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The shift to an evidence-based framework in health care involves a profound transition in health practice. At the core of this shift are questions about what knowledge is authoritative and how to obtain and apply it. These questions are central to clinical practice, policy, research and professional education, as well as consumer education and informed decision making.

The relevant methodologies are being continually refined, and much knowledge that is worthy of informing decision making is now in hand. This is especially true for pregnancy, childbirth and neonatal care practice, which was the "test case" clinical area that ushered in the era of evidence-based practice beginning in the 1970s. Unfortunately, however, much uncertainty remains, and many mothers and babies are not reaping benefits of the knowledge that we do have.

This resource directory is provided to lend a hand to those who want to practice within this promising framework. It includes the following pages:

This is not intended to be a resource directory for researchers. The best single resource for carrying out research within the evidence-based paradigm is the Cochrane Methodology Register , a searchable database with over 7600 entries that is available by subscription.

This directory is continually updated. Let us know if you would like to see new items or topics added and if existing ones need to be updated. How can it best meet the needs of you and your colleagues?

Most recent page update: 3/9/2006


© 2010 Childbirth Connection. All rights reserved.

Childbirth Connection is a national not-for-profit organization founded in 1918 as Maternity Center Association. Our mission is to improve the quality of maternity care through research, education, advocacy and policy. Childbirth Connection promotes safe, effective and satisfying evidence-based maternity care and is a voice for the needs and interests of childbearing families.
News and Features : Health Professionals

"2020 Vision" and "Blueprint for Action" Reports Available
Collaboration of leaders from across the U.S. health care system contributed to two major direction-setting reports for improving the maternity care system.
Learn about Transforming Maternity Care project
Read the "2020 Vision"
Read the "Blueprint for Action"
Help implement Blueprint recommendations

Rising Maternal Mortality
Analysis of maternal mortality data for the state of California, with 14% of the nation's births, strongly suggests that maternal mortality is increasing in tandem with rising rates of cesarean section and obesity.
Read article about maternal mortality in California 
Read companion Q&A 

Maternity Care Fact Sheet Available
A new fact sheet (12/09) summarizes U.S. maternity care trends and figures from the latest federal reports. The fact sheet updates background information in the 2008 Milbank Report on Evidence-Based Maternity Care.
Get the fact sheet 
Read Evidence-Based
Maternity Care
 

US Cochrane Center (USCC)/Consumers United for Evidence-based Healthcare (CUE)
Visit the USCC/CUE website for the latest pregnancy and childbirth systematic reviews.

Maternity Care, a Major Segment of Health Industry, Must Be Overhauled for Health Care Reform to Succeed
As competing interests work out the particulars of health care reform, Childbirth Connection reminds the nation that rapid gains in the quality, cost, and value of maternity care are achievable.
Read the press release (PDF)

National Policy Symposium Honors Childbirth Connection's 90th Anniversary
Nearly 250 leaders deliberated about Transforming Maternity Care in Washington DC in April 2009.
Learn about symposium, next steps
See 90 years of milestones for women and families (PDF)

Seton Family of Hospitals Receives First Maternity Quality Matters Award
Childbirth Connection presented its inaugural Maternity Quality Matters Award to an organization that is achieving significant gains for women and newborns.
Learn more about award winner

Maternity Care Priorities in Health Care Reform

Childbirth Connection has issued a statement about health care reform priorities for a high quality, high value maternity care system.
Read the statement (PDF) 

Evidence-Based Maternity Care Report Released
A major new report takes stock of the U.S. maternity care system and finds great opportunities for improvement. Childbirth Connection collaborated with the Reforming States Group and the Milbank Memorial Fund to develop the report.
Learn more, get the report 
Read companion USA Today article
Read the USA Today article
Read the Consumer Reports story
Take the Consumer Reports quiz
Read Our Bodies Our Blog entry


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Help Transform Maternity Care!Help Transform Maternity Care!
Please join our efforts to make quality maternity care a top national priority. Your support will help make the transformation possible.
View 2009 Supporter Roster 

New Mothers Speak Out National Report Released
The latest report in Childbirth Connection's Listening to Mothers series is now available. Get an eye-opening look at the reality of life as a mother of young children in the United States, based on national surveys conducted by Harris Interactive.
Learn more, get the report
Read the Wall Street Journal story and listen to the podcast
Download Quick Facts (PDF)

Why does the national U.S. c-section rate keep going up?
Current research points to an optimal cesarean section rate of 5% to 10%, but 1 pregnant woman in 3 is giving birth by major surgery in the United States. Why the surge and is this safe? A new page - and a PDF handout for journalists, policy makers, students and others - answer these questions.
Read more about the rising cesarean section rate rising national cesarean section rate

New Content!
March/April 2009 evidence column is now available.
Features: National Quality Forum endorses consensus perinatal performance measures; systematic reviews on induction of labor, environmental tobacco smoke and fetal health, and HPV infection and cervical neoplasia
Get the column
"Even though the first 3 months were really difficult, having a child is the most rewarding thing I've ever done. It gave me a sense of power I never knew existed."
-Listening to Mothers® survey participant
Every woman has the right to full and clear information about benefits, risks, and costs of the procedures, drugs, tests and treatments offered to her, and of all other reasonable options, including no intervention. She should receive this information about all interventions that are likely to be offered during labor and birth well before the onset of labor.