Carol is an experienced maternity care advocate, educator, researcher, author, and policy analyst. With a continuous focus on meeting the needs and interests of childbearing women and families, she works to
• improve the quality, outcomes, and value of maternity care
• give voice to the needs and interests of childbearing women and families
• advance evidence-based maternity care, woman- and family-centered health policies, and maternity care shared decision making
• help women navigate the maternity care system.
Carol has served on deliberative and advisory bodies of the National Quality Forum, National Committee for Quality Assurance, Agency for Healthcare Research and Quality, Guidelines International Network, and the US Breastfeeding Committee, among others.
Carol creates resources that are widely used to improve maternity care policy, practice, education, and research. She has served as:
• co-investigator of national Listening to Mothers surveys to illuminate experiences and views of childbearing women
• member of the PregnantMe team that is creating state-of-the-science maternity care decision aids
• lead author of the “Milbank Report,” Evidence-Based Maternity Care: What It Is and What It Can Achieve (2008)
• founding author (2003-2007) of the continuing “Current Resources for Evidence-Based Practice” column, which is published jointly in 2 professional journals
• author of the “Letter from North America” column in the journal Birth from 2006 to 2012
• member of founding team and contributor to the Consumer Panel of the Cochrane Collaboration Pregnancy and Childbirth Group
• co-author of the Cochrane review, “Continuous Support for Women During Childbirth”
Carol helps foster, develop, and/or apply high-quality clinical effectiveness tools – including systematic reviews, performance measures, clinical practice guidelines, and decision aids – to help address widely recognized patterns of maternity care overuse, underuse, and practice variation.
Diversity, Equity, Inclusion and Accessibility
My full-time job is as Senior Director for Maternal Health at the National Partnership for Women & Families. At the National Partnership, we center those who have been most adversely affected by racism and other forms of discrimination and work to ensure that everyone can live with dignity, respect, and economic security. Within our Health Justice policy team, we incorporate and work to advance equity in all of our work. For me, this shows up in partnerships with both legacy organizations and newer equity-forward groups and intentional language. I incorporate equity into longer-term work to transform the maternity care system (for example, a forthcoming report on the importance of building equity into design elements of maternity care alternative payment models) and in shorter-term work to increase access to community-based and other high-performing maternal care care models that can mitigate racism and other harms. As a white cisgendered woman with lots of privilege, I feel I have a primary responsibility to adopt the understanding of challenges and solutions and follow the lead of those who are most affected by racism and bias. I am deeply inspired by the wisdom, leadership, organization, and success of the birth justice community.
Publications listed below are automatically derived from MEDLINE/PubMed and other
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Sakala C, Hernández-Cancio S, Wei R. Improving Our Maternity Care Now Through Community Birth Settings. J Perinat Educ. 2022 Oct 01; 31(4):184-187. PMID: 36277227; PMCID: PMC9584101; DOI: 10.1891/JPE-2022-0015;
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Sakala C, Hernández-Cancio S, Mackay E, Wei R. Improving Our Maternity Care Now Through Midwifery. J Perinat Educ. 2022 Oct 01; 31(4):181-183. PMID: 36277225; PMCID: PMC9584105; DOI: 10.1891/JPE-2022-0014;
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Levine A, Souter V, Sakala C. Are perinatal quality collaboratives collaborating enough? How including all birth settings can drive needed improvement in the United States maternity care system. Birth. 2022 03; 49(1):3-10. PMID: 34698401; PMCID: PMC9298427; DOI: 10.1111/birt.12600;
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Edmonds JK, Declercq E, Sakala C. Women's childbirth experiences: A content analysis from the Listening to Mothers in California survey. Birth. 2021 06; 48(2):221-229.View Related Profiles. PMID: 33538003
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Sakala C. Toward a Workforce That Reliably Delivers High-Value Maternity Care in the United States. J Midwifery Womens Health. 2020 09; 65(5):605-608. PMID: 32232959
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Declercq ER, Belanoff C, Sakala C. Intrapartum Care and Experiences of Women with Midwives Versus Obstetricians in the Listening to Mothers in California Survey. J Midwifery Womens Health. 2020 Jan; 65(1):45-55.View Related Profiles. PMID: 31448884; PMCID: PMC7028014; DOI: 10.1111/jmwh.13027;
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Nijagal MA, Wissig S, Stowell C, Olson E, Amer-Wahlin I, Bonsel G, Brooks A, Coleman M, Devi Karalasingam S, Duffy JMN, Flanagan T, Gebhardt S, Greene ME, Groenendaal F, R Jeganathan JR, Kowaliw T, Lamain-de-Ruiter M, Main E, Owens M, Petersen R, Reiss I, Sakala C, Speciale AM, Thompson R, Okunade O, Franx A. Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal. BMC Health Serv Res. 2018 Dec 11; 18(1):953. PMID: 30537958; PMCID: PMC6290550; DOI: 10.1186/s12913-018-3732-3;
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Kennedy HP, Kozhimannil KB, Sakala C. Using the Blueprint for Advancing High-Value Maternity Care for transformative change. Birth. 2018 12; 45(4):331-335. PMID: 30379349
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Declercq ER, Cheng ER, Sakala C. Does maternity care decision-making conform to shared decision- making standards for repeat cesarean and labor induction after suspected macrosomia? Birth. 2018 09; 45(3):236-244.View Related Profiles. PMID: 29934981
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Avery MD, Bell AD, Bingham D, Corry MP, Delbanco SF, Gullo SL, Ivory CH, Jennings JC, Kennedy HP, Kozhimannil KB, Leeman L, Lothian JA, Miller HD, Ogburn T, Romano A, Sakala C, Shah NT. Blueprint for Advancing High-Value Maternity Care Through Physiologic Childbearing. J Perinat Educ. 2018 Jun; 27(3):130-134. PMID: 30364339; PMCID: PMC6193356; DOI: 10.1891/1058-1243.27.3.130;
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Sakala C, Romano AM, Buckley SJ. Hormonal Physiology of Childbearing, an Essential Framework for Maternal-Newborn Nursing. J Obstet Gynecol Neonatal Nurs. 2016 Mar-Apr; 45(2):264-75; quiz e3-4. PMID: 26826397; DOI: 10.1016/j.jogn.2015.12.006;
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Strauss N, Sakala C, Corry MP. Overdue: Medicaid and Private Insurance Coverage of Doula Care to Strengthen Maternal and Infant Health. J Perinat Educ. 2016; 25(3):145-149. PMID: 30538411; PMCID: PMC6265610; DOI: 10.1891/1058-1243.25.3.145;
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King VJ, Fontaine PL, Atwood LA, Powers E, Leeman L, Ecker JL, Avery MD, Sakala C, Campos-Outcalt D, Jeffcott-Pera M, Schoof B. Clinical practice guideline executive summary: Labor after cesarean/planned vaginal birth after cesarean. Ann Fam Med. 2015 Jan-Feb; 13(1):80-1. PMID: 25583896; PMCID: PMC4291269; DOI: 10.1370/afm.1738;
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Jou J, Kozhimannil KB, Johnson PJ, Sakala C. Patient-Perceived Pressure from Clinicians for Labor Induction and Cesarean Delivery: A Population-Based Survey of U.S. Women. Health Serv Res. 2015 Aug; 50(4):961-81. PMID: 25250981; PMCID: PMC4545342; DOI: 10.1111/1475-6773.12231;
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Sakala C, Newburn M. Meeting needs of childbearing women and newborn infants through strengthened midwifery. Lancet. 2014 Sep 20; 384(9948):e39-40. PMID: 24965817; DOI: 10.1016/S0140-6736(14)60856-4;
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Declercq ER, Sakala C, Corry MP, Applebaum S, Herrlich A. Major Survey Findings of Listening to Mothers(SM) III: New Mothers Speak Out: Report of National Surveys of Women's Childbearing ExperiencesConducted October-December 2012 and January-April 2013. J Perinat Educ. 2014; 23(1):17-24.View Related Profiles. PMID: 24453464; PMCID: PMC3894591; DOI: 10.1891/1058-1243.23.1.17;
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Declercq ER, Sakala C, Corry MP, Applebaum S, Herrlich A. Major Survey Findings of Listening to Mothers(SM) III: Pregnancy and Birth: Report of the Third National U.S. Survey of Women's Childbearing Experiences. J Perinat Educ. 2014; 23(1):9-16.View Related Profiles. PMID: 24453463; PMCID: PMC3894594; DOI: 10.1891/1058-1243.23.1.9;
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Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2013 07 15; 7:CD003766. PMID: 23857334; DOI: 10.1002/14651858.CD003766.pub5;
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Brody H, Sakala C. Revisiting "The maximin strategy in modern obstetrics". J Clin Ethics. 2013; 24(3):198-206. PMID: 24282847
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Sakala C, Yang YT, Corry MP. Maternity care and liability: pressing problems, substantive solutions. Womens Health Issues. 2013 Jan; 23(1):e7-13. PMID: 23312715; DOI: 10.1016/j.whi.2012.11.001;
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Sakala C, Yang YT, Corry MP. Maternity care and liability: most promising policy strategies for improvement. Womens Health Issues. 2013 Jan; 23(1):e25-37. PMID: 23312711; DOI: 10.1016/j.whi.2012.11.003;
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Sakala C, Yang YT, Corry MP. Maternity care and liability: least promising policy strategies for improvement. Womens Health Issues. 2013 Jan; 23(1):e15-23. PMID: 23312710; DOI: 10.1016/j.whi.2012.11.002;
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Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2012 Oct 17; 10:CD003766. PMID: 23076901; DOI: 10.1002/14651858.CD003766.pub4;
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Hodnett ED, Gates S, Hofmeyr GJ, Sakala C, Weston J. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2011 Feb 16; (2):CD003766. PMID: 21328263; DOI: 10.1002/14651858.CD003766.pub3;
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Boivin A, Currie K, Fervers B, Gracia J, James M, Marshall C, Sakala C, Sanger S, Strid J, Thomas V, van der Weijden T, Grol R, Burgers J. Patient and public involvement in clinical guidelines: international experiences and future perspectives. Qual Saf Health Care. 2010 Oct; 19(5):e22. PMID: 20427302; DOI: 10.1136/qshc.2009.034835;
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Jolivet RR, Corry MP, Sakala C. Transforming maternity care key: informant interview summary. Womens Health Issues. 2010 Jan-Feb; 20(1 Suppl):S79-80. PMID: 20123186; DOI: 10.1016/j.whi.2009.11.010;
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Carter MC, Corry M, Delbanco S, Foster TC, Friedland R, Gabel R, Gipson T, Jolivet RR, Main E, Sakala C, Simkin P, Simpson KR. 2020 vision for a high-quality, high-value maternity care system. Womens Health Issues. 2010 Jan-Feb; 20(1 Suppl):S7-17. PMID: 20123185; DOI: 10.1016/j.whi.2009.11.006;
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Jolivet RR, Corry MP, Sakala C. Transforming maternity care: a high-value proposition: summary of Childbirth Connection 90th Anniversary Symposium proceedings. Womens Health Issues. 2010 Jan-Feb; 20(1 Suppl):S50-66. PMID: 20123183; DOI: 10.1016/j.whi.2009.11.004;
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Jolivet RR, Corry MP, Sakala C. Transforming maternity care: a high-value proposition: project history and methodology. Womens Health Issues. 2010 Jan-Feb; 20(1 Suppl):S4-6. PMID: 20123182; DOI: 10.1016/j.whi.2009.11.013;
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Angood PB, Armstrong EM, Ashton D, Burstin H, Corry MP, Delbanco SF, Fildes B, Fox DM, Gluck PA, Gullo SL, Howes J, Jolivet RR, Laube DW, Lynne D, Main E, Markus AR, Mayberry L, Mitchell LV, Ness DL, Nuzum R, Quinlan JD, Sakala C, Salganicoff A. Blueprint for action: steps toward a high-quality, high-value maternity care system. Womens Health Issues. 2010 Jan-Feb; 20(1 Suppl):S18-49. PMID: 20123180; DOI: 10.1016/j.whi.2009.11.007;
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Sakala C, Corry MP. Achieving the institute of medicine's six aims for improvement in maternity care. Womens Health Issues. 2008 Mar-Apr; 18(2):75-8. PMID: 18222705; DOI: 10.1016/j.whi.2007.12.001;
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Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2007 Jul 18; (3):CD003766. PMID: 17636733; DOI: 10.1002/14651858.CD003766.pub2;
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Sakala C, Corry MP. Listening to Mothers II reveals maternity care quality chasm. J Midwifery Womens Health. 2007 May-Jun; 52(3):183-5. PMID: 17467583; DOI: 10.1016/j.jmwh.2007.03.011;
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Declercq ER, Sakala C, Corry MP, Applebaum S. Listening to Mothers II: Report of the Second National U.S. Survey of Women's Childbearing Experiences: Conducted January-February 2006 for Childbirth Connection by Harris Interactive(R) in partnership with Lamaze International. J Perinat Educ. 2007; 16(4):9-14.View Related Profiles. PMID: 18769512; PMCID: PMC2174380; DOI: 10.1624/105812407X244769;
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Declercq ER, Sakala C, Corry MP, Applebaum S. Listening to Mothers II: Report of the Second National U.S. Survey of Women's Childbearing Experiences: Conducted January-February 2006 for Childbirth Connection by Harris Interactive(R) in partnership with Lamaze International. J Perinat Educ. 2007; 16(4):15-7.View Related Profiles. PMID: 18769522; PMCID: PMC2174391; DOI: 10.1624/105812407X244778;
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Sakala C, Mayberry LJ. Vaginal or cesarean birth? Application of an advocacy organization-driven research translation model. Nurs Res. 2006 Mar-Apr; 55(2 Suppl):S68-74. PMID: 16601637
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Sakala C. Current resources for evidence-based practice, July/August 2005. J Midwifery Womens Health. 2005 Jul-Aug; 50(4):354-6. PMID: 15973281; DOI: 10.1016/j.jmwh.2005.04.007;
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Sakala C. Current resources for evidence-based practice January/February 2005. J Midwifery Womens Health. 2005 Jan-Feb; 50(1):55-7. PMID: 15637516; DOI: 10.1016/j.jmwh.2004.10.004;
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Sakala C. Resources for evidence-based practice, March/April 2004. J Obstet Gynecol Neonatal Nurs. 2004 Mar-Apr; 33(2):231-4. PMID: 15095802
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Sakala C. Resources for evidence-based practice, March/April 2004. J Midwifery Womens Health. 2004 Mar-Apr; 49(2):148-50. PMID: 15010669; DOI: 10.1016/j.jmwh.2003.12.015;
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Sakala C. Resources for evidence-based practice, January/February 2004. J Obstet Gynecol Neonatal Nurs. 2004 Jan-Feb; 33(1):88-91. PMID: 14971557
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Sakala C. Resources for evidence-based practice, January/February 2004. J Midwifery Womens Health. 2004 Jan-Feb; 49(1):53-6. PMID: 14710142; DOI: 10.1016/j.jmwh.2003.10.015;
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Sakala C. Resources for evidence-based practice, September-October 2003. J Obstet Gynecol Neonatal Nurs. 2003 Sep-Oct; 32(5):630-5. PMID: 14565742
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Sakala C. Resources for evidence-based practice, September/October 2003. J Midwifery Womens Health. 2003 Sep-Oct; 48(5):360-4. PMID: 14526351
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Sakala C. Resources for evidence-based practice, July-August 2003. J Obstet Gynecol Neonatal Nurs. 2003 Jul-Aug; 32(4):509-13. PMID: 12903701
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Sakala C, Corry MP. Much research is needed to provide fully informed consent about mode of delivery. Am J Obstet Gynecol. 2003 May; 188(5):1380; author reply 1380. PMID: 12748517
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Sakala C. Resources for evidence-based practice, March-April 2003. J Obstet Gynecol Neonatal Nurs. 2003 Mar-Apr; 32(2):222-5. PMID: 12685674
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Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2003; (3):CD003766. PMID: 12917986; DOI: 10.1002/14651858.CD003766;
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Sakala C, Declercq ER, Corry MP. Listening to Mothers: the first national U.S. survey of women's childbearing experiences. J Obstet Gynecol Neonatal Nurs. 2002 Nov-Dec; 31(6):633-4.View Related Profiles. PMID: 12465855
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Caton D, Corry MP, Frigoletto FD, Hopkins DP, Lieberman E, Mayberry L, Rooks JP, Rosenfield A, Sakala C, Simkin P, Young D. The nature and management of labor pain: executive summary. Am J Obstet Gynecol. 2002 May; 186(5 Suppl Nature):S1-15. PMID: 12011869
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Sakala C, Gyte G, Henderson S, Neilson JP, Horey D. Consumer-professional partnership to improve research: the experience of the Cochrane Collaboration's Pregnancy and Childbirth Group. Birth. 2001 Jun; 28(2):133-7. PMID: 11380386
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Sakala C, Corry MP. What is evidence-based health care? J Midwifery Womens Health. 2001 May-Jun; 46(3):127-8. PMID: 11480743
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Sakala C, Swenson N. Murray Enkin: celebration and tribute. Birth. 1999 Mar; 26(1):1-3. PMID: 10352047
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Sakala C. The Cochrane pregnancy and childbirth database. Implications for perinatal care policy and practice in the United States. Eval Health Prof. 1995 Dec; 18(4):428-66. PMID: 10153166; DOI: 10.1177/016327879501800406;
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Sakala C. Mankind under threat -- Vatican. Z Mag. 1994 Jul-Aug; 5-6. PMID: 12287983
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Sakala C. Midwifery care and out-of-hospital birth settings: how do they reduce unnecessary cesarean section births? Soc Sci Med. 1993 Nov; 37(10):1233-50. PMID: 8272902
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Sakala C. Medically unnecessary cesarean section births: introduction to a symposium. Soc Sci Med. 1993 Nov; 37(10):1177-98. PMID: 8272898
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Sakala C. The development of national medical care programs in the United Kingdom and Canada: applicability to current conditions in the United States. J Health Polit Policy Law. 1990; 15(4):709-53. PMID: 2081885
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Sakala C. Community-based, community-oriented maternity care. Am J Public Health. 1989 Jul; 79(7):897-8. PMID: 2735485; PMCID: PMC1349680
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Sakala C. Content of care by independent midwives: assistance with pain in labor and birth. Soc Sci Med. 1988; 26(11):1141-58. PMID: 3393932
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Sakala C. Migrant and seasonal farmworkers in the United States: a review of health hazards, status, and policy. Int Migr Rev. 1987; 21(3):659-87. PMID: 12314900
This graph shows the total number of publications by year, by first, middle/unknown,
or last author.
Year | Publications |
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1987 | 1 |
1988 | 1 |
1989 | 1 |
1990 | 1 |
1993 | 2 |
1994 | 1 |
1995 | 1 |
1999 | 1 |
2001 | 2 |
2002 | 2 |
2003 | 6 |
2004 | 5 |
2005 | 2 |
2006 | 2 |
2007 | 5 |
2008 | 3 |
2009 | 2 |
2010 | 7 |
2011 | 4 |
2012 | 2 |
2013 | 6 |
2014 | 4 |
2015 | 2 |
2016 | 2 |
2017 | 1 |
2018 | 4 |
2019 | 1 |
2020 | 3 |
2021 | 2 |
2022 | 2 |
2021 Coalition for Excellence in MCH Epidemiology:
Effective Practice at the National Level Award (with Maureen P. Corry)
2005 National Women's Health Network:
Honored as Women's Health Activist
1986-1988 Boston University:
Pew Health Policy Fellowship
1986-1987 Frieda Wolff National Health Service Fund Doctoral Research Fellowship
1985 University of Utah:
Phi Kappa Phi National Honorary Society