CERTIFIED NURSE-MIDWIFERY CARE OF THE POSTPARTUM CLIENT: A Descriptive Study

Authors

  • Ann Morten CNM, RNC, MS,

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    • Ann Morten, CNM, MS, RNC, received her M.S. and midwifery training at the Oregon Health Sciences University. She is currently at Emanuel Hospital, Portland, Oregon.

  • Melanie Kohl CNM, MS,

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    • Melanie Kohl, CNM, MS, is a practicing CNM at First Steps Maternity Clinic in Vancouver, Washington. She received her M.S. and midwifery training at the Oregon Health Sciences University.

  • Prairie O'Mahoney CNM, MS, FNP,

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    • Prairie O'Mahoney, CNM, MS, FNP, is a practicing CNM at First Steps Maternity Clinic in Vancouver, Washington. She received her M.S., midwifery training, and F.N.P. at the Oregon Health Sciences University.

  • Kate Pelosi CNM, MS

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    • Kate Pelosi, CNM, MS, is a practicing CNM at Healthy Start Maternity Clinic in Portland, Oregon. She received her M.S. and midwifery training at the Oregon Health Sciences University.


Address correspondence to Ann Morten, CNM, RNC, MS. 3437 NE 31st, Portland, OR 97212.

ABSTRACT

This article present; the findings of a small, descriptive, exploratory study aimed at identifying the content and process components of certified nurse-midwifery rare in the postpartum period. The conceptual framework, methods, and analysis were derived from the research of E. J. Lehrman, who identified components of CNM antepartum care. Lehrman's components of prenatal care were all found to be present in the postpartum period, but new data emerged. These data generated three distinctively new categories, ie, therapeutic techniques, lateral relationship, and empowerment.

Albeit from a small study, our findings support previous research suggesting aspects of CNM care that might be partially responsible for improved perinatal outcome documented in various populations where CNM care has been established. The article concludes with a discussion of these implications for practice and the need for further definition of the profession of nurse-midwifery.

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