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Neonatal Care

Providing appropriate health care to newborn infants is associated with positive physical and developmental outcomes, often with lasting effects into childhood and adulthood. RAND research related to neonatal care includes studies on premature births and low birth weight babies, infant mortality, care and nutrition, and vulnerable populations.

Journal Article

Informing the Development of a Standardized Clinical Definition of Neonatal Abstinence Syndrome: Protocol for a Modified-Delphi Expert Panel

The goal of this paper is to describe a protocol for a systematic expert panel process to inform the development of a clinical definition of neonatal abstinence syndrome.

Jul 23, 2021
Essay

Reducing Disparities in Infant Mortality: Using Big Data to Help Babies at Risk

Black babies in Pittsburgh, Pennsylvania—and across America—face much higher mortality rates than white babies. Researchers pulled together thousands of data points on more than 150,000 births to better predict who is at risk and how to help them.

Jul 1, 2021
Journal Article

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Ohio Department of Medicaid introduced requirements to be delivered by Medicaid managed care organizations (MCOs). This study evaluated the impact of care management on reducing infant mortality in the largest Medicaid MCO in Ohio.

Feb 12, 2021
Research Brief

Using an Innovative Database and Machine Learning to Predict and Reduce Infant Mortality

Researchers created a unique database linking medical, social, and demographic information, then used machine learning techniques to evaluate risk of infant mortality and develop intervention recommendations to reduce each infant's risk of mortality

Feb 4, 2021
Journal Article

Measuring Childbirth Outcomes Using Administrative and Birth Certificate Data

The aim of this study was to develop a risk-adjusted composite measure of severe maternal morbidity and severe newborn morbidity based on administrative and birth certificate data.

Jan 22, 2021
Report

Examining Interventions to Address Infant Mortality in Allegheny County, Pennsylvania

Poor birth and infant outcomes and pronounced racial disparities persist in Allegheny County, Pennsylvania, despite robust maternal and child health and social service systems. Which interventions are the most effective and how does effectiveness vary for women with different risk and other factors?

Jan 6, 2021
Journal Article

Barriers and Facilitators of Kangaroo Mother Care Adoption in Five Chinese Hospitals: A Qualitative Study

We provided a comprehensive report on the multi-level KMC barriers and facilitators in China. We recommend policy interventions addressing these barriers and facilitators and increase family and peer support to improve KMC adoption in China.

Nov 12, 2020
Commentary

Policies That Punish Pregnant Women for Substance Use Don't Help Mother or Baby

About half of all U.S. states now have policies that criminalize substance use during pregnancy, consider it grounds for civil commitment, or consider it child abuse or neglect. But research suggests that punitive policies aren't beneficial for infants or their mothers.

Jan 28, 2020
News Release

The NHS Spends Significantly Less on Pregnancy-Related Research Compared with Other Health Conditions

The National Health Service spends significantly less on pregnancy-related research compared with other health conditions. Funding for pregnancy research totaled £255 million from 2013 to 2017, or about £51 million a year. As pregnancy care costs the NHS £5.8 billion annually, this means that for every £1 spent on pregnancy care, less than 1 penny is spent on research.

Jan 14, 2020
Report

Pregnancy research review: Policy report

This study presents a review of UK pregnancy research needs and priorities, comparing this to current research expenditure and setting the findings in the context of NHS costs related to pregnancy.

Jan 13, 2020
Blog

AI Bias, Opioids, Afghanistan: RAND Weekly Recap

This weekly recap focuses on the danger of artificial intelligence bias, infants with opioid withdrawal symptoms, peace talks in Afghanistan, and more.

Mar 15, 2019
Tool

Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool

This web-based tool aims to inform policymakers about the rates of neonatal abstinence syndrome by county across eight states from 2009 to 2015. This analysis is displayed via maps and interactive charts.

Mar 15, 2019
Commentary

Opioid-Dependent Newborns in My West Virginia Hometown Point to a Path Out of Drug Crisis

In small, rural towns like Bluefield, West Virginia, economies are hurting, the opioid epidemic is growing, and together they are taking a toll on a surprising population: pregnant women and their babies.

Mar 6, 2019
Report

Development of metrics to measure the impact of Tommy's work

This study presents metrics to help work out what Tommy's should measure and how Tommy's should report impact. The aim is to work out how each contributes to Tommy's desired outcomes, namely the reduction of stillbirth, preterm birth and miscarriage.

Sep 17, 2018
Multimedia

The Impact of the Opioid Crisis on Children

RAND adjunct physician policy researcher Stephen W. Patrick gives testimony at a Senate Health, Education, Labor and Pensions Committee hearing on the impact of the opioid epidemic on children and families.

Feb 8, 2018
Journal Article

New Parent Home Visiting Program Reduces Infants' Need for Medical Care

Infants whose families took part in a new parent home visit program were less likely to visit the emergency room and made fewer primary care visits during their first year of life. The program benefited at-risk families and those who had no risk factors.

Jan 27, 2017
News Release

New Parent Home Visiting Program Reduces Infants' Need for Medical Care During First Year of Life

Infants whose families participated in a new parent home visit program were less likely to visit the emergency room and made fewer primary care doctor visits during their first year of life. The program benefited both families who were at risk for problems, and those who had no risk factors.

Dec 15, 2016
Journal Article

Lactation Support Services and Breastfeeding Initiation: Evidence from the Affordable Care Act

The likelihood that mothers with private health insurance would start breastfeeding increased by 2.5 percentage points after the Affordable Care Act mandated the coverage of lactation support services.

Nov 28, 2016
Journal Article

Outcomes and Costs of Surgical Treatments of Necrotizing Enterocolitis

Despite previous studies demonstrating no difference in mortality or morbidity, the various surgical approaches for necrotizing enterocolitis (NEC) in infants have not been evaluated economically.

Apr 24, 2015
Journal Article

The Association of State Legal Mandates for Data Submission of Central Line–associated Bloodstream Infections in Neonatal Intensive Care Units with Process and Outcomes Measures

The authors determine the association between state legal mandates for data submission of central line–associated bloodstream infections (CLABSIs) in neonatal intensive care units (NICUs) with process and outcome measures. DESIGN: Cross-sectional study.

Aug 22, 2014

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RAND Topic:
Neonatal Care

Research conducted by

RAND Health Care