To determine the prevalence of burnout among midwifery workforce and association between fixed personal practice characteristics modifiable organizational factors, specifically environment, to midwives in United States.Primary data collection was conducted via an online survey complete national roster certified nurse-midwives over 3 weeks April 2017.The study a cross-sectional observational consisting 95 items about characteristics, respondents' environments, professional burnout.The...

In a personal survey, by structured interview, we have investigated some of the factors which led 100 healthy mothers (63 primiparae) to decide breast-feed their babies, and comparable (43 bottle-feed. Past experience (either or that family friends) was considerable but not overriding importance, decisions were apparently made surprisingly early in most cases. But much more effective educational approaches are needed, perhaps starting schools, concentrated antenatal clinic, allow reach right...

Abstract Background The presence of midwives in a health system may affect perinatal outcomes but has been inadequately described United States settings. Our objective was to compare labor processes and for low‐risk nulliparous women birthing medical centers with interprofessional care (midwives physicians) versus noninterprofessional (physicians only). Methods We conducted retrospective cohort study using Consortium on Safe Labor data from who birthed (n = 7393) or 6982). Unadjusted,...

Introduction Prior to the coronavirus disease 2019 (COVID‐19) pandemic, studies of innovative telehealth perinatal care models showed similar clinical outcomes and perceived quality between groups receiving a combination virtual video in‐person visits. However, these included primarily White, English‐speaking participants, excluding those who were economically disenfranchised or did not speak English. The purpose this qualitative study was describe patients’ providers’ experiences with...

Since the passage of Affordable Care Act, collaborative practice has been cited as one method increasing access to care, decreasing costs, and improving efficiency. How under what conditions might these goals be achieved? Midwives physicians have built effective models over a period 30 years. Empirical study interprofessional collaboration between midwives could useful in guiding professional education, regulation, health policy women's maternity care.Construction conceptual framework for...

Purpose : The study sought to identify differences in use of elective induction labor (IOL) post-ARRIVE trial, by race and ethnicity, contributions multilevel contextual factors use. Background Racial disparities birth outcomes have been attributed community provider (ie, contextual) factors. varied induction, a common obstetric procedure, can provide insights on how racial biases are evidenced care delivery. Methods A retrospective cohort study, 2018 from 2020, utilized health record data...

Sixty percent of United States births are to multiparous women. Hospital-level policies and culture may influence intrapartum care birth outcomes for this large population, yet have been poorly explored using a large, diverse sample. We sought use national data analyze the association between midwifery presence in maternity teams processes low-risk parous women.We conducted retrospective cohort study Consortium on Safe Labor from women either interprofessional (n = 12 125) or...

Introduction The Robson 10‐group classification system stratifies cesarean birth rates using maternal characteristics. Our aim was to compare utilization in US centers with and without midwifery care the classification. Methods We used National Institute of Child Human Development Consortium on Safe Labor data from 2002 2008. Births women interprofessional that included midwives (n = 48,857) were compared births non‐interprofessional 47,935). To utilization, classified into categories....

In Brief OBJECTIVE: To estimate the relationship of positive screening for depression during and after pregnancy with deployment status spouse. METHODS: We conducted a retrospective cohort study by reviewing departmental database women who completed Edinburgh Postpartum Depression Scale from 2007 to 2009. Per protocol, is offered at initial obstetric visit, 28 weeks gestation, 6 postpartum. A score 14 or higher was considered high risk having depression, referral additional evaluation...

In late 2006, a 340-bed, not-for-profit, tertiary-care medical center implemented an electronic nursing inpatient documentation system. The computerized software replaced the paper system and was intended to efficiently capture healthcare information at point of care. Preimplementation postimplementation surveys were administered evaluate staff attitudes satisfaction levels their reactions computers implementation. A modified Stronge-Brodt Nurses' Attitudes Toward Computers questionnaire...

Healthcare delivered by teams is becoming more common, and an estimated 50% of obstetricians in the United States (US) work with or employ nurse practitioners nurse-midwives. The number midwife-attended births also growing. Interprofessional collaboration between midwives physicians can increase access to safe, quality maternity care for women States. A review literature indicates that successful collaborative practice includes effective communication, trust, respect providers. concepts...

Introduction The coronavirus disease 2019 (COVID‐19) pandemic created disruption in health care delivery, including a sudden transition to telehealth use mid‐March 2020. purpose of this study was examine changes the mode prenatal visits and predictors (provider‐patient messaging, telephone visits, video visits) during COVID‐19 among those receiving large, academic nurse‐midwifery service. Methods We conducted retrospective cohort enrolled for 2 clinics between 2021 (n = 3172). Use outcomes...

Lack of access to birth facilities and maternity care providers has contributed rising US maternal mortality morbidity rates, especially among women in rural areas. Evidence supports the increased use midwives as a potential solution for access-to-care issues. This observational survey was conducted identify practice environment Certified Nurse-Midwives® Colorado purpose informing future workforce expansion. Study results indicate that provide services aligned with midwifery model have...

Constipation among children is a prevalent condition, yet poorly understood. There little empirical evidence for ‘best possible’ configurations of services. This article presents survey Walsall health visitor team members (HVTMs) which aimed to identify the types advice and care provided young with constipation, pathways ideas service improvement. Most HVTM consultations were parent-initiated. Few GPs referred HVTMs. HVTMs most commonly about fluids diet – only one prescribed medication....

ABSTRACT Although active duty women (ADW) represent over 17% of the total U.S. Armed Forces, there are few evidence-based guidelines to promote health who serve in contemporary military roles. The existing body evidence does not support guideline development because much is generalizable ADW. authors this commentary recently conducted seven scoping reviews literature relevant ADW’s and healthcare. While completing reviews, it was noted that a substantial proportion studies either do include...

INTRODUCTION: The objective of this study was to compare unplanned cesarean deliveries, labor interventions, and maternal neonatal adverse outcomes in low-risk pregnant patients receiving intrapartum care managed by obstetricians or midwives. METHODS: We conducted a retrospective cohort using perinatal data from single academic tertiary center 2013 2018. sample included healthy nulliparous multiparous with term, singleton, vertex fetus both induced spontaneous as well trial after cesarean....

The World Health Organization-endorsed Robson Ten-Group Classification System (TGCS) is a standard reporting mechanism for cesarean birth, yet this approach not widely adopted in the United States.

Abstract Diversification of the midwifery workforce is key to addressing disparities in maternal health United States. Midwives who feel supported their practice environments report less burnout and turnover; therefore, creating positive for midwives color an essential component growing retaining workforce. The Midwifery Practice Climate Scale (MPCS) a 10‐item instrument developed through multiphase empirical analysis measure midwives' environments, yet MPCS had not been independently tested...