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News & Press: AABC News

New Study of AABC's Strong Start Data Published in Birth

Tuesday, September 5, 2017   (0 Comments)
Posted by: Kate Slider

Outcomes of childbearing Medicaid beneficiaries engaged in care at Strong Start birth center sites between 2012 and 2014

AABC would like to extend a huge congratulations to the authors of the first published work using AABC’s rich dataset on Medicaid beneficiaries from the Strong Start for Mothers and Newborns Initiative.  Published in Birth on August 29th, the research draws on Strong Start data entered into the Perinatal Data Registry (PDR) between 2012 and 2014 to evaluate the effect of different prenatal and birth care settings on outcomesPrimary researcher and AABC member Diana Jolles, CNM, FACNM, led this effort along with AABC Strong Start staff Susan Stapleton, CNM, DNP, FACNM, and Jill Alliman, CNM, DNP, among others.  The outcomes reported by Strong Start sites were found to exceed quality benchmarks for induction, episiotomy, cesarean, and breastfeeding.

 

These findings reinforce the appropriateness of the birth center setting for medically low-risk women and highlight the place of birth as a determinant of Cesarean birth.  Specifically, elective hospitalization at the onset of labor was associated with a 4-times greater risk of cesarean delivery among women of equal risk.  Birth center care at the 45 Strong Start sites was also found to play a role in eliminating racial disparities in intention to breastfeed that were observed at the onset of prenatal care.  Overall, the birth center setting is shown to be a safe place of birth for medically low-risk Medicaid beneficiaries and have a protective effect against cesarean birth among equally low-risk women.

 

Click here for the full text article.


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