• Karen Holz bsn, snm,

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    • Karen Holz, snm, received a BSN from Old Dominion University, Norfolk Virginia. She has staff nursing experience in labor and delivery, and as a childbirth educator. Ms. Holz is currently working as a birth assistant for two cnm practices while completing an MSN in Nurse-Midwifery at Georgetown University, Washington DC.

  • Cathleen Cooney bsw, msn, gnm,

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    • Cathleen Cooney, gnm, received a BSW in social work from Gannon University, Erie Pennsylvania, and a BSN from the Catholic University of America, Washington DC. She has practiced as an empirical midwife in Boston, Massachusetts and in Haiti, and is currently completing an MSN in Nurse-Midwifery at Georgetown University, Washington DC.

  • Teresa Marchese cnm, msn

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    • Teresa Marchese received a BA from Barat College in 1974 and an MSN from University of Illinois in 1977. She received her CNM in 1976 and is currently an instructor in Nurse-Midwifery at Georgetown University. She was acting director of the Midwifery program from August 1988 through February 1989.

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This is a retrospective chart review of perinatal outcomes of all primiparas over the age of 24 delivering at Maternity Center Associates, an out-of-hospital birth center, from January 1985 through May 1988 (N = 228). Chi-square analysis was used to determine whether mature primiparas, aged 35 to 43 (n = 27), had significantly more adverse outcomes than younger primiparas, aged 25 to 34 (n = 201). There was a significant difference between the groups in rate of transfer to hospital; however, there were no significant differences in rate of cesarean section, infant birth weight, apgar scores, and length of second stage labor. Implications for practice and future study are examined.