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Nurse-midwifery at Gundersen Clinic: a twenty year review
C F DeLano1, L D Hirsh, C W Schauberger
1Department of Obstetrics and Gynecology, Gundersen Lutheran, La Crosse, Wisconsin, USA.
Abstract:
The twenty-year experience of the Certified Nurse-Midwife (CNM) Service at Gundersen Lutheran Medical Center is presented. The Service was started in September, 1975. From 1975 through 1995, the nurse-midwives have attended 9,120 women in labor (32.5% of all laboring women at Lutheran Hospital). During this time, the CNM service perinatal mortality rate was 6.8 per 1,000 births and the primary cesarean section rate was 5.8%. A close working relationship between nurse-midwives and obstetricians is thought to be one of the main factors in the growth, acceptance and safety of the service.
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