Objectives: This study describes the patient populations served by and visits made to certified nurse-midwives (CNMs) in the United States.
Methods: Prospective data on 16,729 visits were collected from 369 CNMs randomly selected from a 1991 population survey. Population estimates were derived from a multistage survey design with probability sampling.
Results: We estimated that approximately 5.4 million visits were made to nearly 3000 CNMs nationwide in 1991. Most visits involved maternity care, although fully 20% were for care outside the maternity cycle. Patients considered vulnerable to poor access or outcomes made 7 of every 10 visits.
Conclusions: Nurse-midwives substantially contribute to the health care of women nationwide, especially for vulnerable populations.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1508644 | PMC |
| http://dx.doi.org/10.2105/ajph.89.6.906 | DOI Listing |
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