Salary and Workload of Midwives Across Birth Center Practice Types and State Regulatory Structures

Ross, Lisa; Jolles, Diana; Hoehn‐Velasco, Lauren; Wright, Jennifer; Bauer, Kate; Stapleton, Susan R.

doi:10.1111/jmwh.13331

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…21 A secondary data analysis of 2 national surveys of midwives practicing in birth centers was published in 2022. 22 The analysis revealed that midwives working in birth centeronly practices report lower salaries when compared with midwives who work in a blended birth center or a hospital practice despite working a high number of hours. Of the 4 regions in the United States, midwives working in birth centeronly practices located in the Northeast had the highest salary (mean, $77,900).…”

Section: Literature Reviewmentioning

confidence: 98%

“…Of the 4 regions in the United States, midwives working in birth centeronly practices located in the Northeast had the highest salary (mean, $77,900). 22 An evident gap in the literature is noted for individual state workforce surveys of midwives.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The May 2021 publication reported the national average annual salary for full‐time nurse‐midwives was $114,210 21 . A secondary data analysis of 2 national surveys of midwives practicing in birth centers was published in 2022 22 . The analysis revealed that midwives working in birth center‐only practices report lower salaries when compared with midwives who work in a blended birth center or a hospital practice despite working a high number of hours.…”

Section: Introductionmentioning

confidence: 99%

“…The analysis revealed that midwives working in birth center‐only practices report lower salaries when compared with midwives who work in a blended birth center or a hospital practice despite working a high number of hours. Of the 4 regions in the United States, midwives working in birth center‐only practices located in the Northeast had the highest salary (mean, $77,900) 22 . An evident gap in the literature is noted for individual state workforce surveys of midwives.…”

Section: Introductionmentioning

confidence: 99%

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Workforce Survey of Connecticut Midwives

Welsh

LoGiudice

Holland³

et al. 2023

J Midwife Womens Health

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IntroductionMidwives in Connecticut lack resources for current, state‐specific data regarding compensation, benefits, work hours, and scope of practice. The primary purpose of this study was to provide detailed information about the work and services provided by midwives in Connecticut and how they are compensated.MethodsCertified nurse‐midwives (CNMs) licensed in Connecticut were recruited for a 53‐question online survey between October 2021 and February 2022. The survey included topics such as compensation, benefits, practice patterns, and precepting.ResultsFor full‐time salaried CNMs in Connecticut, compensation was higher than the national average for midwives. A majority of CNMs in the state work 40 hours per week or less in physician‐owned private practices and are preceptors.DiscussionFor midwives planning to negotiate contracts in Connecticut, this report provides important information to ensure fair compensation and work hours. The survey also serves as a roadmap for midwives in other states who wish to collect and disseminate similar workforce data.

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Section: Literature Reviewmentioning

confidence: 98%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Workforce Survey of Connecticut Midwives

Welsh

LoGiudice

Holland³

et al. 2023

J Midwife Womens Health

View full text Add to dashboard Cite

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Health outcomes and provider choice under full practice authority for certified nurse-midwives

Hoehn-Velasco,

Jolles,

Plemmons

et al. 2023

Journal of Health Economics

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Layers of inequality: gender, medicalisation and obstetric violence in Ghana

Yalley

2024

Int J Equity Health

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Background This study explored how gender inequalities in health systems influence women’s experiences of obstetric violence in Ghana. Obstetric violence is recognised as a major public health concern and human rights violation. In particular, it reduces women’s trust and use of health facilities for childbirth, thereby increasing the risks of maternal and neonatal mortality. In Ghana, obstetric violence is pervasive and normalised; yet, little is known about the gendered dynamics of this phenomenon. Methodology A qualitative study was conducted in eight public health facilities in Ghana. Specifically, semi-structured interviews were conducted with 30 midwives who work in the maternity units and 35 women who have utilised the obstetric services of the hospitals for childbirth. The midwives and women were selected using the purposive sampling technique. The transcripts of the interviews were coded using NVivo qualitative data analysis software and were thematically analysed. Secondary materials such as existing data on the medical profession in Ghana were utilised to complement the primary data. Results The study revealed that there are huge structural inequalities that keep women at the lower cadres of the health system. Five major themes depicting how gender inequalities contribute to women’s experiences of obstetric violence emerged: gender inequality in the medical profession, unequally and heavily tasked, feminisation of midwifery, patriarchal pressures and ideologies, and gender insensitivity in resource provision. These inequalities impact the kind of care midwives provide, which is often characterised by mistreatment and abuse of women during childbirth. The study also discovered that patriarchal ideologies about women and their bodies lead to power and control in the delivery room and violence has become a major instrument of domination and control. Conclusion The hierarchical structure of the healthcare profession puts the midwifery profession in a vulnerable position, with negative consequences for maternity care (obstetric violence). The study recommends that gender-responsive approaches that address structural inequalities in health systems, women’s empowerment over their bodies and male involvement in women’s reproductive care are crucial in dealing with obstetric violence in Ghana.

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Salary and Workload of Midwives Across Birth Center Practice Types and State Regulatory Structures

Cited by 4 publications

References 33 publications

Workforce Survey of Connecticut Midwives

Workforce Survey of Connecticut Midwives

Health outcomes and provider choice under full practice authority for certified nurse-midwives

Layers of inequality: gender, medicalisation and obstetric violence in Ghana

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