The American College of Nurse-Midwives' Benchmarking Project

Emeis, Cathy; Jolles, Diana; Perdion, Karen; Collins‐Fulea, Catherine

doi:10.1097/jpn.0000000000000576

Cited by 3 publications

(1 citation statement)

References 64 publications

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“…Instead, the process is highly self-directed and structured around principles of research design, methods, analytic skills and research critique. I found synergy with Dr. Cathy Emeis, PhD [ 26 ] who led the midwifery education division and was willing to take me on as an advisee. I brought my past experience, albeit abbreviated, in neuroscience to develop a line of study around how oxytocin given exogenously is related to both occurrence of postpartum hemorrhage and the physiology of lactation/breastfeeding.…”

Section: A New Path Through the Willamette Valleymentioning

confidence: 99%

A prolonged latent phase: An early career in oxytocin during birth

Erickson

2023

Comprehensive Psychoneuroendocrinology

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Section: A New Path Through the Willamette Valleymentioning

confidence: 99%

A prolonged latent phase: An early career in oxytocin during birth

Erickson

2023

Comprehensive Psychoneuroendocrinology

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Quality Improvement in Community Birth: A Call to Action

Akerson

Taiwo

Denmark

et al. 2022

J Midwife Womens Health

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The number of families choosing birth center and home birth midwifery care in the United States has been rising since 2004 1 and increased significantly during the COVID-19 pandemic. 2,3 There is growing recognition that wellintegrated community midwifery care could be one solution to improving poor outcomes and rising costs in our maternity care system. [4][5][6] At the same time, community birth outcomes are inconsistent, and data are unreliable in most states. [7][8][9][10] Additionally, few practices or organizations have mechanisms for changing midwifery practices and systems based on outcomes and feedback from birthing people. These conditions provide a great opportunity for midwifery organizations and perinatal collaboratives to study existing models, evaluate innovations, and implement community birth quality improvement (QI). Now is the time for our organizations to build data collection and continual QI into the fabric of community midwifery.Like all perinatal care providers, community midwives are highly motivated to provide safe, quality care to birthing families. Unlike hospital-based providers, however, most community midwives are not part of a structured, data-driven, QI program. Although there is extensive guidance for QI in hospitals, little guidance exists for community birth settings, where midwives work in small practices of 1 to 10 providers. This small scale means that community birth practices may have limited resources for QI, and many QI models are not appropriate to their size. Community midwife-specific QI programs in national and state midwifery organizations, birth center organizations, and state or regional perinatal quality collaboratives (PQCs) are needed to bridge current gaps and bring community midwifery into meaningful efforts to continually improve care for birthing families. In this commentary, we share models for QI in community birth to inspire midwifery and perinatal organizations to take action (Figure 1).

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Defining Midwifery‐Led Care in the United States Using Concept Analysis

Page,

Phillippi,

Emeis

et al. 2024

J Midwife Womens Health

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National health policy initiatives recommend increased integration of midwifery care in the United States to improve care quality and reduce maternal health disparities. However, the service models through which midwives provide midwifery care and produce quality outcomes are poorly understood. Midwifery‐led care is a service model frequently associated with improved outcomes compared with other models. The service model has been infrequently or inconsistently studied in the Unites States and has been narrowly defined and applied to perinatal care. The purpose of this concept analysis was to evaluate the concept of midwifery‐led care and expand the definition to guide midwifery practice, research, and health policy. The analysis followed Walker and Avant's methodology. Three attributes of midwifery‐led care were identified: (1) midwife as the lead clinician; (2) person‐midwife partnership; and (3) care embodies midwifery philosophy. Antecedents were (1) license to practice as a midwife; (2) a person needing or desiring sexual, reproductive, perinatal, or newborn care; (3) a person with low‐ or moderate‐risk health status; (4) regulations and guidelines that support provision of midwifery care; and (5) reimbursement for services. Consequences of midwifery‐led care included (1) improved maternal and neonatal outcomes, (2) patient satisfaction, and (3) reduced health care costs. The presented expanded definition of midwifery‐led care is the first to use a systems level approach and explicitly center the person receiving care and the philosophical approach of midwifery care. Application of this definition is needed in theoretical and pragmatic research to classify midwifery‐led care and other service models and compare patient‐ and organization‐level outcomes.

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The American College of Nurse-Midwives' Benchmarking Project

Cited by 3 publications

References 64 publications

A prolonged latent phase: An early career in oxytocin during birth

A prolonged latent phase: An early career in oxytocin during birth

Quality Improvement in Community Birth: A Call to Action

Defining Midwifery‐Led Care in the United States Using Concept Analysis

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