Formulating evidence-based guidelines for certified nurse-midwives and certified midwives attending home births

Journal of Midwifery & Women's Health
Elizabeth CookMelissa Frisvold

Abstract

Implementing national home birth guidelines for certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States may facilitate a common approach to safe home birth practices. Guidelines are evidence-based care recommendations for specified clinical situations that can be modified by individual providers to meet specific client needs. Following a review of home birth guidelines from multiple countries, a set of home birth practices guidelines for US CNMs/CMs was drafted. Fifteen American Midwifery Certification Board, Inc. (AMCB)-certified home birth midwives who participate in the American College of Nurse-Midwives (ACNM) home birth electronic mailing list considered the use of such a document in their practices and reviewed and commented on the guidelines. The proposed guidelines addressed client screening, informed consent, antepartum care, routine intrapartum care, obstetric complications and hospital transports, postpartum care, neonatal care, gynecologic care, primary care, peer reviews, recordkeeping, and physician collaboration. The reviewers had varying assessments as to whether the guidelines reflected international standards and current best evidence. The primary concern expressed was that an adoptio...Continue Reading

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Citations

Dec 18, 2015·Journal of Midwifery & Women's Health·UNKNOWN American College of Nurse-Midwives
Dec 31, 2015·The New England Journal of Medicine·Jonathan M SnowdenYvonne W Cheng
May 9, 2015·Journal of Midwifery & Women's Health·Julia C Phillippi, Mary K Barger
Dec 3, 2014·American Journal of Obstetrics and Gynecology·Amos GrünebaumFrank A Chervenak
Feb 6, 2017·American Journal of Obstetrics and Gynecology·Amos GrünebaumFrank A Chervenak
Aug 19, 2016·Human Nature : an Interdisciplinary Biosocial Perspective·Bria Dunham
Sep 9, 2020·Journal of Korean Academy of Nursing·Ji Young Song, Young Joo Park

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