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  • Katherine Beach CNM, MS,

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    • Katherine Beach is a staff nurse-midwife at Maine Medical Center in Portland, Maine. She received her MS degree from Columbia University.

  • Sylvia Fibich MS, MPH,

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    • Sylvia Fibich has a BA in psychology from SUNY Binghamton and a BSN from Columbia University. Recently she completed the joint degree program at Columbia University in nurse-midwifery training and MPH. Currently she is a Graduate Research Assistant for Columbia's Center for Population and Family Health, and is a practicing nurse-midwife for Maternity and Infant Care-Family Planning Projects in the New York City area.

  • Debra Brook Paparo CNM, MS

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    • Debra Brook Paparo is a CNM practicing in New York City. She is a staff nurse midwife for the Bellevue/Gouvemeur Nurse-Midwifery Service and counsels on childbirth education for private clients. Concurrently, she is writing several chapters for the Handbook of High Risk Maternity Nursing. She received her MS degree from Columbia University, and was previously employed as a Perinatal Nurse Clinician for Beth Israel Medical Center in New York City.

15 Gay Street, New York, NY 10014.


Twelve CNMs from private nurse-midwifery practices in NYC were interviewed for this retrospective study that looks at factors that should be considered when establishing a private nurse-midwifery practice. This study focuses on four processes: 1) commitment to the goal of establishing a private nurse-midwifery service; 2) choosing a “birth setting;” 3) evolution of a partnership or evolution of a solo practice; and 4) negotiation for physician backup.