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Pregnancy

Journal Article

Association of Pregnancy and Insurance Status With Treatment Access for Opioid Use Disorder

In this cross-sectional study with random assignment of clinicians and simulated-patient callers, many women, especially pregnant women, faced barriers to accessing treatment. Given the high out-of-pocket costs and lack of acceptance of insurance among many clinicians, access to affordable opioid use disorder treatment is a significant concern.

Sep 3, 2020
Journal Article

Medications for Opioid Use Disorder Among Pregnant Women Referred by Criminal Justice Agencies Before and After Medicaid Expansion: A Retrospective Study of Admissions to Treatment Centers in the United States

Pregnant women with OUD referred by criminal justice agencies between 1992 and 2017 were consistently less likely to receive evidence-based treatment than women referred through other sources.

Jun 30, 2020
Journal Article

Consensus Guidelines and State Policies: The Gap Between Principle and Practice at the Intersection of Substance Use and Pregnancy

We review the change over time in state-level policy environments around substance use in pregnancy and contrast the policy response with the principles and guidance from professional societies and federal agencies.

Jun 3, 2020
Infographic

State Policies Related to Substance Use in Pregnancy

This infographic illustrates the evolution from 2000 to 2015 of state policy environments related to substance use in pregnancy. Punitive or potentially punitive policies were more commonly enacted than were policies supporting treatment.

Feb 14, 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

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
News Release

Punishing Pregnant Women for Substance Use Is Linked to Higher Rates of Newborns Experiencing Opioid Withdrawal

State policies that impose punitive action against pregnant women who use illicit substances are associated with higher rates of infants being born with opioid withdrawal. This suggests that policymakers should instead focus on public health approaches that bolster prevention and expand access to treatment.

Nov 13, 2019
Commentary

Meghan Markle May Avoid the Spotlight After Giving Birth and Send a Powerful Public Health Message

Meghan Markle plans to break from royal tradition by declining to present her baby to the public on the the steps of the maternity ward, hours after giving birth, with flawless hair and makeup. This could bring attention to many of the postpartum challenges faced by women everywhere.

Apr 11, 2019
Research Brief

Sexual Behavior and Health Among U.S. Active-Duty Service Members

The 2015 Health Related Behaviors Survey asked active-duty service members about risky sexual practices, contraceptive use and unintended pregnancy, and HIV testing. Levels of sexual risk behaviors across the services may be great enough to increase the potential for rapid spread of HIV and other STIs.

Jun 21, 2018
Journal Article

Journal Article

Stigma Gets in My Way: Factors Affecting Client-Provider Communication Regarding Childbearing Among People Living with HIV in Uganda

Among Ugandan HIV clients and health care providers, communication about childbearing needs is poor and associated with stigma.

Apr 10, 2018
Journal Article

Journal Article

A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings

Getting to Outcomes, an implementation support intervention, can strengthen evidence-based teen pregnancy prevention programs.

Dec 5, 2017
Journal Article

Journal Article

Schooling, Marriage, and Age at First Birth in Madagascar

The low school attainment, early marriage, and low age at first birth of females are major policy concerns in less developed countries. This study jointly estimated the determinants of educational attainment, marriage age, and age at first birth among females aged 12-25 in Madagascar.

Oct 31, 2016
Report

Report

Cost Analysis of an Adolescent Pregnancy Prevention Program In-School Model Site

This report analyzes the costs to implement the Children's Aid Society's Carrera Adolescent Pregnancy Prevention Program in-school model for one year for 880 students at one school district in Tulsa, Oklahoma.

Aug 30, 2016
News Release

News Release

New Tools Help Communities Deliver Teen Pregnancy Prevention Programs

Many organizations do not use programs backed by research or do not implement them well even when they do. A new web-based tool can help community leaders better plan and run their pregnancy prevention programs and achieve more positive outcomes.

Aug 5, 2016
Tool

Getting to Outcomes® Guide for Teen Pregnancy Prevention

This guide is designed to help organizations assess the need for and select a teen pregnancy prevention program, identify specific goals and outcomes, create a detailed plan, identify and use evaluation measures, and apply data for program improvement.

Jul 21, 2016
Journal Article

Long-term Effect of Exposure to a Friend's Adolescent Childbirth on Fertility, Education, and Earnings

Interventions that expose adolescents to the reality of teen motherhood may be an effective way of reducing the rates of teen childbearing and improving schooling.

Jun 30, 2016
Journal Article

Journal Article

A Novel Test of the GTO Implementation Support Intervention in Low Resource Settings: Year 1 Findings and Challenges

Boys & Girls Club sites that used the Getting to Outcomes implementation support tool had greater capacity to run the Making Proud Choices program, but youth sexual health outcomes were no better at sites that used the tool versus those that did not.

Jun 21, 2016
Report

The Urban Child Institute CANDLE Study

The Urban Child Institute developed the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study to identify what factors during pregnancy and early childhood affect a child's development and ability to learn.

Dec 21, 2015
Journal Article

Journal Article

Does a Ban on Informal Health Providers Save Lives? Evidence from Malawi

This study examines the effect of a ban on informal (traditional) birth attendants imposed by the Malawi government in 2007.

Nov 11, 2015
Commentary

Policy Barriers to Best Practices in Women's Health

Long-acting reversible contraceptive (LARC) methods of birth control, which include the intrauterine device and subdermal implant, are highly effective, very safe, preferable to women, and cost effective. But some states' contraceptive policies create direct and indirect barriers to LARC use.

Nov 6, 2015

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RAND Topic:
Pregnancy

Topic Synonyms:
Pregnant

Research conducted by

RAND Health Care