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Updated: May 18, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Midwives and obstetrician-gynecologists collaborating for Native American women's health
Joseph A Tony Ogburn1, Eve Espey, Marilyn Pierce-Bulger
1Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM 87131, USA. jogburn@salud.unm.edu
Abstract:
Certified Nurse-Midwives (CNMs) and Obstetrician-Gynecologists (OBGs) have a long history of successful collaborative practice serving Native American women from the 1960s. CNMs provide holistic, patient-centered care focusing on normal pregnancy and childbirth. OBGs support CNMs with consultation services focusing on complications during pregnancy and specialty gynecology care. Collaborative care in Indian Health Service and Tribal sites optimizes maternity care in a supportive environment, achieving excellent outcomes including low rates of cesarean deliveries and high rates of successful vaginal birth after cesarean.
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