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Certified Nurse Midwife‐Attended Births: Trends in Washington State, 1995–2004
Author(s) -
Bussey Carie G.,
Bell Janice F.,
LydonRochelle Mona T.
Publication year - 2007
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1016/j.jmwh.2007.03.017
Subject(s) - medicaid , medicine , certification , family medicine , nurse midwives , demography , pregnancy , obstetrics , health care , sociology , biology , political science , law , economics , genetics , economic growth
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.