committee individuals stated their findings and suggestions in a consensus file, study concerns within the evaluate of start Settings (IOM and NRC, 1982). An replace on study matters in the  Read more...

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Marian MacDorman clarified that the incidence of home births in general is much lower for non-Hispanic black women, perhaps because fewer non-Hispanic black women have access to care providers that allow that option, and that the proportion of unplanned home births is high but the absolute numbers are low. With respect to research, she emphasized the importance of directly asking women about their preferences and experiences. She also suggested promoting more services in areas and neighborhoods where non-Hispanic black women live and training more minority care providers.

And while severe maternal morbidity is an active area of conversation today, it is not measured in a consistent manner. Much of the conversation revolves around how to define and monitor severe maternal morbidity. Nor are factors that predict the need for a higher level of care well defined. The scientific basis for making those decisions is limited, with different predictors being used in different circumstances. “Low Obstetric Risk” Different researchers define “low obstetric risk” differently.

Very little is known about collaborative care models within the hospital environment and whether such models impact either neonatal or maternal outcomes. What We Know About Maternal Care in Different Settings Because maternal mortality is an uncommon event, examining maternal mortality is like “looking at the tip of the iceberg,” in Menard’s opinion. And while severe maternal morbidity is an active area of conversation today, it is not measured in a consistent manner. Much of the conversation revolves around how to define and monitor severe maternal morbidity.

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