Oral

• Innovations in Maternity Health Services: In 2008 we are facing increasing problems in access to Maternity Care, shortages of providers, increasing mal practice insurance costs and consumer insurance costs, decreasing insurance coverage, with decreases in consumer options. This session will discuss some of the newest innovations in normal birth culture, creative solutions to access to care for all childbearing women and families including, midwives doulas, culturally appropriate carea and out of hospital settings for birth.

Session Objectives: 1 Identify 3 reasons why in most studies it is usually difficult to evaluate the differences in risk between home and hospital birth 2 Learn how the labor and delivery environment affect early lactation outcomes 3 Identify factors that may contribute to improved health outcomes among Latina expectant mothers and their infants. 4 Recognize that when evaluating neonatal mortality between data sets, adjustments may need to be made to make suitable comparisons of risk.