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Assessing Health Outcomes by Birth Settings

Completed

The March 2018 omnibus appropriations bill, led by Congresswoman Lucille Roybal-Allard (D-CA) and Congresswoman Jaime Herrera Beutler (R-WA), included language calling on the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) to request that the National Academies of Sciences, Engineering, and Medicine conduct the study that resulted the report Birth Settings in America: Outcomes, Quality, Access, and Choice (2020).

The ad hoc committee of experts convened by the National Acadmies authored the report, which examines the evidence on health outcomes across birth settings, particularly with regard to subpopulations of women. (See full statement of task below.)

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.

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

Collaborators

Committee

Chair

Member

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Sponsors

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Staff

Emily Backes

Lead

Dara Shefska

Elizabeth Howe-Huist

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