Get access

MANAGEMENT OF DELIVERY BY UNITED STATES CERTIFIED NURSE-MIDWIVES

Authors

  • Constance J. Adams CNM, DrPH

    Corresponding authorSearch for more papers by this author
    • Constance J. Adams completed the nurse-midwifery program and earned a DrPH at Johns Hopkins University. Currently she is Professor in the College of Nursing at Rush University, as well as Chairperson and Director of Nurse-Midwifery, Department of Obstetric and Gynecological Nursing, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.


2100 Lincoln Park West, Apartment 9B North, Chicago, Illinois 60614.

ABSTRACT

Selected data pertaining to management of delivery are compared for United States resident nurse-midwives who participated in 1976 to 1977 and 1982 national surveys of nurse-midwives conducted by the American College of Nurse-Midwives. Of the 1213 United States residents who participated in the 1976 to 1977 survey, 521 (43.0%) were managing deliveries, and 937 (59.2%) of the 1584 residents who participated in the 1982 survey were managing deliveries. Nurse-midwives who participated in the 1982 survey were found to be working in private practices, conducting deliveries, and providing continuity of care more frequently than nurse-midwives who participated in the 1976 to 1977 survey. Except for manual removal of the placenta, nurse-midwives who participated in the 1982 survey used procedures associated with potentially high-risk or problematic situations less often than nurse-midwives who participated in the 1976 to 1977 survey.

Ancillary