Birth Settings in America
Birth Settings in America

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-05-01

Total Pages: 369

ISBN-13: 0309669820

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The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Preventing Low Birthweight
Preventing Low Birthweight

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1985-02-01

Total Pages: 297

ISBN-13: 0309035309

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Despite recent declines in infant mortality, the rates of low birthweight deliveries in the United States continue to be high. Part I of this volume defines the significance of the problems, presents current data on risk factors and etiology, and reviews recent state and national trends in the incidence of low birthweight among various groups. Part II describes the preventive approaches found most desirable and considers their costs. Research needs are discussed throughout the volume.

Communities in Action
Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Science and Babies
Science and Babies

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1990-02-01

Total Pages: 183

ISBN-13: 0309041368

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By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.

Vibrant and Healthy Kids
Vibrant and Healthy Kids

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-12-27

Total Pages: 621

ISBN-13: 0309493382

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Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.

War and Public Health
War and Public Health

Author: Barry S. Levy

Publisher: Oxford University Press

Published: 2008

Total Pages: 511

ISBN-13: 0195311183

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The first comprehensive examination of the relationship between war and public health, this book documents the public health consequences of war and describes what health professionals can do to minimize these consequences and even help prevent war altogether. It explores the effects of war on health, human rights, and the environment. The health and environmental impact of both conventional weapons and weapons of mass destruction--nuclear, chemical, and biological weapons--is described in chapters that cover the consequences of their production, testing, maintenance, use, and disposal. Separate chapters cover especially vulnerable populations, such as women, children, and refugees. In-depth descriptions of specific military conflicts, including the Vietnam War, the Persian Gulf War, and wars in Central America provide striking illustrations of the issues covered in other chapters. A series of chapters explores the roles of health professionals and of organizations during war, and in preventing war and its consequences. This revised second edition includes seven new chapters, including one on landmines by the Nobel Prize-winning founding director of the International Campaign to Ban Landmines.A wide range of individuals, including physicians, nurses, and other health professionals, will find this book enlightening and useful in their work. The book will be valuable for faculty and students in schools of public health, medicine, nursing, and other health professions. In addition, it will be useful to those working in the fields of law, economics, international studies, peace and conflict resolution, military studies, diplomacy, and sociology, and in related disciplines.