An Update on Research Issues in the Assessment of Birth Settings Workshop Summary (2013) / Chapter Skim
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An additional objective was to identify datasets and relevant research literature that may inform a future ad hoc consensus study to address these concerns. The audience included health care providers, researchers, government officials, and other experts from midwifery, nursing, obstetric medicine, neonatal medicine, general practice medicine, public health, social science, and related fields, as well as consumer representatives.
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What are the roles of physicians, nurse-midwives, doula, and other health care professionals? A better understanding of the science of birth settings will help to not only improve maternal and birth outcomes, but also build a future research agenda and allow research sponsors, like the W.K.
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In closing, Hare noted what she described as a "burgeoning" research base demonstrating the advantages of breastfeeding, not only for babies but also for women, and encouraged consideration of evidence on the impact of birth setting on breastfeeding. MAJOR WORKSHOP THEMES The workshop discussion spanned a broad range of issues related to the effects of maternal care services in different birth settings on labor, clinical and other birth procedures, and birth outcomes, including historic and recent trends in childbirth and birth settings, assessment of risk in pregnancy, health outcomes associated with birth setting, workforce issues related to birth setting, data systems and measurement, and cost and reimbursement issues.
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• hile one of the purposes of birth setting research is to inform policy and W practice, workshop participants considered how developing and implement ing national standards will be difficult due to state-level variation in birth and birth setting trends, provider regulation and liability, and Medicaid coverage for maternal and neonatal care. • everal workshop participants expressed concern about choice of birth setting S and the need to better inform women about available options, and disparity in access to various birth settings and specific services.
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Given that the purpose of birth setting research is to inform policy and practice, Henderson also identified important nonresearch, but researchrelated, steps to consider. They included improving the quality of birth certificate data, data on transfer to hospital care, and other types of data; developing risk-assessment tools for maternal mortality and morbidity; developing consistent policies for education, certification, and licensing of care providers; and other steps.
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At the end of each general topic panel, audience members were invited to comment or ask questions; summaries of those discussions are included at the end of each chapter. An additional panel was included in the workshop agenda to allow three maternity care providers working in different birth settings to share their varying perspectives on future research needs.
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