A licensed obstetrician and gynecologist, Pearl Tang worked to improve the health of women and children in Maricopa County, Arizona, during the twentieth and twenty-first centuries. Her work with the Maricopa County Health Department ranged from immunizations to preventing cervical cancer. Tang obtained federal grants and community support to establish various child and maternal health clinics throughout Maricopa County as chief of the Maricopa County Bureau of Maternal and Child Health. Tang established mobile clinics, including a clinic she called the Maternity Care Bus, to address the lack of access to medical care among rural women in Arizona. She also focused on family planning through education and the distribution of contraception. Tang's efforts in Maricopa Country increased the delivery of maternal, child, and family planning care and helped lower Arizona's infant mortality rate.
Better babies contests were competitions held in state fairs throughout the US during the early twentieth century in which babies between the ages of 6 and 48 months were judged for their health. In 1908, social activist Mary de Garmo established and held the first better babies contest at the Louisiana State Fair in Shreveport, Louisiana. The contests, mirroring theories established in the US’s eugenics movement of the twentieth century, aimed to establish standards for judging infant health. Nurses and physicians judged infants participating in the contest on mental health, physical health, and physical appearance. In 1913, the Woman’s Home Companion (WHC) magazine cosponsored de Garmo’s better babies contests and introduced the competition to state fairs throughout the US. Better babies contests helped promote routine health assessments of children by medical professionals.
In 2016, physician researchers Agustin Conde-Agudelo and José Díaz-Rossello published “Kangaroo Mother Care to Reduce Morbidity and Mortality in Low Birthweight Infants,” in which they compared the effectiveness of Kangaroo Mother Care to that of traditional treatments for low birth weight newborns. Physicians began using Kangaroo Mother Care in the 1970s as a treatment for low birth weight infants. The treatment, which involves exclusive breastfeeding and skin-to-skin contact, was created to help mothers care for low birth weight infants in developing. In 2015, the World Health Organization estimated that globally, one million infants died due to complications of low birth weight, and a majority of those deaths occurred in developing countries. In their article, the authors demonstrated that Kangaroo Mother Care is just as effective as conventional medical care.
The book Infant Mortality: Results of a Field Study in Johnstown, PA., Based on Births in One Calendar Year (1915), written by Emma Duke, detailed one of the first infant mortality field studies conducted by the US Children's Bureau. In the study, Duke and her colleagues collected information about over one thousand infants in the city of Johnstown, Pennsylvania. They used that information, along with interviews conducted with the families of the infants, to identify factors that affected infant mortality rates in the community. Duke and her team found strong correlations between elevated infant mortality rates and conditions experienced by Johnstown residents of lower socioeconomic status. The design and implementation of the study described in Infant Mortality: Johnstown, PA provided a model for future Children's Bureau research that resulted in seven additional infant mortality studies in other US cities. Infant Mortality: Results of a Field Study in Johnstown, PA., Based on Births in One Calendar Year quantitatively demonstrated the link between poverty and infant mortality.
Julia Clifford Lathrop was an activist and social reformer in the late nineteenth to early twentieth centuries and the first chief of the United States Children’s Bureau. In that capacity, she conducted demographic studies to identify links between socioeconomic factors and infant mortality rates. Lathrop mobilized the effort to increase birth registration and designed programs and publications to promote infant and maternal health throughout the US. Through her studies, she empirically linked poverty and lack of education with higher than normal risks of infant and maternal mortality, and her results supported legislation aimed at lowering infant and maternal mortality in the US.