scholarly journals Association of Maternity Care Practices and Policies with In-Hospital Exclusive Breastfeeding in the United States

2019 ◽  
Vol 14 (4) ◽  
pp. 243-248 ◽  
Author(s):  
Chloe M. Barrera ◽  
Jennifer L. Beauregard ◽  
Jennifer M. Nelson ◽  
Cria G. Perrine
Keyword(s):  
United States ◽  
Exclusive Breastfeeding ◽  
Maternity Care ◽  
The United States ◽  
Care Practices

scholarly journals Transforming Maternity Care in the United States

2018 ◽  
Vol 27 (3) ◽  
pp. 123-126
Author(s):  
Judith A. Lothian
Keyword(s):  
United States ◽  
Maternity Care ◽  
The United States ◽  
Associate Editor ◽  
Professional Organizations ◽  
Current State ◽  
Care Practices

In this column, the associate editor of The Journal of Perinatal Education provides a snapshot of the current state of maternity care in the United States and highlights the efforts of researchers, childbirth educators, and professional organizations to transform maternity care practices and, in doing so, to improve outcomes for mothers and babies. The associate editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.

Planned Home VBAC in the United States, 2004-2009: Outcomes, Maternity Care Practices, and Implications for Shared Decision Making

Birth ◽  
2015 ◽  
Vol 42 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Kim J. Cox ◽  
Marit L. Bovbjerg ◽  
Melissa Cheyney ◽  
Lawrence M. Leeman
Keyword(s):  
United States ◽  
Decision Making ◽  
Shared Decision Making ◽  
Maternity Care ◽  
The United States ◽  
Shared Decision ◽  
Care Practices

scholarly journals Maternity Care Preferences for Future Pregnancies Among United States Childbearers: The Impacts of COVID-19

2021 ◽  
Vol 6 ◽  
Author(s):  
Theresa E. Gildner ◽  
Zaneta M. Thayer
Keyword(s):  
United States ◽  
Maternity Care ◽  
Community Care ◽  
Insurance Coverage ◽  
The United States ◽  
Care Needs ◽  
Perceived Safety ◽  
Predominately White ◽  
Centered Care ◽  
Future Care

The COVID-19 pandemic has impacted maternity care decisions, including plans to change providers or delivery location due to pandemic-related restrictions and fears. A relatively unexplored question, however, is how the pandemic may shape future maternity care preferences post-pandemic. Here, we use data collected from an online convenience survey of 980 women living in the United States to evaluate how and why the pandemic has affected women’s future care preferences. We hypothesize that while the majority of women will express a continued interest in hospital birth and OB/GYN care due to perceived safety of medicalized birth, a subset of women will express a new interest in out-of-hospital or “community” care in future pregnancies. However, factors such as local provider and facility availability, insurance coverage, and out-of-pocket cost could limit access to such future preferred care options. Among our predominately white, educated, and high-income sample, a total of 58 participants (5.9% of the sample) reported a novel preference for community care during future pregnancies. While the pandemic prompted the exploration of non-hospital options, the reasons women preferred community care were mostly consistent with factors described in pre-pandemic studies, (e.g. a preference for a natural birth model and a desire for more person-centered care). However, a relatively high percentage (34.5%) of participants with novel preference for community care indicated that they expected limitations in their ability to access these services. These findings highlight how the pandemic has potentially influenced maternity care preferences, with implications for how providers and policy makers should anticipate and respond to future care needs.

scholarly journals Healthy Birth Practice #4: Avoid Interventions Unless They Are Medically Necessary

2019 ◽  
Vol 28 (2) ◽  
pp. 94-103
Author(s):  
Judith A. Lothian
Keyword(s):  
United States ◽  
Epidural Analgesia ◽  
Maternity Care ◽  
Fetal Monitoring ◽  
The United States ◽  
Unintended Consequences ◽  
Intravenous Fluids ◽  
Electronic Fetal Monitoring ◽  
Increase Risk ◽  
Continuous Electronic Fetal Monitoring

Maternity care in the United States continues to be intervention intensive. The routine use of intravenous fluids, restrictions on eating and drinking, continuous electronic fetal monitoring, epidural analgesia, and augmentation of labor characterize most U.S. births. The use of episiotomy has decreased but is still higher than it should be. These interventions disturb the normal physiology of labor and birth and restrict women's ability to cope with labor. The result is a cascade of interventions that increase risk, including the risk of cesarean surgery, for women and babies. This paper describes the use and effect of routine interventions on the physiologic process of labor and birth and identifies the unintended consequences resulting from the routine use of these interventions in labor and birth.

Can Nonexperimental Methods Provide Unbiased Estimates of a Breastfeeding Intervention? A Within-Study Comparison of Peer Counseling in Oregon

2019 ◽  
Vol 43 (3-4) ◽  
pp. 152-188
Author(s):  
Onur Altindag ◽  
Theodore J. Joyce ◽  
Julie A. Reeder
Keyword(s):  
United States ◽  
Field Experiment ◽  
Exclusive Breastfeeding ◽  
Low Cost ◽  
The United States ◽  
Peer Counseling ◽  
Counseling Intervention ◽  
Randomized Field Experiment ◽  
Unbiased Estimates ◽  
Supplemental Nutrition Program

Between July 2005 and July 2007, the Oregon Supplemental Nutrition Program for Women, Infants and Children program conducted the largest randomized field experiment (RFE) ever in the United States to assess the effectiveness of a low-cost peer counseling intervention to promote exclusive breastfeeding. We undertook a within-study comparison of the intervention using unique administrative data between July 2005 and July 2010. We found no difference between experimental and nonexperimental estimates but failed to determine correspondence based on more stringent criteria. We show that tests for nonconsent bias in the benchmark RFE might provide an important signal as to confounding in the nonexperimental estimates.

Effectiveness of Workplace Lactation Interventions on Breastfeeding Outcomes in the United States: An Updated Systematic Review

2018 ◽  
Vol 35 (1) ◽  
pp. 100-113 ◽  
Author(s):  
Julia H. Kim ◽  
Jong C. Shin ◽  
Sharon M. Donovan
Keyword(s):  
United States ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Maternity Leave ◽  
The United States ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
White Ethnicity ◽  
Observational Study Design ◽  
The Impact

Background Returning to work is one of the main barriers to breastfeeding duration among working mothers in the United States. However, the impact of workplace lactation programs is unclear. Research Aim The aim of this study was to evaluate the effectiveness of workplace lactation programs in the United States on breastfeeding practices. Methods A systematic search was conducted of seven databases through September 2017. Articles ( N = 10) meeting the inclusion criteria of describing a workplace lactation intervention and evaluation in the United States and measuring initiation, exclusivity, or duration using an experimental or observational study design were critically evaluated. Two reviewers conducted quality assessments and reviewed the full-text articles during the analysis. Results Common services provided were breast pumps, social support, lactation rooms, and breastfeeding classes. Breastfeeding initiation was very high, ranging from 87% to 98%. Several factors were significantly associated with duration of exclusive breastfeeding: (a) receiving a breast pump for one year (8.3 versus 4.7 months), (b) return-to-work consultations (40% versus 17% at 6 months), and (c) telephone support (42% versus 15% at 6 months). Each additional service (except prenatal education) dose-dependently increased exclusively breastfeeding at 6 months. Sociodemographic information including older maternal age, working part-time, longer maternity leave, and white ethnicity were associated with longer breastfeeding duration. Conclusion Workplace lactation interventions increased breastfeeding initiation, duration, and exclusive breastfeeding, with greater changes observed with more available services. More evidence is needed on the impact of workplace support in low-income populations, and the cost-effectiveness of these programs in reducing health care costs.

Factors Associated With Exclusive Breastfeeding in the United States

PEDIATRICS ◽  
2011 ◽  
Vol 128 (6) ◽  
pp. 1117-1125 ◽  
Author(s):  
J. R. Jones ◽  
M. D. Kogan ◽  
G. K. Singh ◽  
D. L. Dee ◽  
L. M. Grummer-Strawn
Keyword(s):  
United States ◽  
Exclusive Breastfeeding ◽  
The United States ◽  
Factors Associated

scholarly journals Maternity Care Practices and Breastfeeding Among Adolescent Mothers Aged 12–19 Years — United States, 2009–2011

2016 ◽  
Vol 65 (2) ◽  
pp. 17-22 ◽  
Author(s):  
Oluwatosin Olaiya ◽  
Deborah L. Dee ◽  
Andrea J. Sharma ◽  
Ruben A. Smith
Keyword(s):  
United States ◽  
Adolescent Mothers ◽  
Maternity Care ◽  
Care Practices

scholarly journals Healthy Birth Practice #1: Let Labor Begin on Its Own

2014 ◽  
Vol 23 (4) ◽  
pp. 178-187 ◽  
Author(s):  
Debby Amis
Keyword(s):  
United States ◽  
The United States ◽  
Labor Induction ◽  
Professional Organizations ◽  
Care Practice ◽  
Evidence Based ◽  
Normal Birth ◽  
Care Practices

As cesarean rates have climbed to almost one-third of all births in the United States, current research and professional organizations have identified letting labor begin on its own as one of the most important strategies for reducing the primary cesarean rate. At least equally important, letting labor begin on its own supports normal physiology, prevents iatrogenic prematurity, and prevents the cascade of interventions caused by labor induction. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #1: Let Labor Begin on Its Own,” published in The Journal of Perinatal Education, 16(3), 2007.

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