Freestanding birth centers: safe, sensitive care.

Midwifery care at a freestanding birth center: a safe and effective alternative to conventional maternity care.

OBJECTIVE To estimate the effect of a midwifery model of care delivered in a freestanding birth center on maternal and infant outcomes when compared with conventional care. DATA SOURCES/STUDY SETTING Birth certificate data for women who gave birth in Washington D.C. and D.C. residents who gave birth in other jurisdictions. STUDY DESIGN Using propensity score modeling and instrumental variab...

Potential Medicaid cost savings from maternity care based at a freestanding birth center.

OBJECTIVES Medicaid pays for about half the births in the United States, at very high cost. Compared to usual obstetrical care, care by midwives at a birth center could reduce costs to the Medicaid program. This study draws on information from a previous study of the outcomes of birth center care to determine whether such care reduces Medicaid costs for low income women. METHODS The study use...

Comparing Utilization and Costs of Care in Freestanding Emergency Departments, Hospital Emergency Departments, and Urgent Care Centers.

STUDY OBJECTIVE We compare utilization, price per visit, and the types of care delivered across freestanding emergency departments (EDs), hospital-based EDs, and urgent care centers in Texas. METHODS We analyzed insurance claims processed by Blue Cross Blue Shield of Texas from 2012 to 2015 for patient visits to freestanding EDs, hospital-based EDs, or urgent care centers in 16 Texas metropol...

Preconception Diagnosis, Awareness, Advocacy for Safe Pregnancy, Safe Birth

Concept of preconception care, ‘care before pregnancy’, has emerged in recent years, as a potentially vital tool, not only for improving adolescent girls’ and women’s health during pregnancy, birth, but also future health. Objective: Study was done to collect information, about preconception care for better pregnancy outcome, future health of women. Methodology: Information was collected by sim...

Early cardiac care centers.