Document Detail

The transformation of American midwifery: 1975 to 1988.
MedLine Citation:
PMID:  1566946     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of midwives is a natural solution to the problem of improving access to skilled perinatal services while lowering costs. The number of midwife-attended births has grown from 0.9% of all births in 1975 to 3.4% of all births in 1988. The purpose of the study was to determine how mothers served by midwives and the settings in which they are served have changed in that period. METHODS: The analysis is based on birth certificate data from 1975 to 1988 from the Natality, Marriage and Divorce Statistics Branch of the National Center for Health Statistics, Centers for Disease Control. RESULTS: Almost all of the growth (93.2%) in midwife-attended births from 1975 to 1988 was in hospitals; 87.3% of all births attended by midwives occurred in hospitals. Pronounced differences exist between mothers served by midwives in and outside of hospitals, and there are strong regional patterns in midwife attendance at birth. CONCLUSIONS: Given the positive outcomes associated with midwifery practice, further research into the content of midwifery care is recommended.
E R Declercq
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of public health     Volume:  82     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  680-4     Citation Subset:  AIM; IM    
Merrimack College Political Science Department, North Andover, Mass. 01845.
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MeSH Terms
Home Childbirth / statistics & numerical data,  utilization
Midwifery / statistics & numerical data,  trends*
Nurse Midwives / statistics & numerical data*
Obstetrics and Gynecology Department, Hospital / statistics & numerical data,  utilization
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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