Podcasts about delivery decisions initiative

Dr. Neel Shah, MD, MPP is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School (part-time), and Chief Medical Officer of Maven Clinic, the largest virtual clinic for women's and family health. As an obstetrician-gynecologist at Beth Israel Deaconess Medical Center in Boston, Neel cares for patients at critical life moments that range from childbirth to primary care to surgery. As a scientist and social entrepreneur, he is a globally recognized expert in designing solutions that improve health care, and is listed among the "40 smartest people in health care" by the Becker's Hospital Review. His work to build equitable, trustworthy systems of care has been profiled by the New York Times, CNN, and other outlets, and is featured in a forthcoming documentary produced by Oprah Winfrey and Yance Ford. He has written more than 50 peer-reviewed academic papers and contributed to four books. Prior to joining the Harvard faculty, Neel founded Costs of Care, an NGO that curates insights from clinicians and patients to help delivery systems provide better care. In 2017, he co-founded the March for Moms Association, a coalition of more than 20 leading organizations, to increase public and private investment in the wellbeing of mothers. Neel serves on the national advisory board of the Office of Women's Health Research at the National Institutes of Health, and as founding director and senior advisor to the Delivery Decisions Initiative at Ariadne Labs. Bon and Neel talk about why so many women in the U.S. die in childbirth, affirming dignity in healthcare, and Neel's mission on redesigning childbirth.

“If your c-section is high that means that you’re not supporting people in labour, that’s just a fact.” - Dr Neel ShahA cesarean section, or c-section is the most performed major surgery on the planet, it is also the most controversial. In the many years since they have been introduced, mortality and morbidity rates - the rates which this intervention has been introduced to lower, have increased and women are more likely to die in childbirth in this generation, than their mothers. Today on the show we bring you the insights and experience of Dr Neel Shah, Assistant Professor of Obstetrics, Gynaecology and Reproductive Biology at Harvard Medical School. Listed among the “40 smartest people in health care” Dr Shah has written more than 50 peer-reviewed academic papers and contributed to four books, including as senior author of Understanding Value-Based Healthcare (McGraw-Hill). We talk equity and safety in maternity healthcare and reducing the C-section rate. Some alarming stats alongside lots of hope are in the pot today, grab your notebook and writing apparatus and enjoy the powerful slow cooked gen.“.. that means, in 2021, the biggest risk factor for a mother anywhere in the world to get a c-section, is not her personal risks or her personal preferences but which hospital she goes to”“The wellbeing of mothers is the bellwether for the wellbeing of all of us”“If mothers are unwell, society is unwell”. - Dr Neel ShahDr. Neel Shah, MD, MPP, FACOG, is an Assistant Professor of Obstetrics, Gynaecology and Reproductive Biology at Harvard Medical School, and Director of the Delivery Decisions Initiative at Harvard’s Ariadne Labs. As an obstetrician-gynaecologist at Beth Israel Deaconess Medical Center in Boston, Dr. Shah cares for patients at critical life moments that range from childbirth to primary care to surgery. As a scientist and social entrepreneur, he is a globally recognised expert in designing solutions that improve health care.Dr. Shah is also founder of Costs of Care, an NGO that curates insights from clinicians and patients to help delivery systems provide better care. In 2017, he co-founded the March for Moms Association, a coalition of more than 20 leading organisations, to increase public and private investment in the wellbeing of mothers. Dr. Shah currently serves on national advisory boards of the Planned Parenthood Federation of America and the Office of Women’s Health Research at the National Institutes of Health.Show links:Find more about Dr Shah here: https://scholar.harvard.edu/shah/home & https://www.hsph.harvard.edu/neel-shah/Harvard's Ariadne Labs: https://www.ariadnelabs.org/about-us/March for Mums: https://marchformoms.orgExpecting More: https://www.expectingmore.orgWe'd love to hear from you, if you have any questions/comments about this, other interviews or our work at PBB Media, shoot us a line at hello@pbbmedia.org.Guest: Dr Neel ShahProduced, edited and presented by Annalee AtiaThe Pregnancy, Birth and Beyond show is part of a wider nonprofit community media and journalism project, PBB Media.All rights reserved. www.pbbmedia.orgPregnancy, Birth and Beyond comes to you from Bundjalung Country at Cavanbah or Byron Bay and we acknowledge with respect and reverence the Arakwal people of the Bunjulung nation, neighbouring clans and people for caring for this country since time immemorial.

In this episode, I talk with Prof. Neel Shah, an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and founding Director of the Delivery Decisions Initiative at Harvard's Ariadne Labs. Neel completed his undergraduate studies in neuroscience at Brown University and went on to obtain an MD from Brown Medical School along with a Master's in Public Policy from Harvard Kennedy School before completing his Residency in Obstetrics and Gynecology at Massachusetts General Hospital/Brigham And Women's Hospital. He also serves as an obstetrician-gynecologist and a Harvard Medical faculty physician at Beth Israel Deaconess Medical Center in Boston. Prior to joining the Harvard faculty, Neel founded Costs of Care, an NGO that curates insights from clinicians and patients to help delivery systems provide better care. In 2017, he co-founded the March for Moms Association and currently serves on national advisory boards of the Planned Parenthood Federation of America and the Office of Women's Health Research at the National Institutes of Health. As a scientist and social entrepreneur, Neel is a globally recognized expert in designing solutions that improve health care and his pioneering work focuses on partnering with people giving birth to design solutions that enable them to thrive. We indulge in a splendid conversation about his fascinating path in science and medicine; the influence of his terrific mentors and advisors like the legendary Leon Cooper, a Physics Nobel Laureate turned Systems Neuroscientist, and Atul Gawande, a renowned public health expert; Neel's groundbreaking work on maternal wellbeing that lies right at the intersection of reproductive justice, gender equity, and structural racism; coming to terms with Trumpism and the post-truth world; how critical issues related to childbirth like maternal mortality transcend borders; celebrating mothers as mothers themselves; and many more things!!

In this episode of Stillbirth Matters, Chris Duffy visits with Dr. Neel Shah, MD, MPP, FACOG, an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and Director of the Delivery Decisions Initiative at Harvard’s Ariadne Labs. As an obstetrician-gynecologist at Beth Israel Deaconess Medical Center in Boston, Dr. Shah cares for […]

In this episode of Stillbirth Matters, Chris Duffy visits with Dr. Neel Shah, MD, MPP, FACOG, an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and Director of the Delivery Decisions Initiative at Harvard’s Ariadne Labs. As an obstetrician-gynecologist at Beth Israel Deaconess Medical Center in Boston, Dr. Shah cares for […]

This episode starts with a question: “what if the architectural design of an obstetric unit influenced the c-section rate in that unit?” That question occurred to obstetrician/gynecologist Neel Shah when he attended a presentation by Michael Murphy, the co-founder and executive director of Mass Design, an architectural design and research firm that focuses particularly on healthcare architecture. Neel thinks about c-section rates all the time and is a leading researcher in the field of maternal health. C-section rates vary widely throughout the US – from 7 to 70%, and where a woman delivers better predicts whether she will get a c-section than her own personal risk factors. So, Michael Murphy’s contention that “Architecture is never neutral. It either heals or hurts” stayed with Neel and inspired him to pursue a research initiative between Mass Design and his research group, Ariadne Labs. Neel Shah and two of his collaborators, Amie Shao and Deb Rosenberg, researchers and architects with Mass Design, join us to talk about their collaboration and the report they produced. Amie Shao is a director with MASS Design Group, where she oversees research focusing on health infrastructure planning and evaluation. In addition to guiding impact research for MASS built projects, she coordinated the production of National Health Infrastructure Standards for the Liberian Ministry of Health and has been involved in the design and evaluation of healthcare facilities in Haiti, Africa, and the United States. Deb Rosenberg joined MASS in 2015, with a unique background in healthcare and architecture. Throughout her career in nursing and architecture is a common ambition to promote health and well-being, and she believes that the spaces where people live, work and heal have the capacity to greatly support or restrict our human potential. Neel Shah, MD, MPP, is Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and director of the Delivery Decisions Initiative at Ariadne Labs. His team is currently collaborating with hospitals across the United States, and using methods from design, systems engineering, and management to reduce the epidemic of avoidable c-sections. If you enjoyed the show, please give us 5 stars wherever you listen. Tweet us your thoughts @RoSpodcast and check out our facebook page at www.facebook.com/reviewofsystems. Or, you can email us at audreyATrospod.org. We’d love to hear from you, and thanks for listening.

This episode starts with a question: “what if the architectural design of an obstetric unit influenced the c-section rate in that unit?” That question occurred to obstetrician/gynecologist Neel Shah when he attended a presentation by Michael Murphy, the co-founder and executive director of Mass Design, an architectural design and research firm that focuses particularly on healthcare architecture. Neel thinks about c-section rates all the time and is a leading researcher in the field of maternal health. C-section rates vary widely throughout the US – from 7 to 70%, and where a woman delivers better predicts whether she will get a c-section than her own personal risk factors. So, Michael Murphy’s contention that “Architecture is never neutral. It either heals or hurts” stayed with Neel and inspired him to pursue a research initiative between Mass Design and his research group, Ariadne Labs. Neel Shah and two of his collaborators, Amie Shao and Deb Rosenberg, researchers and architects with Mass Design, join us to talk about their collaboration and the report they produced. Amie Shao is a director with MASS Design Group, where she oversees research focusing on health infrastructure planning and evaluation. In addition to guiding impact research for MASS built projects, she coordinated the production of National Health Infrastructure Standards for the Liberian Ministry of Health and has been involved in the design and evaluation of healthcare facilities in Haiti, Africa, and the United States. Deb Rosenberg joined MASS in 2015, with a unique background in healthcare and architecture. Throughout her career in nursing and architecture is a common ambition to promote health and well-being, and she believes that the spaces where people live, work and heal have the capacity to greatly support or restrict our human potential. Neel Shah, MD, MPP, is Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and director of the Delivery Decisions Initiative at Ariadne Labs. His team is currently collaborating with hospitals across the United States, and using methods from design, systems engineering, and management to reduce the epidemic of avoidable c-sections. If you enjoyed the show, please give us 5 stars wherever you listen. Tweet us your thoughts @rospodcast and check out our facebook page at www.facebook.com/reviewofsystems. Or, you can email us at audreyATrospod.org. We’d love to hear from you, and thanks for listening. Listen at the end of the episode for a promo code to receive 15% off registration fees for an upcoming conference from the Harvard Center for Primary Care: Primary Care in 2020 – Future Challenges, Tips for Today.

Dr. Neel Shah is an assistant professor of obstetrics at Harvard Medical School and director of the Delivery Decisions Initiative at Ariadne Labs. Dr. Amy Edmondson is a professor of leadership and management at Harvard Business School. Dr. Thoralf Sundt is a professor of surgery and chief of cardiac surgery at Massachusetts General Hospital. Dr. Lisa Rosenbaum, the moderator, is a national correspondent for the Journal. L. Rosenbaum. The Not-My-Problem Problem. N Engl J Med 2019;380:881-885.

This week we’re continuing to revisit a few of my must listen to episodes! This is such an important issue and episode, even if you did listen to the first release I would highly recommend revisiting this episode. The current US cesarean rates hover around 33%. However, the World Health Organization (WHO) recommends the cesarean rate should fluctuate between 10-15%.  They even state “Cesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates” and that “every effort should be made to provide caesarean sections to women in need, rather than striving to achieve a specific rate”. Clearly there is need to further exams why cesareans are performed at such a high rate and what can be done to lower them.  In this episode of Yoga | Birth | Babies, I speak OB/GYN, Dr. Neel Shah.  Dr Shah has been recognized for his work to help reduced unnecessary caesarean births in our country.  In this podcast, we explore why in the past 40 years, cesareans have increased 500% without seeing better results for moms and babies!  He also explains where you give birth can be one of the biggest factors in the risk of having a cesarean birth.  This episode is so important for any women who may become pregnant, expectant mothers and partners.  Please enjoy! In this episode  How Dr Shah got started on this path to exploring the caesarean rate in our country. The increased cesarean rate in the US since the 1970’s and what accounts for this. Are we seeing better results for mothers and babies with this massive increase in c-sections? Recognizing there is a place of caesarean births what is the sweet spot for best outcomes with cesarean births? World Heatlh Organization (WHO) recommends caesarean rates should be between 10-15%. Risks of a cesarean surgery for both mother and baby, both short and long term. Are the risks of a c-section well explained to mother ahead of timed? Minimizing the possibility of an unnecessary c-section The role of the care provider in the likelihood of a mother having a caesarean. What role does the hospital play in the likelihood of a mother having a caesarean ? The correlation between the hospital and the c section rate. Exploring an article authored by Dr Shah-  “In the United States it appears that about half the cesareans we do may be avoidable in hindsight. Getting to perfect may be hard but there is tremendous room for improvement.”  What might be some of the red flags that you see in hindsight that may have been avoidable? Are hospitals are always the safest place to give birth? What we can learn from other countries who have created a supportive system to offer home birth. The role of midwives in US birth.   About Dr Shah: Dr. Neel Shah, MD, MPP is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and Director of the Delivery Decisions Initiative at Harvard’s Ariadne Labs. As an obstetrician-gynecologist at Beth Israel Deaconess Medical Center in Boston, Dr. Shah cares for patients during critical life moments that range from surgery to primary care to childbirth. As a scientist and social entrepreneur, he is a globally recognized expert in designing, testing, and spreading solutions that improve healthcare. Dr. Shah is listed among the “ Learn more about your ad choices. Visit megaphone.fm/adchoices

July 27, 2017 — Cesarean delivery of a baby—or C-section—is the world's most commonly performed surgery. Rates have been rising across the globe, but there has been a particularly notable increase in the United States. The C-section rate in the U.S. has jumped 500 percent since the mid-1970s and 1 in 3 babies are now born via C-section. C-section is incredibly common, but the surgery comes with risks for mothers, including hemorrhage and infection. In this week's episode, we'll take a look at efforts to figure out what is driving rising C-section rates, and what can be done to prevent them. Neel Shah, director of the Delivery Decisions Initiative at Ariadne Labs, will explain why the hospital where a woman gives birth may the single most important factor in whether or not she has a C-section. You can subscribe to this podcast by visiting iTunes, listen to it by following us on Soundcloud, and stream it on the Stitcher app. Learn more Delivery Decisions Initiative at Ariadne Labs Hospital management practices may put women at risk for C-sections, complications during childbirth (Harvard Chan School news)

esarean delivery of a baby—or C-section—is the world's most commonly performed surgery. Rates have been rising across the globe, but there has been a particularly notable increase in the United States. The C-section rate in the U.S. has jumped 500 percent since the mid-1970s and 1 in 3 babies are now born via C-section. C-section is incredibly common, but the surgery comes with risks for mothers, including hemorrhage and infection. In this week's episode, we'll take a look at efforts to figure out what is driving rising C-section rates, and what can be done to prevent them. Neel Shah, director of the Delivery Decisions Initiative at Ariadne Labs, will explain why the hospital where a woman gives birth may the single most important factor in whether or not she has a C-section.

In this episode of Yoga | Birth | Babies, I speak OB/GYN, Dr. Neel Shah.  Dr Shah has been recognized for his work to help reduced unnecessary caesarean births in our country.  In this podcast, we explore why in the past 40 years, cesareans have increased 500% without seeing better results for moms and babies!  He also explains where you give birth can be one of the biggest factors in the risk of having a cesarean birth.  This episode is so important for any women who may become pregnant, expectant mothers and partners.  Please enjoy! In this episode: How Dr Shah got started on this path to exploring the caesarean rate in our country. The increased cesarean rate in the US since the 1970’s and what accounts for this. Are we seeing better results for mothers and babies with this massive increase in c-sections? Recognizing there is a place of caesarean births what is the sweet spot for best outcomes with cesarean births? World Heatlh Organization (WHO) recommends caesarean rates should be between 10-15%. Risks of a cesarean surgery for both mother and baby, both short and long term. Are the risks of a c-section well explained to mother ahead of timed? Minimizing the possibility of an unnecessary c-section The role of the care provider in the likelihood of a mother having a caesarean. What role does the hospital play in the likelihood of a mother having a caesarean ? The correlation between the hospital and the c section rate. Exploring an article authored by Dr Shah-  “In the United States it appears that about half the cesareans we do may be avoidable in hindsight. Getting to perfect may be hard but there is tremendous room for improvement.”  What might be some of the red flags that you see in hindsight that may have been avoidable? Are hospitals are always the safest place to give birth? What we can learn from other countries who have created a supportive system to offer home birth. The role of midwives in US birth. About Dr Shah: Dr. Neel Shah, MD, MPP is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, and Director of the Delivery Decisions Initiative at Harvard’s Ariadne Labs. As an obstetrician-gynecologist at Beth Israel Deaconess Medical Center in Boston, Dr. Shah cares for patients during critical life moments that range from surgery to primary care to childbirth. As a scientist and social entrepreneur, he is a globally recognized expert in designing, testing, and spreading solutions that improve healthcare. Dr. Shah is listed among the “40 smartest people in health care” by the Becker’s Hospital Review, and has been profiled by the New York Times, CNN, and other outlets. He is senior author of the book Understanding Value-Based Healthcare (McGraw-Hill), which Don Berwick has called “an instant classic” and Atul Gawande called “a masterful primer for all clinicians.” Prior to joining the Harvard faculty, Dr. Shah founded Costs of Care, a global NGO that curates insights from clinicians to help delivery systems provide better care. In 2017, Dr. Shah co-founded the March for Moms Association, a coalition of 20 leading organizations, to increase public and private investment in the wellbeing of mothers. Follow Dr. Shah on Twitter: @Neel_Shah on in Learn more about your ad choices. Visit megaphone.fm/adchoices