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Certified nurse midwife

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https://www.readbyqxmd.com/read/27886948/variation-in-hospital-intrapartum-practices-and-association-with-cesarean-rate
#1
Lisbet S Lundsberg, Jessica L Illuzzi, Aileen M Gariepy, Sangini S Sheth, Christian M Pettker, Henry C Lee, Heather S Lipkind, Xiao Xu
OBJECTIVE: To examine hospital variation in intrapartum care and its relationship with cesarean rates. DESIGN: Cross-sectional survey. SETTING: Connecticut and Massachusetts hospitals providing obstetric services. PARTICIPANTS: Nurse managers or other clinical staff knowledgeable about intrapartum care. METHODS: We assessed labor and birth unit capacity and staffing, fetal monitoring, labor management, intrapartum interventions, newborn care, quality assurance, and performance review practices...
November 22, 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/27500343/accuracy-of-home-based-ultrasonographic-diagnosis-of-obstetric-risk-factors-by-primary-level-health-care-workers-in-rural-nepal
#2
Naoko Kozuki, Luke C Mullany, Subarna K Khatry, Ram K Ghimire, Sharma Paudel, Karin Blakemore, Christine Bird, James M Tielsch, Steven C LeClerq, Joanne Katz
OBJECTIVE: To assess the feasibility of ultrasonographic task shifting by estimating the accuracy at which primary-level health care workers can perform community-based third-trimester ultrasound diagnosis for selected obstetric risk factors in rural Nepal. METHODS: Three auxiliary nurse-midwives received two 1-week ultrasound trainings at Tribhuvan University Teaching Hospital in Kathmandu. At a study site in rural Nepal, pregnant women who were 32 weeks of gestation or greater were enrolled and received ultrasound examinations from the auxiliary nurse-midwives during home visits...
September 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27454733/committee-opinion-no-669-planned-home-birth
#3
(no author information available yet)
In the United States, approximately 35,000 births (0.9%) per year occur in the home. Approximately one fourth of these births are unplanned or unattended. Although the American College of Obstetricians and Gynecologists believes that hospitals and accredited birth centers are the safest settings for birth, each woman has the right to make a medically informed decision about delivery. Importantly, women should be informed that several factors are critical to reducing perinatal mortality rates and achieving favorable home birth outcomes...
August 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27454729/committee-opinion-no-669-summary-planned-home-birth
#4
(no author information available yet)
In the United States, approximately 35,000 births (0.9%) per year occur in the home. Approximately one fourth of these births are unplanned or unattended. Although the American College of Obstetricians and Gynecologists believes that hospitals and accredited birth centers are the safest settings for birth, each woman has the right to make a medically informed decision about delivery. Importantly, women should be informed that several factors are critical to reducing perinatal mortality rates and achieving favorable home birth outcomes...
August 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27357697/postpartum-health-services-requested-by-mothers-with-newborns-receiving-intensive-care
#5
Sarah Verbiest, Erin McClain, Alison Stuebe, M Kathryn Menard
Objectives Our pilot study aimed to build knowledge of the postpartum health needs of mothers with infants in a newborn intensive care unit (NICU). Methods Between May 2008 and December 2009, a Certified Nurse Midwife was available during workday hours to provide health care services to mothers visiting their infants in the NICU at a large tertiary care center. Results A total of 424 health service encounters were recorded. Maternal requests for services covered a wide variety of needs, with primary care being the most common...
June 29, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27325046/obstetric-provider-approach-to-perinatal-oral-health
#6
Eline H Wilson, Chris Farrell, Ruth E Zielinski, Bernard Gonik
OBJECTIVE: To examine the practices and attitudes of obstetric providers in the state of Michigan on their approach to perinatal oral health. METHODS: An online survey was distributed using health care provider databases in the state of Michigan. Descriptive statistics were tabulated and Fisher's Exact Test was used for categorical variables. RESULTS: There were 146 respondents, 80 obstetrician-gynecologist (OB/GYN) and 66 certified nurse midwife (CNM) providers...
July 11, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27187582/neonatal-mortality-of-planned-home-birth-in-the-united-states-in-relation-to-professional-certification-of-birth-attendants
#7
Amos Grünebaum, Laurence B McCullough, Birgit Arabin, Robert L Brent, Malcolm I Levene, Frank A Chervenak
INTRODUCTION: Over the last decade, planned home births in the United States (US) have increased, and have been associated with increased neonatal mortality and other morbidities. In a previous study we reported that neonatal mortality is increased in planned home births but we did not perform an analysis for the presence of professional certification status. PURPOSE: The objective of this study therefore was to undertake an analysis to determine whether the professional certification status of midwives or the home birth setting are more closely associated with the increased neonatal mortality of planned midwife-attended home births in the United States...
2016: PloS One
https://www.readbyqxmd.com/read/27148997/midwifing-the-end-of-life-expanding-the-scope-of-modern-midwifery-practice-to-reclaim-palliative-care
#8
REVIEW
Cheri Van Hoover, Lisa Holt
Historically, midwives held an important role in society as cradle-to-grave practitioners who eased individuals, families, and communities through difficult transitions across the life span. In the United States, during the first half of the 20th century, physicians assumed care for people during birth and death, moving these elements of the human experience from homes into the hospital setting. These changes in practice resulted in a dehumanization of birth and death experiences and led to detachment from what it means to be human among members of society...
May 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/27084367/obstetric-provider-maldistribution-georgia-usa-2011
#9
Bridget Spelke, Adrienne D Zertuche, Roger Rochat
Objectives In 2010, Georgia had the nation's highest maternal mortality rate, sixteenth highest infant mortality rate, and a waning obstetrician/gynecologist (ob/gyn) workforce. Statewide ob/gyn workforce data, however, masked obstetric-specific care shortages and regional variation in obstetric services. The Georgia Maternal and Infant Health Research Group thereby assessed each Georgia region's obstetric provider workforce to identify service-deficient areas. Methods We identified 63 birthing facilities in the 82 Primary Care Service Areas (PCSAs) outside metropolitan Atlanta and interviewed nurse managers and others to assess the age, sex, and expected departure year of each delivering professional...
July 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/26970401/telephone-administered-interpersonal-psychotherapy-by-nurse-midwives-for-postpartum-depression
#10
Bobbie Posmontier, Richard Neugebauer, Scott Stuart, Jesse Chittams, Rita Shaughnessy
INTRODUCTION: Postpartum depression (PPD) affects 7% to 13% of childbearing women. Access to care may be limited by maternal time constraints and fears of being judged, labeled as mentally ill, and having their infants taken away. The study's objective was to test the feasibility, effectiveness, and acceptability of certified nurse-midwife telephone-administered interpersonal psychotherapy (CNM-IPT) as a treatment for PPD. METHODS: A prospective cohort study was conducted from 2010 to 2014...
July 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/26965196/state-scope-of-practice-laws-nurse-midwifery-workforce-and-childbirth-procedures-and-outcomes
#11
Y Tony Yang, Laura B Attanasio, Katy B Kozhimannil
BACKGROUND: Despite research indicating that health, cost, and quality of care outcomes in midwife-led maternity care are comparable with and in some case preferable to those for patients with physician-led care, midwifery plays a more important role in some U.S. states than in others. However, this variability is not well-understood. OBJECTIVES: This study estimates the association between state scope of practice laws related to the autonomy of midwifery practice with the certified nurse-midwifery (CNM) workforce, access to midwife-attended births, and childbirth-related procedures and outcomes...
May 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/26862726/-the-more-the-better-paradox-of-antenatal-ultrasound-examinations-in-low-risk-pregnancy
#12
Giuseppe Chiossi, Stefano Palomba, Sara Balduzzi, Maged M Costantine, Angela I Falbo, Giovanni B La Sala
Objective To investigate whether different antenatal care models could account for differences in operative delivery rates and adverse neonatal outcomes among low-risk pregnant women, and to identify independent variables associated with delivery modes and adverse neonatal outcomes. Study design Retrospective cohort from a single center of singleton, term, live births between January 2012 and June 2014. Rates of cesarean deliveries, operative vaginal deliveries, and neonatal morbidities were analyzed among women followed by private obstetrician-gynecologists versus national health system providers (certified nurse midwifes supervised by obstetrician-gynecologists), and adjusted for potential confounders...
June 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/26860072/expansion-of-safe-abortion-services-in-nepal-through-auxiliary-nurse-midwife-provision-of-medical-abortion-2011-2013
#13
Kathryn L Andersen, Indira Basnett, Dirgha Raj Shrestha, Meena Kumari Shrestha, Mukta Shah, Shilu Aryal
INTRODUCTION: The termination of unwanted pregnancies up to 12 weeks' gestation became legal in Nepal in 2002. Many interventions have taken place to expand access to comprehensive abortion care services. However, comprehensive abortion care services remain out of reach for women in rural and remote areas. This article describes a training and support strategy to train auxiliary nurse-midwives (ANMs), already certified as skilled birth attendants, as medical abortion providers and expand geographic access to safe abortion care to the community level in Nepal...
March 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/26619374/the-evolving-role-of-midwives-as-laborists
#14
Susan A DeJoy, Heather Z Sankey, Anissa E Dickerson, Audrey Psaltis, Amy Galli, Ronald T Burkman
This article examines the history and present state of the midwife as laborist. The role of the midwife and obstetrician laborist/hospitalist is rapidly evolving due to the need to improve patient safety and provide direct care due to reduced resident work hours, as well as practice demands experienced by community providers and other factors. Models under development are customized to meet the needs of different communities and hospitals. Midwives are playing a prominent role in many laborist/hospitalist practices as the first-line hospital provider or as part of a team with physicians...
November 2015: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/26605990/the-clinical-learning-dyad-model-an-innovation-in-midwifery-education
#15
Susanna R Cohen, Celeste R Thomas, Claudia Gerard
There is a national shortage of women's health and primary care providers in the United States, including certified nurse-midwives and certified midwives. This shortage is directly related to how many students can be trained within the existing system. The current model of midwifery clinical training is based on apprenticeship, with one-on-one interaction between a student and preceptor. Thus, the number of newly trained midwifery providers is limited by the number of available and willing preceptors. The clinical learning dyad model (CLDM), which pairs 2 beginning midwifery students with one preceptor in a busy practice, addresses this problem...
November 2015: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/26382198/practitioner-and-practice-characteristics-of-certified-professional-midwives-in-the-united-states-results-of-the-2011-north-american-registry-of-midwives-survey
#16
Melissa Cheyney, Christine Olsen, Marit Bovbjerg, Courtney Everson, Ida Darragh, Brynne Potter
INTRODUCTION: No data describing certified professional midwives (CPMs) currently exist in the literature, although CPMs attend the majority of home births in the United States. This study addresses this gap by assessing the demographics, education levels, routes to certification, and practice characteristics of currently practicing CPMs. METHODS: Data were collected from a survey of CPMs conducted by the North American Registry of Midwives (NARM) between July and October 2011...
September 2015: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/26382028/regulation-of-certified-nurse-midwife-scope-of-practice-change-in-the-professional-practice-index-2000-to-2015
#17
Margaret W Beal, Mara E Batzli, Alex Hoyt
INTRODUCTION: Certified nurse-midwives (CNMs) across the United States are educated in the same core competencies, yet scope of practice varies with state regulation. The Health Resources and Services Administration (HRSA) funded studies published in 1994 and 2004 on the professional practice environment of CNMs, nurse practitioners, and physician assistants, and developed the Certified Nurse-Midwife Professional Practice Index (CNMPPI), a 100-point scoring system of state regulation focusing on 3 domains: legal status, reimbursement, and prescriptive authority...
September 2015: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/26126255/group-prenatal-care-outcomes-in-a-military-population-a-retrospective-cohort-study
#18
Robert Bruce Walton, Sara Shaffer, Jason Heaton
OBJECTIVE: To evaluate pregnancy outcomes in Centering Pregnancy patients. METHODS: This was an IRB-approved retrospective cohort study from November 2009 to January 2013 involving 202 Centering Pregnancy patients and 202 Certified Nurse Midwife patients. The primary outcome was mean gestational age at time of delivery. Secondary outcomes included cesarean and operative vaginal delivery rate, triage visit frequency, Neonatal Intensive Care Unit admission rate, 1 and 5 minute APGAR scores, birth weight, breastfeeding rate at discharge and 6 weeks postpartum, third and fourth degree laceration rate, weight gain in pregnancy, and excessive weight gain rate...
July 2015: Military Medicine
https://www.readbyqxmd.com/read/25930449/obstetric-provider-approach-to-perinatal-oral-health-120
#19
Eline Haenebalcke Wilson, Chris Farrell, Ruth Elaine Zielinski, Bernard Gonik
INTRODUCTION: Perinatal oral health is a critical component to obstetric practice with significant implications for maternal, fetal, and infant health. To better understand this relationship, we undertook a survey of obstetric providers to examine their approach to perinatal oral health. METHODS: An online survey of knowledge, attitudes, and practices was sent using health care provider databases in the state of Michigan. Descriptive statistics were tabulated and Fisher's exact test was used for categorical variables...
May 2015: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25890980/certified-nurse-midwife
#20
(no author information available yet)
No abstract text is available yet for this article.
September 2014: Clinical Privilege White Paper
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