ENABLING CONCEPTION AND PREGNANCY: Midwifery Care of Women Experiencing Infertility

Authors

  • Holly Powell Kennedy CNM, MSN,

    Corresponding author
      University of Rhode Island College of Nursing, White Hall, 2 Heathman Road, Kingston, RI 02881.
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    • Holly Powell Kennedy is the director of the graduate program in nurse-midwifery at the University of Rhode Island. She received her MSN/family nurse practitioner from the Medical College of Georgia in 1978 and a certificate in midwifery from the Frontier School of Family Nursing & Midwifery in 1985. She is a doctoral candidate at the University of Rhode Island and one of the first recipients of the ACNM Foundation/Ortho-McNeil Pharmaceutical Fellowships for graduate education.

  • Martha Griffin RN, MSN,

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    • Martha Griffin is a certified adult psychiatric community mental health specialist on staff at the Brigham & Women's Hospital, Boston, Massachusetts and faculty at Northeastern University. She received her MSN in community health nursing from Boston College and is a doctoral candidate at the University of Rhode Island. She is the former national support group coordinator for RESOLVE, Inc and the 1996 recipient of the New England Fertility Society's Humanitarian Award for her activism in making comprehensive infertility care more accessible.

  • Gary Frishman MD

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    • Gary Frishman is a reproductive endocrinologist at Women & Infants' Hospital of Rhode Island and assistant professor of obstetrics/gynecology at Brown University. A graduate of Columbia University Medical School, he completed a residency in obstetrics/gynecology at Pennsylvania Hospital and a Fellowship in Reproductive Endocrinology and Infertility at the University of Connecticut/Farmington. His academic clinical practice focuses on challenging infertility problems using invitro fertilization and related technologies. His research includes participation as a coinvestigator in the National Institutes of Health sponsored Women's Health Initiative.


  • CNMs/CMs and midwives as used herein refer to those midwifery practitioners who are certified by the American College of Nurse-Midwives (ACNM) or the ACNM Certification Council, Inc; midwifery refers to the profession as practiced in accordance with the standards promulgated by the ACNM.

University of Rhode Island College of Nursing, White Hall, 2 Heathman Road, Kingston, RI 02881.

ABSTRACT

This article provides a comprehensive and thoughtful overview of primary midwifery care of the woman experiencing infertility. Midwifery assessment and management strategies that can assist women and their partners experiencing infertility to achieve a successful pregnancy are reviewed. In addition to physiologic considerations, the article addresses psychosocial, spiritual, legal, and financial issues essential to understanding the ramifications of infertility care. The authors frame their approach in a feminist perspective that enables the woman to achieve control of fertility and self-determination of care.

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