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Birth Settings in America: Outcomes, Quality, Access, and Choice (2020) THE NATIONAL ACADEMIES PRESS This PDF is available at http://nap.edu/25636 SHARE Birth Settings in America: Outcomes, Quality, Access, and Choice (2020) DETAILS 265 pages | 6 x 9 | PAPERBACK ISBN 978-0-309-66982-5 | DOI 10.17226/25636 CONTRIBUTORS GET THIS BOOK Susan Scrimshaw and Emily P. Backes, Editors; Committee on Assessing Health Outcomes by Birth Settings; Board on Children, Youth, and Families; Division of Behavioral and Social Sciences and Education; Health and Medicine Division; FIND RELATED TITLES National Academies of Sciences, Engineering, and Medicine SUGGESTED CITATION National Academies of Sciences, Engineering, and Medicine 2020. Birth Settings in America: Outcomes, Quality, Access, and Choice . Washington, DC: The National Academies Press. https://doi.org/10.17226/25636. Visit the National Academies Press at NAP.edu and login or register to get: – Access to free PDF downloads of thousands of scientific reports – 10% off the price of print titles – Email or social media notifications of new titles related to your interests – Special offers and discounts Distribution, posting, or copying of this PDF is strictly prohibited without written permission of the National Academies Press. (Request Permission) Unless otherwise indicated, all materials in this PDF are copyrighted by the National Academy of Sciences. Copyright © National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice Prepublication Copy Uncorrected Proofs BIRTH SETTINGS IN AMERICA: OUTCOMES, QUALITY, ACCESS, AND CHOICE Committee on Assessing Health Outcomes by Birth Settings Susan Scrimshaw and Emily P. Backes, Editors Board on Children, Youth, and Families Division of Behavioral and Social Sciences and Education Health and Medicine Division A Consensus Study Report of Copyright National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice PREPUBLICATION COPY, UNCORRECTED PROOFS THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001 This activity was supported by contracts between the National Academy of Sciences and National Institutes of Health (#HHSN26300013). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project. International Standard Book Number-13: 978-0-309-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X Digital Object Identifier: https://doi.org/10.17226/25636 Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu. Copyright 2020 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2020. Birth Settings in America: Improving Outcomes, Quality, Access, and Choice. Washington, DC: The National Academies Press. https://doi.org/10.17226/25636. Copyright National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice PREPUBLICATION COPY, UNCORRECTED PROOFS The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president. The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president. The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine. Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org. Copyright National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice PREPUBLICATION COPY, UNCORRECTED PROOFS Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task. Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies. For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo. Copyright National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice PREPUBLICATION COPY, UNCORRECTED PROOFS COMMITTEE ON ASSESSING HEALTH OUTCOMES BY BIRTH SETTINGS SUSAN C. SCRIMSHAW, (Chair), Former President, The Sage Colleges JILL ALLIMAN, Frontier Nursing University WANDA BARFIELD, Centers for Disease Control and Prevention (resigned March 2019) MELISSA CHEYNEY, Oregon State University MICHELLE R. COLLINS, Rush University College of Nursing BROWNSYNE TUCKER EDMONDS, Indiana University School of Medicine WENDY GORDON, Bastyr University MARIAN FRANCES MACDORMAN, Maryland Population Research Center M. KATHRYN MENARD, University of North Carolina KAREN MILGATE, Karen Milgate Health Policy Consulting JOCHEN PROFIT, Stanford University CAROL SAKALA, National Partnership for Women & Families NEEL SHAH, Harvard Medical School and Ariadne Labs KATHLEEN RICE SIMPSON, Mercy Hospital Saint Louis RUTH E. ZAMBRANA, University of Maryland EMILY P. BACKES, Study Director ELIZABETH S. HOWE-HUIST, Associate Program Officer DARA SHEFSKA, Associate Program Officer MARY GHITELMAN, Senior Program Assistant LESLEY WEBB, Senior Program Assistant (through October 2019) LORI TREGO, NAM Distinguished Nurse Scholar-in-Residence (through August 2019) BRIDGET B. KELLY, Consultant ERIN HAMMERS FORSTAG, Technical Writer v Copyright National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice PREPUBLICATION COPY, UNCORRECTED PROOFS BOARD ON CHILDREN, YOUTH, AND FAMILIES ANGELA DIAZ, (Chair), Department of Pediatrics and Department of Environmental Medicine and Public Health, Mount Sinai Adolescent Health Center, Icahn School of Medicine at Mount Sinai DAVID V. B. BRITT (Co-chair), Sesame Workshop (retired CEO) HAROLYN BELCHER, Kennedy Krieger Institute and Johns Hopkins University School of Medicine RICHARD F. CATALANO, School of Social Work, University of Washington DIMITRI CHRISTAKIS, Seattle Children’s Research Institute, University of Washington JEFFREY W. HUTCHINSON, The Wade Alliance, LLC STEPHANIE J. MONROE, The Wrenwood Group, LLC JAMES M. PERRIN, Harvard Medical School and MassGeneral Hospital for Children NISHA SACHDEV, Bainum Family Foundation DONALD F. SCHWARZ, Robert Wood Johnson Foundation MARTÍN J. SEPÚLVEDA, IBM Corporation (retired) and CLARALUZ LLC MARTIN H. TEICHER, Developmental Biopsychiatry Research Program at McLean Hospital and Harvard Medical School JONATHAN TODRES, Georgia State University College of Law NATACHA BLAIN, Director PAMELLA ATAYI, Program Coordinator vi Copyright National Academy of Sciences. All rights reserved. Birth Settings in America: Outcomes, Quality, Access, and Choice PREPUBLICATION COPY, UNCORRECTED PROOFS PREFACE The United States spends more on childbirth than any other country in the world, with worse outcomes than other high-resource countries, and even worse outcomes for women of color. Our Committee was charged with finding ways to improve these outcomes. We regarded this as an extraordinary opportunity to make recommendations to reverse a trend of increasing negative birth outcomes, do so more economically, and improve the childbirth experience for women and their families. For me, this assignment circled back over three decades to a series of multi-cultural research projects on childbirth, notably with colleagues Christine Dunkel-Schetter and Ruth Zambrana along with many others. Among other things, we did early work associating the experience of racism and low-birthweight for Black women and established
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