NURSE-MIDWIVES AND OBSTETRICIANS: A TEAM APPROACH IN PRIVATE PRACTICE REVISITED: A 5-Year Report

Authors

  • Ann M. Schorfheide C.N.M., M.S.

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    • Ann M. Schorfheide, R.N., M.S., C.N.M., is a member of the Sisters of St. Joseph of Carondelet, St. Louis Province. She received her B.S. from Mt. St. Mary's College, Los Angeles; her M.S. from the University of California, Los Angeles; and her certificate in nurse-midwifery from the University of Mississippi, Jackson. She left the team practice 5 months after the completion of this study. She is currently an Assistant Professor of Community Health Nursing at the University of Kansas School of Nursing, and a doctoral student at Kansas State University.


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ABSTRACT

This study reports a 5-year experience in a private practice team approach to obstetrical care. Two nurse-midwives during the 5-year study period delivered 66% of those clients who delivered vaginally. All normal clients had a choice of their birth attendant (nurse-midwife or obstetrician). Low birth weight infants (≤2500 g) and perinatal deaths decreased each year of the study except year 4. Family-centered maternity care and formal childbirth preparation were introduced into the practice and community. Each year noted an increase in the number of participants. Clients, their families, nurse-midwives, and obstetricians expressed satisfaction with this approach to childbearing.

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