Carmela M. Cavero, CNM, MS is the former clinical director of the Nurse-Midwifery Group of Fresno and assistant clinical professor, Department of Obstetrics, Gynecology and Reproductive Services, University of California, San Francisco.
ASSESSMENT OF THE PROCESS AND OUTCOMES OF THE FIRST 1,000 BIRTHS OF A NURSE-MIDWIFERY SERVICE
Article first published online: 6 JAN 2011
1991 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 36, Issue 2, pages 104–110, March-April 1991
How to Cite
Cavero, C. M., Fullerton, J. T. and Bartlòme, J. A. (1991), ASSESSMENT OF THE PROCESS AND OUTCOMES OF THE FIRST 1,000 BIRTHS OF A NURSE-MIDWIFERY SERVICE. Journal of Nurse-Midwifery, 36: 104–110. doi: 10.1016/0091-2182(91)90059-X
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
This article is a retrospective descriptive analysis of the first 1,000 births conducted by the Nurse-Midwifery Group of Fresno County, California, over the period from 1980 to 1985. The multiethnic patient population was of mixed obstetric risk. Nurse-midwifery care was offered within the context of a comprehensive maternity care program in close collaboration with a perinatal health care team Patient care outcomes were quite favorable when compared with county and state statistics. A perinatal mortality rate of 7.0/1,000 was observed. The incidence of low birth weight infants (5.7%) and the cesarean section rate (7.7%) were also lower than county and state statistics. These data add to the growing body of literature that suggests that nurse-midwifery care, within the structure of collaborative practice, can be effective and advantageous. The nurse-midwifery service made a contribution to access to perinatal care for the residents of this community.