A new study by Stanford economists shows that giving fathers flexibility to take time off work in the months after their children are born improves the postpartum health and mental well-being of mothers.

In the study, slated for release by the National Bureau of Economic Research on June 3, Petra Persson and Maya Rossin-Slater examined the effects of a reform in Sweden that introduced more flexibility into the parental leave system. The 2012 law removed a prior restriction preventing a child’s mother and father from taking paid leave at the same time. And it allowed fathers to use up to 30 days of paid leave on an intermittent basis within a year of their child’s birth while the mothers were still on leave.

The policy change resulted in some clear benefits toward the mother’s health, including reductions in childbirth-related complications and postpartum anxiety, according to their empirical analysis.

“A lot of the discussion around how to support mothers is about mothers being able to take leave, but we often don’t think about the other part of the equation — fathers,” says Rossin-Slater, an assistant professor of health research and policy.

“Our study underscores that the father’s presence in the household shortly after childbirth can have important consequences for the new mother's physical and mental health,” says Persson, an assistant professor of economics.

Rossin-Slater and Persson are both faculty fellows at the Stanford Institute for Economic Policy Research.

Among their main findings of effects following the reform: Mothers are 14 percent less likely to need a specialist or be admitted to a hospital for childbirth-related complications — such as mastitis or other infections — within the first six months of childbirth. And they are 11 percent less likely to get an antibiotic prescription within that first half-year of their baby’s life.

There is also an overall 26 percent drop in the likelihood of any anti-anxiety prescriptions during that six-month postpartum period — with reductions in prescriptions being most pronounced during the first three months after childbirth.

What’s more, the study found that the average new father used paid leave for only a few days following the reform — far less than the maximum 30 days allowed — indicating how strong of a difference a couple of days of extra support for the mother could make.

“The key here is that families are granted the flexibility to decide, on a day-to-day basis, exactly when to have the dad stay home,” said Persson. “If, for example, the mom gets early symptoms of mastitis while breastfeeding, the dad can take one or two days off from work so that the mom can rest, which may avoid complications from the infection or the need for antibiotics.”

These indirect benefits from giving fathers workplace flexibility are not trivial matters when you consider the health issues mothers often face after childbirth and after they get home from the hospital, says Rossin-Slater, who is also a faculty member of Stanford Health Policy.

Infections and childbirth complications lead to one out of 100 women getting readmitted to the hospital within 30 days in the United States, according to the study.

Meanwhile, postpartum depression occurs for about one out of nine women, and maternal mortality has also been a rising trend over the past 25 years in the U.S.

The study comes as a growing number of lawmakers in the United States vocalize support for paid family leave but have failed to pass federal legislation.

Washington, D.C., and six states have adopted various paid family leave laws, but the U.S. remains the only industrialized nation in the world that does not have a national mandate guaranteeing a certain amount of paid parental leave.

Some federal lawmakers are working on family leave measures and have proposed such legislation over the past few years — including The Family Act, The New Parents Act — but none of them have ever gained enough traction to proceed in Congress.

This new study can help broaden the policy discussions, the researchers say.

The larger context around paid family leave policies is often framed today as a way to help narrow the gender wage gap by giving women more workplace flexibility and fewer career setbacks.

This study, however, shines a light on maternal health costs and how a policy on paid family leave — that includes workplace flexibility for the father — offers more benefits than previously thought, Rossin-Slater says.

“It's important to think not only about giving families access to some leave, but also about letting them have agency over how they use it,” she says.

And when it comes to concerns that fathers might use paid parental leave to goof off instead of spending the time as intended, the researchers say their study should assuage those worries.

“It's not like fathers are going to end up using a whole month to just stay home and watch TV. We don't find any evidence of that,” Rossin-Slater says. “Instead they only use a limited number of days precisely when the timing for that seems most beneficial for the family.”

“For all these reasons,” Persson says, “giving households flexibility in how to use paternity leave makes a lot of sense.”

As China and Russia attack free governments and push strongman rule, the U.S. has gone silent—and a new tide of authoritarianism is gathering, writes Larry Diamond. Read here.

Does the current trade-talk stalemate between the U.S. and China portend a larger confrontation? Oksenberg-Rohlen Fellow David Lampton says yes, and shared with VOA Asia reasons for why the two countries find themselves so much at odds. Listen below (first 8 minutes):

Our MIP student, Keunwang Nah, chose Stanford “because it is the birthplace of innovations that change the world, but it can also be the birthplace of sound policy that can manage the potentially negative impacts technology can have on society.” Find out more on our FSI blog. #MIPFeatureFriday 

Tomorrow marks the 150th anniversary of the completion of the First Transcontinental Railroad. The tracks of the Central Pacific and Union Pacific Railroads met at Promontory, Utah, on May 10, 1869. In a ceremony, Central Pacific Railroad President Leland Stanford drove the last spike, now usually referred to as the “Golden Spike,” at Promontory Summit. What has largely been left out of the narrative of the First Transcontinental Railroad is the estimated 15,000 to 20,000 Chinese laborers who worked on the Central Pacific Railroad. They were paid less than the white workers and as many as a thousand lost their lives, and they eventually made up 90 percent of the workforce that laid the 690 miles of track between Sacramento, California, and Promontory. In a recent Stanford News article, Olive H. Palmer Professor in Humanities Gordon Chang, one of the lead scholars of Stanford’s Chinese Railroad Workers in North America Project, noted that “Without the Chinese migrants, the Transcontinental Railroad would not have been possible. If it weren’t for their work, Leland Stanford could have been at best a footnote in history, and Stanford University may not even exist.”

Provost Persis Drell with SPICE Director Gary Mukai and SPICE Instructional Designer Jonas Edman

At the event, SPICE Curriculum Consultant Gregory Francis and I gave an overview of the curricular component of the Project, which helps to make the Project’s findings and materials accessible to teachers and students. The four free lesson plans that SPICE developed bring all of the Project’s “bells and whistles” to high school students and help them understand this often-overlooked part of U.S. history.

The Chinese Railroad Workers Project lessons touch upon many key issues in the high school U.S. history standards, including the building of the Transcontinental Railroad, immigration to the United States, challenges faced by immigrants like the Chinese Exclusion Act, and the growth of the American West. SPICE worked closely with Chang, Fishkin, and Dr. Roland Hsu, Director of Research at the Chinese Railroad Workers in North America Project, to plan and write the free lesson plans, which are available for download from the SPICE website. Each lesson incorporates the Project’s scholarship and primary sources.

Lesson 1 focuses on the use of primary sources to understand and interpret the past. Students review resources and artifacts on the Project website, discuss whether each is a primary or secondary source, and postulate what questions the resource could help them answer. Students then read and discuss excerpts from Maxine Hong Kingston’s classic book China Men.

One of the political cartoons (Harper’s Weekly, April 1, 1882) that students examine in the lesson “Challenges to Chinese Immigration and Assimilation”

Lesson 2 focuses on racism and discrimination broadly and in the specific context of discrimination directed toward early Chinese immigrants in the United States. Students learn the history of Chinese Americans and attitudes toward them during various periods of immigration. They analyze U.S. political cartoons on Chinese immigrants from the 1870s and 1880s and read four short documents from different periods of time regarding issues of immigration, discrimination, and assimilation of Chinese Americans.

Lesson 3 uses photos to show students the physical and natural challenges to building the Transcontinental Railroad and asks them what they can infer from these photos about life building the railroad. Students then work in small groups to read oral histories of descendants of the Chinese railroad workers. They then write and perform a mock script for an interview between the Chinese railroad worker they read about and a group of reporters.

The final lesson explores the historical and cultural background of San Francisco’s Chinatown and its significance to the Chinese community in the United States over time. Students compare descriptions of Chinatown written by Chinese residents with those from non-Chinese visitors, view historical photos of Chinatown, and watch a lecture by Chang on the interdependence of Chinatown and the Chinese railroad workers. Finally, students encapsulate the legacy of the Chinese railroad workers by designing a memorial in their honor.

“We are now entering not just a post-American but post-Western era.  In many ways the contours of the emerging world order are unclear.  But one aspect of them is certain: China will play a larger and the U.S. a lesser role than before in global and regional governance.” -   Ambassador Freeman

On May 3, the China Program’s colloquia series “A New Cold War?: Sharp Power, Strategic Competition, and the Future of U.S.-China Relations” closed with a seminar by Ambassador Chas W. Freeman. Ambassador Freeman discussed how President Trump’s trade war has impacted Sino-American relations on multiple levels, and how—for better or ill—Washington appears poised to dismantle China’s interdependence with the American economy, limit its role in global governance, counter its investments, and block its technological advances.

Audio from the event, as well as copy of the ambassador’s prepared remarks, is now available:

Ambassador Chas W. Freeman, Jr. is a senior fellow at Brown University's Watson Institute for International and Public Affairs. He is the former assistant secretary of defense for international security affairs (1993–1994), ambassador to Saudi Arabia (1989–1992), principal deputy assistant secretary of state for African affairs (1986–1989), and chargé d'affaires at Bangkok (1984–1986) and Beijing (1981–1984). He served as vice chair of the Atlantic Council (1996-2008); co-chair of the United States China Policy Foundation (1996–2009); and president of the Middle East Policy Council (1997–2009). He was the principal American interpreter during President Nixon's path-breaking 1972 visit to Beijing, the editor of the Encyclopedia Britannica article on diplomacy, and the author of America’s Continuing Misadventures in the Middle East; Interesting Times: China, America, and the Shifting Balance of Prestige; America’s Misadventures in the Middle East; The Diplomat’s Dictionary; and Arts of Power: Statecraft and Diplomacy. A compendium of his speeches is available at chasfreeman.net.