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Alerts & Responses is a vehicle for Childbirth Connection to provide perspective on new data or an event of great importance to women and newborns. For example, a study might clarify important direction for practice or might be the subject of confusion and misunderstanding in media coverage. As always, our priority is to help ensure that women and their caregivers can make informed, evidence-based decisions. Each alert includes a companion page for women with Childbirth Connection's clear, succinct advice about the topic in question, including tips for obtaining appropriate care. To learn more about what constitutes an evidence-based approach, visit our page on evidence-based care. If you'd like to be notified when we post new Alerts, you can sign up to receive an email by registering (free) or updating your account. Inside Alerts & Responses:Draft Report on National Perinatal Performance Measures: Highlights with Broad Relevance to Childbearing Women and FamiliesThe National Quality Forum (NQF) has released a draft report on national measures for evaluating perinatal care. The report proposes measures for NQF endorsement, measures that are not recommended for endorsement, and priority topics for needed measures that are not currently available. NQF welcomes public comment on these matters until June 11, 2008. Childbirth Connection and the National Partnership for Women and Families have collaborated to identify the measures of special interest to a large proportion of childbearing women and families.Go to Draft Report on National Perinatal Performance Measures  Consumer Groups Raise Concerns about Restrictive Place of Birth PolicyChildbirth Connection and other consumer-focused organizations have serious concerns about a recent American College of Obstetricians and Gynecologists (ACOG) policy statement that restricts women's choices about place of birth. This alert summarizes the issues, points to best evidence on this matter, provides access to the groups' letter to ACOG, and provides advice for women about choosing place of birth.Go to Policies and Evidence About Place of Birth UPDATED: NIH Cesarean Conference: Interpreting Meeting and Media ReportsOn March 27-29, 2006, the National Institutes of Health (NIH) held a state-of-the-science conference entitled "Cesarean Delivery on Maternal Request." At the end of the meeting, a multi-disciplinary panel issued a draft statement, also called "Cesarean Delivery on Maternal Request," about a commissioned evidence report and other results presented and discussed at the conference. Childbirth Connection leaders followed this process since the planning stage of the report and attended the conference.Go to NIH Cesarean Conference Mothers Report Cesarean Views and Experiences: National SurveyThe second national U.S. Listening to Mothers survey was carried out in January-February 2006 among women who gave birth in 2005. The survey included many questions that provide timely, previously unavailable knowledge about evolving issues. This alert summarizes initial new data that shed light on current deliberations about cesarean section and vaginal birth.Go to Mothers Report Cesarean Views and Experiences Sharp Rise in C-Section Rate Defies Best Evidence and Best PracticeThe U.S. c-section rate jumped to 29.1% in 2004. This record-setting preliminary figure from the Centers for Disease Control and Prevention represents a sharp increase of more than 40% over 8 years (Hamilton 2005). This alert looks at why the cesarean rate is rising and financial implications.Go to Sharp Rise in C-Section Rate Defies Best Evidence and Best Practice JAMA Study on Routine EpisiotomyKatherine Hartmann and colleagues have published a new systematic review about effects of routine episiotomy on women. It is important for pregnant women and their caregivers to understand lessons from this research, which is detailed in this alert.Go to JAMA Study on Routine Episiotomy NEJM Study on Pain Medication and C-SectionOn February 17, 2005, a new study was published about the timing of labor pain medication in the New England Journal of Medicine by Cynthia Wong and colleagues. Many media reports were providing misleading coverage. Childbirth Connection prepared the following information to help visitors interpret this study.Go to NEJM Study on Pain Medication and C-Section Most recent page update: 6/2/2008
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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
New VBAC Guidlines
ACOG has just issued new Guidlines for VBAC. What changed? What continues? We've Moved!
On July 1, 2010, the Childbirth Connection office moved to 260 Madison Avenue, 8th Floor, New York, NY 10016. All other contact information is unchanged. New Pregnancy Video Library Available
Our new Video Library features links to a wealth of resources for health professionals as well as for women who are planning pregnancy, are pregnant or are new mothers. Visit the Video Library  "2020 Vision" and "Blueprint for Action" Reports Available Learn about Transforming Maternity Care project Read the "2020 Vision" Read the "Blueprint for Action" Read the Consumer Workgroup report Help implement Blueprint recommendations Listen to report release event audio, 1/2010 eNews Sign Up
Help Transform Maternity Care! Rising Maternal Mortality
Updated Maternity Care Statistics Available
US Cochrane Center (USCC)/Consumers United for Evidence-based Healthcare (CUE) Evidence-Based Maternity Care Report Released New Mothers Speak Out National Report Released New Content!
 Journey to Parenthood Full Book Available Online! A family-friendly book covering the trimesters, pregnancy resources, and the latest information on baby's first year of development. Available online (free) and for purchase in the Bookstore. Browse through Journey to Parenthood  Buy this book and learn more
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Every woman has the right to unrestricted access to all available records about her pregnancy, her labor, and her infant; to obtain a full copy of these records; and to receive help in understanding them, if necessary.
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