The Utilization of Nurse-Midwives as Providers of Obstetric Triage Services: Results of a National Survey


  • Diane J. Angelini CNM, EdD, FACNM

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    • Diane J. Angelini is Clinical Assistant Professor and Director of the Nurse Midwifery Section within the Department of OB/GYN, Brown University School of Medicine/Women and Infants' Hospital in Providence, Rhode Island. She completed her nurse-midwifery education at the State University of New York Downstate Medical Center in Brooklyn, and her doctorate at Boston University. She is a Fellow of the American College of Nurse Midwives and has been practicing midwifery for 23 years. She is Editor of the Journal of Perinatal and Neonatal Nursing. Her research interests include obstetric triage and nurse midwifery practice within medical education.

  • *Portions of the data contained herein were presented at the Annual Meeting of the American College of Nurse Midwives in Orlando, Florida, May 1999, and at the National Conference of Perinatal Nursing, Contemporary Forums, in Boston, Massachusetts, March 1999.

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Obstetric triage services are rapidly advancing, and the concept is becoming a popular practice pattern. As more pregnant women are evaluated in ambulatory settings, especially in high volume obstetric tertiary centers, it is now realized more and more that labor and other complaints cannot be addressed solely in labor and delivery units, nor are most of these complaints solely labor related. This article presents the results of a national survey designed to discover what contributions nurse-midwives are making to obstetric triage services. In addition, the results provide initial benchmark data on obstetric triage components against which other midwifery services can address practice issues.