Maternal Health

Maternal health during and immediately after pregnancy is strongly correlated with access to and quality of prenatal medical care; nutrition; and food security. RAND's research on maternal health throughout the world includes studies of prenatal obstetric care for low-income women, the effects of public assistance on birth outcomes, maternal and infant mortality, family planning and birth spacing, prenatal substance use, and maternal mental health.

Research conducted by: RAND Health; RAND Labor and Population; RAND Drug Policy Research Center; RAND Child Policy

All Items (63)

JOURNAL ARTICLE

Can Health Care Information Technology Save Babies? — Mar 31, 2011

Using a 12-year county-level panel, this study found that a 10 percent increase in births that occur in hospitals with electronic medical records reduces neonatal mortality by 16 deaths per 100,000 live births.

JOURNAL ARTICLE

The Association Between Perceptions of Social Support and Maternal Mental Health: A Cumulative Perspective — Feb 1, 2011

Mothers who perceive that their child's father is supportive are less likely to have mental health problems 5 years after birth; married mothers report the highest levels of supportiveness.

JOURNAL ARTICLE

Where Do Poor Women in Developing Countries Give Birth? A Multi-Country Analysis of Demographic and Health Survey Data — Jan 31, 2011

Since most poor women deliver at home in developing countries, efforts to reduce maternal deaths should prioritize community-based interventions aimed at making home births safer.

JOURNAL ARTICLE

Aftershocks: The Impact of Clinic Violence on Abortion Services — Dec 31, 2010

Clinic violence reduces abortion services in targeted areas; however, once travel is taken into account, the overall effect of the violence is much smaller.

JOURNAL ARTICLE

Mediators of Maternal Depression and Family Structure on Child BMI: Parenting Quality and Risk Factors for Child Overweight — Dec 31, 2010

Family environment—including parenting quality—is an important factor in influencing children's leisure activities, and thus interventions for child obesity may be more successful if they focus on family environment and its effect on children's active and sedentary behaviors.

RESEARCH BRIEF

Private Sector Participation and Health System Performance in Sub-Saharan Africa — Dec 14, 2010

Researchers analyzed data on child and maternal health care use from 34 sub-Saharan African countries to examine the association between the degree of private sector participation in the health care system and outcomes related to access and equity.

JOURNAL ARTICLE

Factor Structure and Psychometric Properties of the Brief Symptom Inventory-18 in Women: A MACS Approach to Testing for Invariance Across Racial/Ethnic Groups — Nov 30, 2010

This study used data from 3 sites to examine the invariance and psychometric characteristics of the Brief Symptom Inventory –18 across Black, Hispanic, and White mothers of 5th graders. Results showed that the instrument may be used for mean comparisons between Black and White women.

JOURNAL ARTICLE

From Community-Based Pilot Testing to Region-Wide Systems Change: Lessons from a Local Quality Improvement Collaborative — Jun 30, 2010

This community-based collaborative project tested evidence-based approaches for improving the quality of care for mothers and their children in Allegheny County, Pennsylvania.

RESEARCH BRIEF

Perceived Effects of Paid Family Leave Among Parents of Children with Special Health Care Needs: California's Experience — Apr 28, 2010

California's Paid Family Leave Insurance program, the first of its kind, has not increased the percentage of parents who took leave to care for a sick child. Fewer than 15 percent of parents who were qualified for the program knew about it.

JOURNAL ARTICLE

Private Sector Participation and Health System Performance in Sub-Saharan Africa — Dec 31, 2009

The participation of the private sector in providing health care in developing countries is associated with greater access to care and reduced disparities between rich and poor and urban and rural populations.

JOURNAL ARTICLE

Predictors of Sexual Behavior Among Early and Middle Adolescents Affected By Maternal HIV — Dec 31, 2009

Sexual behavior among adolescents with HIV-positive mothers was less prevalent than among other adolescents, but was more likely to occur with adolescent alcohol use, lack of parental monitoring, and poorer physical functioning of HIV-positive mothers.

JOURNAL ARTICLE

Brief Report: A Qualitative Analysis of Discussions About HIV in Families of Parents with HIV — Jun 30, 2009

Youths felt uncomfortable discussing HIV with their parent who has HIV because they worried about upsetting and reminding the parent of his/her illness. Adult children reported learning about HIV prevention by watching how the illness affected their parents. Few siblings reported talking with one another about HIV because they worried about upsetting their brother/sister and about their sibling unintentionally disclosing the parent's…

JOURNAL ARTICLE

Thromboembolic Complications of Sling Surgery for Stress Urinary Incontinence Among Female Medicare Beneficiaries — Dec 31, 2008

Investigates thromboembolic complications after sling surgery for stress urinary incontinence in female Medicare beneficiaries 65 and over. Found an increased rate of deep venous thrombosis and pulmonary embolism in surgeries with prolapse repair.

NEWS RELEASE

Weight Loss Surgery May Help Obese Women Avoid Pregnancy-Related Health Complications — Nov 18, 2008

Obese women who have weight loss surgery before becoming pregnant have a lower risk of pregnancy-related health problems and their children are less likely to be born with complications.

REPORT

What is the Relationship Between Gender and Health? — Mar 27, 2008

Modern societies' health problems involve a combination of policies, personal behavior, and choice. An examination of the ways men's and women's lives and physiology contribute to differences in their health demonstates the importance of integrating health implications into everyday decisions and actions.

JOURNAL ARTICLE

Stability and Change in Family Structure and Maternal Health Trajectories — Dec 31, 2007

This article examines trajectories of maternal mental and physical health using data from the Fragile Families and Child Well-Being Study.

RESEARCH BRIEF

Should ART be part of a population policy mix? Assessing the demographic impact of Assisted Reproductive Technologies — Jan 12, 2007

Details the results of a preliminary investigation into whether Assisted Reproductive Technologies can play a part in preventing European countries from falling into the low-fertility trap.

JOURNAL ARTICLE

Effects of Interpregnancy Interval and Outcome of the Preceding Pregnancy on Pregnancy Outcomes in Matlab, Bangladesh — Dec 31, 2006

Women whose pregnancies are between 15 and 75 months after a preceding pregnancy outcome (regardless of its type) have a lower likelihood of fetal loss than those with shorter or longer IPIs. Those with a preceding NLB outcome deserve special attention in counselling and monitoring.

JOURNAL ARTICLE

Parental Depression and Anxiety and Early Childhood Behavior Problems Across Family Types — Dec 31, 2006

Using the Fragile Families and Child Wellbeing Study, we examine the association between parental major depressive and generalized anxiety disorders and child behavior problems across family types: married, cohabiting, involved nonresident father, and noninvolved nonresident father.

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