Western Regional Medical Command, BLDG 2006, Joint Base Lewis McChord, WA 98433, USA.
Obstet Gynecol Clin North Am. 2012 Sep;39(3):399-410. doi: 10.1016/j.ogc.2012.05.008. Epub 2012 Aug 11.
In 2007, Madigan Army Medical Center implemented a new maternity care delivery model, integrating obstetricians and certified nurse-midwives (CNMs) in a collaborative practice. The change was driven by multiple factors, including patient preference, changes in the resident workweek, and low provider satisfaction. This article describes the elements of successful collaboration, including the structure, effective teamwork principles, role of the CNM in resident education, and preliminary data on mode of delivery, the number of CNM-supervised resident births, and procedures, such as episiotomy and epidural use.
2007 年，Madigan 陆军医疗中心实施了一种新的产科护理分娩模式，将产科医生和认证的注册护士助产士（CNM）整合到协作实践中。这种变化是由多个因素驱动的，包括患者的偏好、住院医生工作周的变化以及提供者的低满意度。本文描述了成功合作的要素，包括结构、有效的团队合作原则、CNM 在住院医生教育中的作用，以及分娩方式、CNM 监督的住院医生分娩数量和程序（如会阴切开术和硬膜外使用）的初步数据。
