scholarly journals Saving Lives at Birth: The Impact of Home Births on Infant Outcomes

2012 ◽  
Author(s):  
N. Meltem Daysal ◽  
Mircea Trandafir ◽  
Reyn van Ewijk
Keyword(s):  
Home Births ◽  
Infant Outcomes ◽  
The Impact

scholarly journals Saving Lives at Birth: The Impact of Home Births on Infant Outcomes

2012 ◽  
Author(s):  
N. Meltem Daysal ◽  
Mircea Trandafir ◽  
Reyn van Ewijk
Keyword(s):  
Home Births ◽  
Infant Outcomes ◽  
The Impact

scholarly journals Saving Lives at Birth: The Impact of Home Births on Infant Outcomes

2015 ◽  
Vol 7 (3) ◽  
pp. 28-50 ◽  
Author(s):  
N. Meltem Daysal ◽  
Mircea Trandafir ◽  
Reyn van Ewijk
Keyword(s):  
Home Birth ◽  
Developed Countries ◽  
Developed Country ◽  
Home Births ◽  
Infant Outcomes ◽  
Medical Technologies ◽  
Newborn Mortality ◽  
Health Gains ◽  
Using Data ◽  
The Impact

Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for endogeneity in location of birth, we exploit the exogenous variation in distance from a mother's residence to the closest hospital. We find that giving birth in a hospital leads to substantial reductions in newborn mortality. We provide suggestive evidence that proximity to medical technologies may be an important channel contributing to these health gains. (JEL I11, I12, J13, J16)

The Impact of Severe Maternal Morbidity on Very Preterm Infant Outcomes

2020 ◽  
Vol 75 (5) ◽  
pp. 281-282
Author(s):  
Jennifer Zeitlin ◽  
Natalia N. Egorova ◽  
Teresa Janevic ◽  
Paul L. Hebert ◽  
Elodie Lebreton ◽  
...  
Keyword(s):  
Preterm Infant ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Infant Outcomes ◽  
Very Preterm ◽  
Very Preterm Infant ◽  
The Impact

scholarly journals Examining the Impact of the 2019 Novel Coronavirus and Pandemic-Related Hardship on Adverse Pregnancy and Infant Outcomes: Design and Launch of the HOPE COVID-19 Study

2020 ◽  
Vol 1 (2) ◽  
pp. 91-107
Author(s):  
Laura L. Jelliffe-Pawlowski ◽  
Scott P. Oltman ◽  
Larry Rand ◽  
Karen A. Scott ◽  
Miriam Kuppermann ◽  
...  
Keyword(s):  
Low Income ◽  
Well Being ◽  
Infant Outcomes ◽  
Marginalized Communities ◽  
Mobile Phone Application ◽  
Study Results ◽  
Low Income Groups ◽  
Adverse Pregnancy ◽  
Novel Coronavirus ◽  
The Impact

The 2019 novel coronavirus disease (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to spread and worsen in many parts of the world. As the pandemic grows, it is especially important to understand how the virus and the pandemic are affecting pregnant women and infants. While early data suggested that being infected with the virus did not increase the risk of adverse pregnancy or infant outcomes, as more information has emerged, it has become clear that risks for some adverse pregnancy and infant outcomes are increased (e.g., preterm birth, cesarean section, respiratory distress, and hospitalization). The Healthy Outcomes of Pregnancy for Everyone in the time of novel coronavirus disease-19 (HOPE COVID-19) study is a multi-year, prospective investigation designed to better understand how the SARS-CoV-2 virus and COVID-19 impact adverse pregnancy and infant outcomes. The study also examines how the pandemic exacerbates existing hardships such as social isolation, economic destabilization, job loss, housing instability, and/or family member sickness or death among minoritized and marginalized communities. Specifically, the study examines how pandemic-related hardships impact clinical outcomes and characterizes the experiences of Black, Latinx and low-income groups compared to those in other race/ethnicity and socioeconomic stratum. The study includes two nested cohorts. The survey only cohort will enroll 7500 women over a two-year period. The survey+testing cohort will enroll 2500 women over this same time period. Participants in both cohorts complete short surveys daily using a mobile phone application about COVID-19-related symptoms (e.g., fever and cough) and complete longer surveys once during each trimester and at 6–8 weeks and 6, 12 and 18 months after delivery that focus on the health and well-being of mothers and, after birth, of infants. Participants in the survey+testing cohort also have testing for SARS-CoV-2 and related antibodies during pregnancy and after birth as well as testing that looks at inflammation and for the presence of other infections like Influenza and Rhinovirus. Study results are expected to be reported on a rolling basis and will include quarterly reporting for participants and public health partners as well as more traditional scientific reporting.

Coordinated Care Organizations: Neonatal and Infant Outcomes in Oregon

2017 ◽  
Vol 76 (5) ◽  
pp. 627-642 ◽  
Author(s):  
S. Marie Harvey ◽  
Lisa P. Oakley ◽  
Jangho Yoon ◽  
Jeff Luck
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Coordinated Care ◽  
Medicaid Program ◽  
Care Model ◽  
Difference In Differences ◽  
Infant Outcomes ◽  
Utilization Of Services ◽  
The Impact ◽  
Minute Apgar Score

In 2012, Oregon’s Medicaid program implemented a comprehensive accountable care model delivered through coordinated care organizations (CCOs). Because CCOs are expected to improve utilization of services and health outcomes, neonatal and infant outcomes may be important indicators of their impact. Estimating difference-in-differences models, we compared prepost CCO changes in outcomes (e.g., low birth weight, abnormal conditions, 5-minute Apgar score, congenital anomalies, and infant mortality) between Medicaid and non-Medicaid births among 99,924 infants born in Oregon during 2011 and 2013. We further examined differences in the impact of CCOs by ethnicity and rurality. Following CCO implementation the likelihood of low birth weight and abnormal conditions decreased by 0.95% and 1.08%, a reduction of 13.4% and 10.4% compared with the pre-CCO level for Medicaid enrollees, respectively. These reductions could be predictive of lifelong health benefits for infants and lower costs for acute care and are, therefore, important markers of success for the CCO model.

Depressive symptoms in early pregnancy disrupt attentional processing of infant emotion

2009 ◽  
Vol 40 (4) ◽  
pp. 621-631 ◽  
Author(s):  
R. M. Pearson ◽  
R. M. Cooper ◽  
I. S. Penton-Voak ◽  
S. L. Lightman ◽  
J. Evans
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Processing ◽  
Perinatal Depression ◽  
Antenatal Depression ◽  
Interview Schedule ◽  
Attentional Processing ◽  
Infant Outcomes ◽  
Community Midwives ◽  
Infant Faces ◽  
The Impact

BackgroundGrowing evidence suggests that perinatal depression is associated with disrupted mother–infant interactions and poor infant outcomes. Antenatal depression may play a key role in this cycle by disrupting the development of a maternal response to infant stimuli. The current study therefore investigated the impact of depressive symptoms on the basic cognitive processing of infant stimuli at the beginning of pregnancy.MethodA total of 101 women were recruited by community midwives and tested at an average gestation of 11 weeks. An established computerized paradigm measured women's ability to disengage attention from infant and adult faces displaying negative positive and neutral emotions. Depressive symptoms were measured using a computerized interview (the Clinical Interview Schedule).ResultsThe effect of infant emotion on women's ability to disengage from infant faces was found to be influenced by depressive symptoms. Non-depressed pregnant women took longer to disengage attention from distressed compared with non-distressed infant faces. This bias was not, however, seen in women experiencing depressive symptoms. There was a difference of −53 (s.d.=0.7) ms (95% confidence interval −90 to −14, p=0.007) between those with and without depressive symptoms in this measure of attentional bias towards distressed infant faces.ConclusionsOur results suggest that depressive symptoms are already associated with differential attentional processing of infant emotion at the very beginning of childbearing. The findings have potential implications for our understanding of the impact of depressive symptoms during pregnancy on the developing mother–infant relationship.

scholarly journals The Impact of Severe Maternal Morbidity on Very Preterm Infant Outcomes

2019 ◽  
Vol 215 ◽  
pp. 56-63.e1 ◽  
Author(s):  
Jennifer Zeitlin ◽  
Natalia N. Egorova ◽  
Teresa Janevic ◽  
Paul L. Hebert ◽  
Elodie Lebreton ◽  
...  
Keyword(s):  
Preterm Infant ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Infant Outcomes ◽  
Very Preterm ◽  
Very Preterm Infant ◽  
The Impact

scholarly journals Nora’s Story

2015 ◽  
Vol 24 (1) ◽  
pp. 6-7
Author(s):  
Nora Gibbons
Keyword(s):  
Home Birth ◽  
Home Births ◽  
The Impact ◽  
At Home

ABSTRACTIn this column, Nora Gibbons, 16 years old, describes the home births of four of her siblings. Nora’s story captures the wonder and simplicity of home birth and demonstrates the impact the experience of being present at home birth can have on children. Nora’s joy and confidence in birth because of her experiences will influence her own birth choices.

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