Phillippi Julia C, Barger Mary K
J Midwifery Womens Health. 2015 May-Jun;60(3):250-257. doi: 10.1111/jmwh.12295. Epub 2015 May 7.
Midwives certified by the American Midwifery Certification Board (AMCB) are prepared to provide primary care to women from menarche across the lifespan and to well newborns to 28 days using consultation, collaboration, and referral to other providers as needed. The scope of midwifery in the United States did not always include primary care for women, although imprecise definitions of primary care make this difficult to study. The expansion of the scope of practice occurred in response to population needs and research on nurse-midwifery practice patterns. The scope of practice of midwifery is tied to educational standards through the regulation and licensure at the state level. Although the current scope of practice includes primary care for women, many certified nurse-midwives and certified midwives are unable to practice to the full extent of their education due to state-level licensure restrictions. We discuss the addition of primary care to midwifery and the current state of AMCB-certified midwives as primary care providers for women.
由美国助产士认证委员会（AMCB）认证的助产士准备好为从初潮开始直至整个生命周期的女性提供初级保健服务，并为出生至28天的健康新生儿提供服务，必要时通过咨询、协作以及转介给其他医疗服务提供者来实现。美国助产士的执业范围并非一直包括对女性的初级保健服务，尽管初级保健的定义不精确使得这一点难以研究。执业范围的扩大是为了满足人口需求以及对助产士执业模式的研究。助产士的执业范围通过州一级的监管和执照颁发与教育标准相挂钩。尽管当前的执业范围包括对女性的初级保健服务，但由于州一级的执照限制，许多认证助产士和注册助产士无法充分发挥其教育水平进行执业。我们讨论了助产士增加初级保健服务的情况以及AMCB认证的助产士作为女性初级保健提供者的现状。
