Bussey Carie G, Bell Janice F, Lydon-Rochelle Mona T
Woman Care, PLLC, Olympia, WA, USA.
J Midwifery Womens Health. 2007 Sep-Oct;52(5):444-50. doi: 10.1016/j.jmwh.2007.03.017.
Nationwide, the proportion of certified nurse-midwife (CNM)-attended births has increased steadily. We examined trends in CNM-attended singleton spontaneous vaginal births between 1995 and 2004 in Washington State by site of birth, payer source, and hospital birth volume. CNMs were more likely than other providers to care for women at risk for adverse outcomes based on several sociodemographic indicators. The increased rate of CNM-attended births occurred primarily in hospitals and among both Medicaid- and privately-funded births. The rate of CNM-attended births doubled in hospitals with high birth volumes. We recommend future research designed to understand these trends.
在全国范围内，由认证助产士（CNM）接生的比例一直在稳步上升。我们研究了1995年至2004年期间华盛顿州按出生地点、支付方来源和医院分娩量划分的由CNM接生的单胎自发性阴道分娩的趋势。根据多项社会人口统计学指标，与其他医护人员相比，CNM更有可能照顾有不良结局风险的女性。CNM接生率的上升主要发生在医院以及医疗补助和私人资助的分娩中。在高分娩量的医院中，CNM接生率翻了一番。我们建议未来开展旨在了解这些趋势的研究。
