Obstetrics

REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units — Oct 7, 2010

To learn how hospital labor and delivery units can achieve effective and sustainable teamwork practices and how much such practices affect staff experiences and patient outcomes, RAND researchers studied five units as they implemented improvements in their teamwork practices over a one-year period. They identified some key factors required by any given strategy for teamwork improvement but no standard template for implementation.

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TOOL

Survey Examines Rural Guatemalan Attitudes toward Childhood Illness and Pregnancy — Sep 15, 2010

The Guatemalan Survey of Family Health was designed to examine the way in which rural Guatemalan families and individuals cope with childhood illness and pregnancy, and the role of ethnicity, poverty, social support, and health beliefs in this process.

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JOURNAL ARTICLE

Racial Differences in the Use of Epidural Analgesia for Labor — Dec 31, 2006

There is strong evidence that pain is undertreated in black and Hispanic patients.

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JOURNAL ARTICLE

Does WIC Work? The Effects of WIC on Pregnancy and Birth Outcomes — Dec 31, 2003

Support for WIC, the Special Supplemental Nutrition Program for Women, Infants, and Children, is based on the belief that WIC works.

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• Children and Families Research Area

REPORT

Preventing Perinatal Transmission of HIV — Dec 31, 2002

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JOURNAL ARTICLE

Reciprocal Obligations: Managing Policy Responses to Prenatal Substance Exposure — Dec 31, 2002

The policy debate over prenatal substance exposure (PSE) is highly contentious and polarized.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Addressing Depression in Obstetrics/gynecology Practice — Dec 31, 2002

Efforts to improve the care of depression in primary care patients have largely ignored the potential of obstetrics/gynecology (OB/GYN) practices.

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JOURNAL ARTICLE

The Effect of Legal and Hospital Policies on Physician Response to Prenatal Substance Exposure — Dec 31, 2002

Determine the influence of a state's legal environment and a hospital's Prenatal Substance Exposure (PSE) protocol on physicians' propensity to respond when prenatal substance exposure is suspected.

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JOURNAL ARTICLE

A Search for Guidance: Examining Prenatal Substance Exposure Protocols — Dec 31, 2001

Only half of coded protocols included an implementation date; 37% lacked any goal or statement of purpose.

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• Children and Families Research Area

JOURNAL ARTICLE

Women's Health and Pregnancy Outcomes: Do Services Make a Difference? — Dec 31, 2000

Provides an overview of the standardized measures that the Mental Health Care for Child Crime Victims Standards of Care Task Force thinks useful for assessing trauma in children and their families.

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REPORT

Quality of Care for Children and Adolescents: A Review of Selected Clinical Conditions and Quality Indicators — Jan 1, 2000

This volume focuses on indicators for care of children and adolescents.

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• Children and Families Research Area

JOURNAL ARTICLE

Physician Response to Prenatal Substance Exposure — Dec 31, 1999

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JOURNAL ARTICLE

The Effect of Medicaid Eligibility Expansions on Births — Dec 31, 1999

This study uses natality data from 1983 to 1996 to examine the relationship between a state's eligibility threshold for Medicaid and birth rates among various groups.

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• Children and Families Research Area

JOURNAL ARTICLE

Prenatal Cocaine Exposure: Scientific Considerations and Policy Implications — Dec 31, 1999

This report presents an overview of the current state of knowledge regarding the effect of cocaine on the developing brain and offers policy considerations for addressing the issues that arise from cocaine use by pregnant women.

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JOURNAL ARTICLE

The Active Management of Labor: Is It Worth the Cost? — Dec 31, 1999

A number of studies have demonstrated that active management of labor shortens labor and reduces the rate of caesarian deliveries, without increasing adverse outcomes.

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JOURNAL ARTICLE

The Communicable Disease Impact of Eliminating Publicly Funded Prenatal Care for Undocumented Immigrants — Dec 31, 1998

In 1996, California proposed regulations to eliminate publicly funded prenatal care for undocumented immigrants.

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• Children and Families Research Area

REPORT

Diverting Children from a Life of Crime: Measuring Costs and Benefits — Jan 1, 1998

In combating crime in America, little attention has been paid to keeping children from becoming criminals. What benefit might be realized from such an approach, and at what cost?

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• Research Brief
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RESEARCH BRIEF

Preventing Very Low Birthweight Births: A Bundle of Savings — Dec 31, 1997

• Research Brief

JOURNAL ARTICLE

Influencing physician response to prenatal substance exposure through state legislation and work-place policies — Dec 31, 1997

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JOURNAL ARTICLE

The Policy Implications of Better Structure and Process on Birth Outcomes in Jamaica — Dec 31, 1997

This report finds that prenatal care in Jamaica, while generally available, provides care to many women who are at particular risk because of parity, age and poverty.

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