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Updated: May 30, 2026

Operation of the Collaborative Composite Manufacturing (CCM) System
10:09

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Published on: October 1, 2019

A northwest collaborative practice model.

Ann Darlington1, Kelly McBroom, Susan Warwick

  • 1From the Neighborcare Health Midwifery Service; and Group Health Department of Obstetrics, Gynecology, and Midwifery, Seattle, Washington.

Obstetrics and Gynecology
|August 24, 2011
PubMed
Summary

Collaborative practice between obstetrician-gynecologists and certified nurse-midwives improves maternity care. This model, successful at Family Beginnings, relies on clear communication and supportive legal frameworks for replication.

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Area of Science:

  • Obstetrics and Gynecology
  • Midwifery
  • Healthcare Collaboration

Background:

  • The Family Beginnings unit at Group Health demonstrates successful collaborative practice.
  • Maternity care models impact patient outcomes and provider satisfaction.
  • Community demand for diverse maternity care options is growing.

Purpose of the Study:

  • To analyze the success factors of collaborative practice between obstetrician-gynecologists and certified nurse-midwives.
  • To identify key elements for replicating a successful collaborative maternity care model.
  • To provide recommendations for improving maternity care through interprofessional collaboration.

Main Methods:

  • Case study analysis of the Family Beginnings obstetric unit.
  • Review of legal frameworks supporting collaborative practice in Washington State.
  • Comparison of delivery outcomes with national and state metrics.

Main Results:

  • Successful collaboration is attributed to independent practice within defined scopes, supportive legal/insurance frameworks, and clear communication.
  • The Family Beginnings model shows favorable delivery outcomes compared to benchmarks.
  • Replication requires supportive legal structures and institutional policies for nurse midwives.

Conclusions:

  • Collaborative obstetric and midwifery care models can enhance maternity services.
  • Supportive legal and institutional environments are crucial for successful implementation.
  • Advocacy for enlightened approaches is recommended where supports are lacking.