Time Associated with Components of Clinical Services Rendered by Nurse-Midwives: Sample Data From Phase II of Nurse-Midwifery Care to Vulnerable Populations in the United States

Authors

  • Anne Scupholme CNM, MPH,

    Corresponding author
      9311 SW 4th Street, Apartment 217, Miami, FL 33174.
    Search for more papers by this author
    • Anne Scupholme 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 vice-chair of the ACNM Division of Research and Project Manager for the study entitled “Nurse-Midwifery Care to Vulnerable Populations in the United States.”

  • Lisa L. Paine CNM, DrPH,

    Search for more papers by this author
    • Lisa L. Paine is an associate professor and Director of the Nurse-Midwifery Education Program and the Maternal and Child Health Program of the Boston University, School of Public Health, Boston, Massachusetts. She is the Chairperson of the ACNM Division of Research and Project Director of the study entitled “Nurse-Midwifery Care to Vulnerable Populations in the United States.”

  • Janet M. Lang PhD, ScD,

    Search for more papers by this author
    • Janet M. Lang, assistant professor of public health at the Boston University School of Public Health, has provided consultation in epidemiology and biostatistics for the study entitled “Nurse-Midwifery Care to Vulnerable Populations in the United States.” Dr. Lang has also participated in a variety of clinical and health services research studies in the area of perinatal epidemiology, including a prospective study about birth center outcomes.

  • Shylendra Kumar MA, MPH,

    Search for more papers by this author
    • Shylendra Kumar, research data analyst in the Boston University School of Public Health, Data Coordinating Center, provided data analysis support to the research team of the study entitled “Nurse-Midwifery Care to Vulnerable Populations in the United States.” In addition to data analysis, Mr. Kumar's interests include computer science, international health, and rural development studies.

  • Jeanne F. DeJoseph CNM, PhD

    Search for more papers by this author
    • Jeanne F. DeJoseph is an associate professor and Co-Director of the Midwifery Program, Department of Family Health Care Nursing, University of California, San Francisco. She is Chairperson of the Professional Development Committee of the ACNM Division of Research and a coinvestigator of the study entitled “Nurse-Midwifery Care to Vulnerable Populations in the United States.”


9311 SW 4th Street, Apartment 217, Miami, FL 33174.

ABSTRACT

The purpose of this article is to present prospective data from phase II of “Nurse-Midwifery Care to Vulnerable Populations in the United States” about the components of clinical services provided to women and infants by CNMs, and the amount of time spent providing services in a variety of settings. Three hundred sixty nine CNMs collected data on 16,729 client visits. The results indicate that the amount of time taken by a CNM to conduct an ambulatory client visit is similar, regardless of site. There were slight differences in the length of time taken for major components of a visit between sites but, in general, there was a remarkable similarity. The amount of time spent in intrapartum care and inpatient visits is also reviewed.

Ancillary