Mapping integration of midwives across the United States: Impact on access, equity, and outcomes

PloS One
Saraswathi VedamHolly Powell Kennedy

Abstract

Our multidisciplinary team examined published regulatory data to inform a 50-state database describing the environment for midwifery practice and interprofessional collaboration. Items (110) detailed differences across jurisdictions in scope of practice, autonomy, governance, and prescriptive authority; as well as restrictions that can affect patient safety, quality, and access to maternity providers across birth settings. A nationwide survey of state regulatory experts (n = 92) verified the 'on the ground' relevance, importance, and realities of local interpretation of these state laws. Using a modified Delphi process, we selected 50/110 key items to include in a weighted, composite Midwifery Integration Scoring (MISS) system. Higher scores indicate greater integration of midwives across all settings. We ranked states by MISS scores; and, using reliable indicators in the CDC-Vital Statistics Database, we calculated correlation coefficients between MISS scores and maternal-newborn outcomes by state, as well as state density of midwives and place of birth. We conducted hierarchical linear regression analysis to control for confounding effects of race. MISS scores ranged from lowest at 17 (North Carolina) to highest at 61 (Washin...Continue Reading

References

Mar 6, 2007·Journal of Midwifery & Women's Health·Donna Diers
May 4, 2007·Social Science & Medicine·Steffie Goodman
Aug 15, 2008·Best Practice & Research. Clinical Obstetrics & Gynaecology·Jeanne-Marie Guise, Sally Segel
Jan 31, 2009·International Journal of Epidemiology·S V SubramanianNancy Krieger
May 5, 2009·Journal of Midwifery & Women's Health·Julia C Phillippi
Sep 12, 2012·Obstetrics and Gynecology Clinics of North America·Richard WaldmanSusan Kendig
Mar 2, 2013·The Journal of Perinatal Education·Saraswathi Vedam
May 8, 2013·Best Practice & Research. Clinical Obstetrics & Gynaecology·Katie CornthwaiteDimitrios Siassakos
Mar 5, 2014·Journal of Midwifery & Women's Health·Julia C Phillippi, Melissa D Avery
Mar 7, 2014·Qualitative Health Research·Melissa CheyneyPaul Burcher
Mar 25, 2014·Birth·Melissa CheyneySaraswathi Vedam
Jun 27, 2014·Lancet·Caroline S E HomerLinda A Bartlett
Jul 26, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Milisa ManojlovichGinette L Rodger
Dec 24, 2014·Journal of Midwifery & Women's Health·Saraswathi VedamCatherine Ruhl
Mar 19, 2015·Journal of Midwifery & Women's Health·Holly Powell KennedyUNKNOWN National Association of Certified Professional Midwives
Sep 5, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·S RoomeA W Welsh
Sep 14, 2015·Women and Birth : Journal of the Australian College of Midwives·Sandra HealyCatriona Kennedy
Dec 10, 2015·American Journal of Obstetrics and Gynecology·Katy B KozhimannilIra S Moscovice
Dec 17, 2015·Annual Review of Public Health·Scott BurrisMichelle Larkin
Mar 12, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Y Tony YangKaty B Kozhimannil
May 20, 2016·Epidemiology·Lauren M RossenKenneth C Schoendorf
Jun 18, 2016·Midwifery·Kirstie CoxonDebra Bick
Oct 22, 2016·The Lancet Global Health·Holly Powell KennedyMary J Renfrew
Oct 4, 2016·Labour Economics·Todd E ElderSteven J Haider
Nov 14, 2016·The Journal of Pediatrics·Melissa C BartickAlison M Stuebe

❮ Previous
Next ❯

Citations

Jun 20, 2018·Journal of Midwifery & Women's Health·Nicole S Carlson
Jan 30, 2019·Journal of Midwifery & Women's Health·Melissa CheyneySaraswathi Vedam
Feb 26, 2019·Obstetrics and Gynecology·Leanna Sudhof, Neel T Shah
Nov 2, 2019·International Journal for Equity in Health·Pauline DawsonJean Hay-Smith
Jan 21, 2020·Journal of Midwifery & Women's Health·Kathrin H StollUNKNOWN ICAPP Study Team
Feb 1, 2020·The Journal of Nursing Education·April Jo Love, Cathy Roche
Apr 26, 2019·Obstetrics and Gynecology·Aaron B Caughey, Melissa Cheyney
Jan 7, 2020·Journal of Women's Health·Joan L CombellickSally G Haskell
May 1, 2020·Journal of Midwifery & Women's Health·Elise Parks SantangeloSusan M Mason
Oct 11, 2019·Journal of Midwifery & Women's Health·Karen JeffersonDana Perlman
Oct 15, 2019·Journal of Midwifery & Women's Health·Kari Radoff, Rosha Forman
Jul 14, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Megan KalataJanet Meredith
May 3, 2019·Journal of Midwifery & Women's Health·Mary Ann Faucher
Jun 12, 2019·Reproductive Health·Saraswathi VedamUNKNOWN GVtM-US Steering Council
Jul 1, 2020·MCN. the American Journal of Maternal Child Nursing·Lynn Clark Callister
Jul 5, 2019·Birth·Mary J RenfrewWillibald Zeck
Mar 28, 2020·Public Health Nursing·Pía Rodríguez-GarridoJosefina Goberna-Tricas
Aug 23, 2018·Birth·Marian F MacDorman
Sep 27, 2020·Journal of Midwifery & Women's Health·Amy RomanoMelissa D Avery
Aug 8, 2020·Journal of Midwifery & Women's Health·Sharon Bernecki DeJoy
Jul 10, 2019·Journal of Midwifery & Women's Health·Barbara S McAlister
Jul 10, 2020·Health Research Policy and Systems·Cristina A MattisonMichelle L Dion
Nov 13, 2020·Journal of Women's Health·Joia Crear-PerryMaeve Wallace
Nov 20, 2020·Journal of Women's Health·Jennifer L HeckJacquelyn Campbell
Nov 3, 2020·Health Policy·Serena YuCaroline Homer
Nov 21, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Gloria AndersonAntonello Cocchieri
Feb 11, 2021·Circulation. Cardiovascular Quality and Outcomes·Rachel M BondUNKNOWN Association of Black Cardiologists
Dec 18, 2020·International Journal of Environmental Research and Public Health·Eva NeelyCarmen Timu-Parata
Oct 28, 2020·International Journal of Environmental Research and Public Health·Desirée Mena-TudelaMaría Jesús Valero-Chilleron
Feb 19, 2021·Journal of Midwifery & Women's Health·Mary K Barger

❮ Previous
Next ❯

Methods Mentioned

BETA
Cesarean sections
cesarean

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.