Anne Scupholme, CNM, MPH, is the chief nurse-midwife at Jackson Memorial Hospital, Miami, Florida and an adjunct associate professor of obstetrics and gynecology. University of Miami School of Medicine. She is a board member of the ACNM Division of Research and Project Manager for the current ACNM–RWJ research project, “Nurse-Midwifery Care to Vulnerable Populations.” Her research and academic interests include health policy issues concerning access to health care and clinical issues relating to low birth weight.
NURSE-MIDWIFERY CARE TO VULNERABLE POPULATIONS Phase I: Demographic Characteristics of the National CNM Sample
Version of Record online: 6 JAN 2011
1992 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 37, Issue 5, pages 341–348, September-October 1992
How to Cite
Scupholme, A., DeJoseph, J., Strobino, D. M. and Paine, L. L. (1992), NURSE-MIDWIFERY CARE TO VULNERABLE POPULATIONS Phase I: Demographic Characteristics of the National CNM Sample. Journal of Nurse-Midwifery, 37: 341–348. doi: 10.1016/0091-2182(92)90241-T
- Issue online: 6 JAN 2011
- Version of Record online: 6 JAN 2011
The purpose of this article is to describe the extent to which certified nurse-midwives (CNMs) provide care to vulnerable populations in the United States and the source of reimbursement for this care. The data were obtained from the first phase of a national study to address the characteristics of women served and cost of care provided by CNMs. Results were analyzed nationally and by American College of Nurse-Midwives regions. Certified nurse-midwives in all types of practices are providing care to women from populations that are vulnerable to poorer than average outcomes of childbirth because of age, socioeconomic status, refugee status, and ethnicity. Ninety-nine percent of CNMs report serving at least one group of vulnerable women, and CNMs in the inner city and rural practices serve several groups. The vast majority of CNMs are salaried; only 11% receive their primary income from fee-for-service. Fifty percent of the payment for CNM services is from Medicaid and government-subsidized sources whereas less than 20% comes from private insurance. Source of income varies by type of setting in which the CNM attends births. The results suggest that CNMs, as a group, make a major contribution to the care of vulnerable populations.