This page compiles the key reports produced by Childbirth Connection to foster the work of the Transforming Maternity Care Partnership. Childbirth Connection’s entire catalog of reports and publications is available here.

Overdue: Medicaid and Private Insurance Coverage of Doula Care (January 2016) | Hormonal Physiology of Childbearing (January 2015) | Listening to Mothers (June 2013) | Listening to Mothers (May 2013) | Liability report | Cost report | Cesarean report

Overdue: Medicaid and Private Insurance Coverage of Doula Care

The U.S. maternity care system is missing an opportunity
to benefit from broad access to high-value doula services. The continuous supportive care of a doula during labor offers childbearing women and newborns impressive health benefits and has no known downsides. Community-based doula programs likewise have been found to make an important difference to vulnerable women and families. Just about six percent of women who gave birth in U.S. hospitals in 2011-12 used a doula, and a much large portion would have liked to do so. Several state-level analyses suggest that doula services would offer a favorable return on investment. However, insurance coverage for doula services is rare. Medicaid and private insurance coverage of doula services is overdue. There are multiple pathways to increased coverage and ways for many to become involved in making this happen at community, state and federal levels.

Check out the issue brief, infographic and more »

Hormonal Physiology of Childbearing

Comprehensive Report Examines the Science on the Hormonal Physiology of Childbearing and Its Implications for Women, Babies and Maternity Care

The country’s maternity care system is missing opportunities to provide better care and use resources more wisely by routinely intervening in labor and delivery in ways that interfere with, instead of promoting, supporting and protecting, innate biological processes that result in healthier outcomes for women and newborns. That is the conclusion of a major new report, Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care. The unprecedented synthesis of scientific research on how hormone systems function from late pregnancy through the early postpartum period concludes that commonly used maternity interventions — such as labor induction, epidural analgesia, and cesarean section — can disturb hormonal processes and interfere with the benefits they offer.

Check out the report, infographic, booklet and more »

Listening to Mothers: New Mothers Speak Out

The second of two reports from the initial and follow-up Listening to Mothers III surveys is now available. The second report answers two key questions: How are mothers faring in the postpartum period? And how do they view maternity care and their role in it? In addition, an appendix provides some additional pregnancy and birth results.
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Listening to Mothers: Pregnancy and Birth

Listening to MothersSM III is the third of a series of national surveys that explore women’s experiences from before pregnancy through the months after birth. Commissioned by Childbirth Connection, conducted by Harris Interactive, and funded by the W.K. Kellogg Foundation, the survey polled 2,400 women who gave birth in U.S. hospitals from mid-2011 to mid-2012. Major survey findings show that a medically intensive experience continues to be the norm, and evidence-based practices are underutilized.

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Maternity Care and Liability

Reviewing the best available evidence, this report shows that many widely held beliefs about maternity care and liability lack empirical support. Out of the 25 improvement strategies presented, 10 show potential to reform they liability system by minimizing injury, reducing stress and improving value.

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Learn about liability system problems, goals and action steps in our Blueprint for Action.


The Cost of Having a Baby in the United States

Many areas of maternity care impose high costs on women and payers without respect to quality or value. This report provides many separate cost analyses found throughout the maternity care spectrum and highlights the need to better align payment for services and quality.

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Learn about payment incentive problems, goals and action steps in our Blueprint for Action.


Vaginal or Cesarean Birth: What Is at Stake for Women and Babies?

The scientific review summarizes for all stakeholders the best evidence on the health consequences of cesarean delivery, and the consumer booklet aims to help pregnant women to understand the harms and benefits of cesarean delivery compared with vaginal birth, and make informed decisions.

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