Carie G. Bussey, CNM, MN, is with Woman Care, PLLC in Olympia, WA.
Certified Nurse Midwife-Attended Births: Trends in Washington State, 1995–2004
Article first published online: 24 DEC 2010
2007 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 52, Issue 5, pages 444–450, September-October 2007
How to Cite
Bussey, C. G., Bell, J. F. and Lydon-Rochelle, M. T. (2007), Certified Nurse Midwife-Attended Births: Trends in Washington State, 1995–2004. Journal of Midwifery & Womens Health, 52: 444–450. doi: 10.1016/j.jmwh.2007.03.017
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- certified nurse-midwives;
- vital records;
- Washington State
Nationwide, the proportion of certified nurse-midwife (CNM)-attended births has increased steadily. We examined trends in CNM-attended singleton spontaneous vaginal births between 1995 and 2004 in Washington State by site of birth, payer source, and hospital birth volume. CNMs were more likely than other providers to care for women at risk for adverse outcomes based on several sociodemographic indicators. The increased rate of CNM-attended births occurred primarily in hospitals and among both Medicaid- and privately-funded births. The rate of CNM-attended births doubled in hospitals with high birth volumes. We recommend future research designed to understand these trends.