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Preserving midwifery practice in a managed care environment.

D R Williams1

  • 1American College of Nurse-Midwives, Washington, DC 20006, USA.

Journal of Nurse-Midwifery
|August 31, 1999
PubMed
Summary

Nurse-midwifery, established in 1925 and guided by the American College of Nurse-Midwives (ACNM), offers high-quality care. This paper examines certified nurse-midwife education, practice, and the influence of managed care on the profession.

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Area of Science:

  • Health Services Research
  • Nursing
  • Public Health

Background:

  • Nurse-midwifery has a long history in the US, evolving significantly over 30 years under the American College of Nurse-Midwives (ACNM).
  • National standards for education, certification, and practice have been established, ensuring high-quality care valued by stakeholders.
  • The healthcare landscape is evolving, particularly with the rise of managed care.

Purpose of the Study:

  • To describe the education and practice of over 7,000 nationally certified nurse-midwives.
  • To identify the strengths of the nurse-midwifery profession.
  • To review the impact of managed care on midwifery practice and explore ACNM's role in adapting to these changes.

Main Methods:

  • Descriptive analysis of education and practice data for ACNM-certified nurse-midwives.
  • Review of the literature and ACNM's initiatives regarding managed care.
  • Case study of a partnership between ACNM and the Maternal and Child Health Bureau.

Main Results:

  • Over 7,000 nurse-midwives have received national certification through ACNM mechanisms.
  • Nurse-midwifery is characterized by specific strengths that contribute to valued care.
  • Managed care presents both challenges and opportunities for the practice of midwifery.

Conclusions:

  • The American College of Nurse-Midwives (ACNM) has developed strategies to preserve midwifery within a managed care environment.
  • ACNM's partnerships, such as with the Maternal and Child Health Bureau, are crucial for studying and adapting to healthcare changes.
  • Certified nurse-midwives provide high-quality, valued care, and the profession is positioned to maintain its role in contemporary healthcare systems.

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