A Second Proposal


  • Terri Clark-Coller CNM, MSN

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    • Terri Clark-Coller received a B.A. in Philosophy from Yale College and an M.S.N. from Yale School of Nursing. She graduated from the Yale Maternal-Newborn, Nurse-Midwifery Program in 1979 and was an instructor there for four years. In 1983, she began work on a Ph.D. at the University of California, San Diego. She has done graduate work in sociology, philosophy, and psychology while at UCSD, and has been a graduate student teaching assistant in sociology, philosophy, and in the writing programs. Her dissertation will study biomedical ethical problems related to perinatal care.

      Jerri also works as a staff nurse-midwife with the Comprehensive Perinatal Program in San Diego and is a volunteer midwife at the Casa de Salud in Tijuana. She has an appointment as a clinical instructor with the UCSD Department of Reproductive Medicine where she attends deliveries at University Hospital at night and on weekends and functions as a clinical preceptor for UCSD/UCSF nurse-midwifery students and UCSD medical students. Her publications include chapters on abortion and menstrual concerns in Helen Varney Burst's forthcoming text on women's health, and an article on “The Nurse as Rape Counselor” in The American Journal of Nursing.

Department of Sociology C-002, University of California, San Diego, La Jolla, CA 90293.


This paper critically analyzes the proposed Code of Ethics for nurse-midwives that was published in the March/April 1986 issue of this journal by drawing upon the literatures of medical ethics, political economy, cognitive psychology, and the sociology of professions. Examples of practical ethical issues in nurse-midwifery are provided and an alternative Code of Ethics based on the ACNM Philosophy is offered.