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Public Citizen Study on CNM Outcomes - Nov 1995

Easy Steps to a Safer Pregnancy - View e-book or Download PDF - FREE!
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.

Other excellent resources about avoiding toxins during pregnancy

These are easy to read and understand and are beautifully presented.

The American College of Nurse-Midwives is pleased to report that a recent study issued by a consumer advocacy group called Public Citizen has further documented the safety, cost-effectiveness and benefits of nurse-midwifery care. The study includes data from more than 400 nurse-midwifery hospital-based practices and 68 freestanding birth centers.

The key findings of the study include: 1) most certified nurse-midwives (CNMs) who attend hospital birth are caring for not only low risk women but also moderate and high risk women through co-management with a physician. 2) Most CNMs are providing obstetric and gynecological care for their clients. 3) The overall C-section rate of the survey respondents (who represent 50-60% of the nation's CNM attended births) was 11.6%. The vaginal birth after cesarean (VBAC) rate averaged 68.9%. The C-section rate is half the national average and the VBAC rate is 2.8 times the national average. 4) Nurse-midwives individualize their care, giving women flexibility in labor in order to make them more comfortable. 5) Nurse-midwives continue to struggle for the acceptance and autonomy needed to practice their profession.

The study findings were released in a press conference Monday in Washington, D.C. and media coverage of the findings is nationwide. Most major newspapers have run stories besides coverage on CNN, ABC, NBC, CBS, and NPR. Public Citizen's recommendations include reviewing state laws and regulations governing the practice of nurse-midwifery to determine their impact on the provision of nurse-midwifery services, creating more opportunities for the education of nurse-midwives, and implementing a sustained public information campaign on the quality, cost-effectiveness, and client satisfaction ratings of nurse-midwives. Dr. Phil Lee, Assistant Secretary of the Department of Health and Human Services assured conference attendees that he would be working closely with nurse-midwives to ensure that the barriers to their practice are removed.

The study consists of a 253-page Consumer Guide and 63-page policy makers report. Both publications are available for $15 each and available from Public Citizen. Write Public Citizen Customer Service, Attn: Midwives' Reports, 1600 20th Street, NW. Washington, DC 20009, USA. An order form and a repeat of much of this information is also available from the ACNM Fax on Demand service at: 202-728-9898, documents 5501 and 5502.

For more information on locating nurse-midwifery practices in the U.S., send your postal address and area where you would like to find a CNM to: info@acnm.org or call: 202-728-9860.

This Web page is referenced from another page containing related information about Midwifery Advocacy and Statistics


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