This article discusses one of four findings of a larger descriptive correlational health policy study, the purpose of which was to investigate relationships among state regulation of nurse-midwifery practice, utilization of certified nurse-midwives (CNM) for Medicaid funded prenatal care, and maternal newborn outcomes. The larger study showed that use of accurate data about CNM practice and subsequent health care outcomes creates a challenge for researchers because of the paucity of data related to services provided by CNMs. Barriers to adequate data collection related to CNM services, specifically those funded by Medicaid, preclude legitimate conclusions about subsequent health care policy. Methods of workforce data collection need to be addressed by health care and health policy groups to facilitate further investigation of the relationships among state regulation of CNM practice, utilization of CNMs for Medicaid-funded prenatal care and maternal newborn outcomes as they affect access to care for vulnerable populations.
American College of Nurse-Midwives. (1997). Position statement: Certified nurse-midwives and certified midwives as primary care providers/case managers. Retrieved from http://www.midwife.org/siteFiles/position/CNMs_&_CMs_as_PCP_05.pdf
2.
American College of Nurse-Midwives. (2010a). American college of nurse-midwives annual report2008. Retrieved from http://www.midwife.org/annualreport2008.pdf
3.
American College of Nurse-Midwives. (2010b). State fact sheets. Retrieved from http://www.midwife.org/state_fact_sheets.cfm
4.
American College of Nurse-Midwives, Division of Research. ( 2005). Research priorities by strategic focus. American College of Nurse-Midwives Research Agenda. Retrieved from http://www.acnm.org/siteFiles/publications/ACNMResearchAgenda2005.pdf
5.
Baldwin, L., Larson, E.H., Connell, F.A., Nordland, D., Cain, K.C., Lawson Cawthon, M., . . . Rosenblatt, R.A. (1998). The effect of expanding Medicaid prenatal services on birth outcomes. American Journal of Public Health, 88, 1623-1629.
6.
Biro, M.A., Waldenstrom, U., Brown, S., & Pannifex, J.H. (2000). Team midwifery care in a tertiary level obstetric service: A randomized controlled trial. Birth, 27, 168-173.
7.
Callaghan, L. ( 2008). Advanced nursing practice: An idea whose time has come . Journal of Clinical Nursing, 17, 205-213.
8.
Carroli, G., Villar, J., Piaggio, G., Khan-Neelofur, D., Gülmezoglu, M., Mugford, M., . . . Bersgjø, P. (2001). WHO systematic review of randomised controlled trials of routine antenatal care. Lancet, 357, 1565-1570. Retrieved from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=13&hid=12&sid=b43cb18b-c0ae-4d5c-a08f-4a5db34d0c1d%40sessionmgr14
9.
Cawthon, L. ( 1996, July). Planned home births: Outcomes among Medicaid women in Washington State (Report 7.93). Olympia, WA: Office of Research and Data Analysis Department of Social and Health Services . Retrieved from http://www.dshs.wa.gov/pdf/ms/rda/research/7/93.pdf
10.
Centers for Disease Control and Prevention, National Center for Health Statistics. (1990 ). Fetal Mortality by Maternal Education and Prenatal Care, 1990. Retrieved from http://www.cdc.gov/nchs/products/pubs/pubd/series/sr20/pre-1/sr20_30.htm
11.
Centers for Disease Control and Prevention, National Center for Health Statistics. (1991 ). The 1989 Revision of the U.S. Standard Certificates and Reports . Retrieved from http://www.cdc.gov/nchs/data/series/sr_04/sr04_028.pdf
12.
Centers for Disease Control and Prevention, National Center for Health Statistics. (2005 b). National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey (NHAMCS) description. Retrieved from http://www.cdc.gov/nchs/about/major/ahcd/nhamcsds.htm
13.
Centers for Medicare and Medicaid Services. ( 2005a). Technical summary: Overview of Medicaid-Title XIX. Retrieved from http://www.cms.hhs.gov/MedicaidGenInfo/03_TechnicalSummary.aspCenters for Medicare and Medicaid Services (2005b). The Medicaid Statistical Information System State Summary DataMart. Retrieved from http://msis.cms.hhs.gov/
14.
Chapman, S.A., Wides, C.D., & Spetz, J. ( 2010). Payment regulations for advanced practice nurses: Implications for primary care. Policy, Politics & Nursing Practice , 11(2), 89-98.
15.
Chen, X.K., Wen, S.W., Yang, Q., & Walker, M.C. ( 2007, April). Adequacy of prenatal care and neonatal mortality in infants born to mothers with and without antenatal high-risk conditions . Australian & New Zealand Journal of Obstetrics & Gynaecology, 47(2), 122-127. Retrieved from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=8&hid=12&sid=b43cb18b-c0ae-4d5c-a08f-4a5db34d0c1d%40sessionmgr14
16.
Davidson, M.R. ( 2002). Outcomes of high-risk women cared for by certified nurse-midwives . Journal of Midwifery and Women’s Health, 47(1), 46-49.
17.
Declercq, E. ( 2009). Births attended by certified nurse-midwives in the United States reach an all-time high: Trends from 1989 to 2006. Journal of Midwifery & Women’s Health, 54, 263-265.
18.
Declercq, E.R., Paine, L.L., Simmes, D.R., & DeJoseph, J.F. (1998). State regulation, payment policies, and nurse-midwife services. Health Affairs, 17, 190-200.
19.
Declercq, E.R., Williams, D.R., Koontz, A.M., Paine, L.L., Streit, E.L., & McCloskey, L. ( 2001). Serving women in need: Nurse-midwifery practice in the United States. Journal of Midwifery and Women’s Health , 46(1), 11-16.
20.
DeSandre, C.A. ( 2000). Midwives as primary care providers. Journal of Midwifery and Women’s Health, 45(1), 81-83.
21.
Diers, D. ( 2007). Finding midwifery in administrative data systems. Journal of Midwifery and Women’s Health, 52(2), 98-105.
22.
Dower, C.M., Miller, J.E., O’Neil, E.H., & Taskforce on Midwifery. (1999 ). Charting a course for the 21st Century: The future of midwifery . San Francisco, CA: Pew Health Professions Commission and the UCSF Center for the Health Professions.
23.
Fairman, J.A., Rowe, J.W., Hassmiller, S., & Shalala, D.E. ( 2010). Broadening the scope of nursing practice. New England Journal of Medicine, 10(1056), 1-3. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJMp1012121
24.
Friedman, S.H., Heneghan, A., & Rosenthal, M. ( 2009, February). Disposition and health outcomes among infants born to mothers with no prenatal care. Child Abuse & Neglect , 33(2), 116-122.
25.
Gabay, M., & Wolfe, S.M. ( 1995). Encouraging the use of nurse-midwives: A report for policy makers. Washington, DC: Public Citizen’s Health Research Group.
26.
Grumbach, K., Hart, L.G., Mertz, E., Coffman, J., & Palazzo, L. ( 2003). Who is caring for the underserved? A comparison of primary care physician non-physician clinicians in California and Washington. Annals of Family Medicine, 1(2), 97-104.
27.
Hartley, H. ( 2003). Impact of health policy at state and local levels: The case of certified nurse-midwives. Nursing and Health Policy Review, 2(1), 25-34.
28.
Henry, J., & Kaiser Family Foundation. ( 2005). Providers and service use. Retrieved from http://www.statehealthfacts.org/comparecat .jsp?cat=8
29.
Howe, C., & Lowe, N.K. ( 2007). Certification and licensure in midwifery. In L. Ament (Ed.), Professional issues in midwifery (pp. 97-118). Sudbury, MA: Jones and Bartlett.
30.
Howell, E.M. ( 2001). The impact of the Medicaid expansions for pregnant women: A synthesis of the evidence. Medical care research and review , 58(1), 3-30. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11236231
31.
Institute of Medicine, & Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2010). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press. Retrieved from http://www.nap.edu/catalog/12956.html
32.
Institute of Medicine, & Division of Health Promotion, Committee to Study the Prevention of Low Birth Weight, and Disease Prevention. (1985). Preventing low birth weight . Washington, DC: National Academy Press.
33.
Kennedy, H.P., Schuiling, K.D., & Murphy, P.A. ( 2007). Developing midwifery knowledge: Setting a research agenda . Journal of Midwifery and Women’s Health, 52(2), 95-97.
34.
MacDorman, M.F., & Singh, G. ( 1998). Midwifery care, social and medical risk factors, and birth outcomes in the USA. Journal of Epidemiological Community Health, 52, 310-317.
35.
Massachusetts Department of Public Health. ( 2002). Hospital work-sheet for birth certificate (Form R-166) . Boston, MA: Bureau of Health Information, Statistics, Research and Evaluation.
36.
Morgan, P.A., Strand, J., stbye, T., & Albanese, M.A. (2007). Missing in action: Care by physician assistants and nurse practitioners in national health surveys . Health Services Research, 42, 2022-2037.
37.
National Council of State Boards of Nursing. ( 2008). Consensus model for APRN regulation: Licensure, accreditation, certification, and education. Retrieved from https://www.ncsbn.org/170.htm
38.
Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services. ( 2000). Health people 2010: Understanding and improving health (2nd ed.). Washington, DC : U.S. Government Printing Office.
39.
Page, L., McCourt, C., Beake, S., Vail, A., & Hewison, J. ( 1999). Clinical interventions and outcomes of One-to-One midwifery practice. Journal of Public Health Medicine, 21, 243-248.
40.
Paine, L.L., Dower, C.M., & O’Neil, E.H. (1999). Midwifery in the 21st century: Recommendations from the Pew Health Professions Commission/UCSF Center for the Health Professions 1998 Taskforce on Midwifery. Journal of Nurse-Midwifery, 44, 341-348.
41.
Paine, L.L., Johnson, T.R.B., Lang, J.M., Gagnon, D., Declercq, E.R., DeJoseph, J., . . . Ross, R. ( 2000). A comparison of visits and practices of nurse-midwives and obstetriciangynecologists in ambulatory care settings. Journal of Midwifery and Women’s Health, 45(1), 37-44.
42.
Paine, L.L., Scupholme, A., DeJoseph, J.F., & Strobino, D.M. (1993). Nurse-midwifery care for vulnerable populations in the United States: The final report. Washington, DC: American College of Nurse-Midwives .
43.
Raatikainen, K., Heiskanen, N., & Heinonen, S. ( 2007, September 7). Under-attending free antenatal care is associated with adverse pregnancy outcomes. BMC Public Health, 268. doi:10.1186/1471-2458-7-268. Retrieved from http://web.ebscohost.com.rlib.pace.edu/ehost/pdfviewer/pdfviewer
44.
Rana, T.G., Rajopadhyaya, R., Bajracharya, B., Karmacharya, M., & Osrin, D. ( 2003). Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal. Health Policy and Planning , 18, 330-337.
45.
Reed, A., & Roberts, J.E. ( 2000). State regulation of midwives: Issues and options. Journal of Midwifery & Women’s Health, 45(2), 130-149.
46.
Rosenblatt, R.A., Dobie, S.A., Hart, L.G., Schneeweiss, R., Gould, D., Raine, T.R., . . . Perrin, E.B. ( 1997). Interspecialty differences in the obstetric care of low-risk women. American Journal of Public Health, 87, 344-351.
47.
Safriet, B.J. ( 1992). Health care dollars and regulatory sense: The role of advanced practice nursing. Yale Journal on Regulation, 9, 417-434.
48.
Slager, J. ( 2007). Managed care and payment. In L. Ament (Ed.), Professional issues in midwifery (pp. 227-247). Sudbury, MA: Jones and Bartlett
49.
Sonenberg, A. ( 2007). State regulation of practice and the utilization of certified nurse-midwives for Medicaid-funded prenatal care (Unpublished doctoral dissertation) . Columbia University, New York .
50.
Summers, L. ( 2007). Enough is enough! Journal of Midwifery and Women’s Health, 52, 427-428. doi:10.1016j.jmwh.2007.06.019
51.
Taylor, C.R., Alexander, G.R., & Hepworth, J.T. (2005). Clustering of U.S. women receiving no prenatal care: Differences in pregnancy outcomes and implications for targeting interventions. Maternal and Child Health Journal , 9(2), 125-133. Retrieved from http://web.ebscohost.com.rlib.pace.edu/ehost/pdfviewer/pdfviewer
52.
Tucker, J.S., Hall, M.H., Howie, P.W., Reid, M.E., Barbour, R.S., Florey, C., . . . McIlwaine, G.M. (1996). Should obstetricians see women with normal pregnancies? A mulitcentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by physicians. British Medical Journal, 312, 554-559.
53.
Turnbull, D., Holmes, A., Shields, N., Cheyne, H., Twaddle, S., Gilmour, W.H., . . . Lunan, C.B. ( 1996). Randomised, controlled trial of efficacy of midwife-Managed care. Lancet, 348, 213-218.
54.
U.S. Department of Health and Human Services, National Center for Workforce Analysis. (2004 ). A comparison of changes in the professional practice of nurse practitioners, physician assistants, and certified nurse-midwives: 1999 and 2000. Retrieved from ftp://ftp.hrsa.gov/bhpr/workforce/scope1992-2000.pdf
55.
U.S. Department of Labor. (2005). Standard occupational classification: Registered nurses. Retrieved at http://www.bls.gov/soc/soc_j1l1.htm
56.
Varney, H., Kriebs, J.M., & Gegor, C.L. ( 2003). Varney’s midwifery (4th ed.). New York, NY: Jones & Bartlett.
57.
Vintzileos, A., Ananth, C.V., Smulian, J.C., Scorza, W.E., & Knuppel, R.A. ( 2002). The impact of prenatal care on post-neonatal deaths in the presence and absence of antenatal high-risk conditions. American Journal of Obstetrics & Gynecology, 187, 1258-1262.
58.
Visintainer, P.F., Uman, J., Horgan, K., Ibald, A., Verma, U., & Tejani, N. ( 2000). Reduced risk of low weight births among indigent women receiving care from nurse-midwives. Journal of Epidemiology & Community Health, 54, 233-238.
59.
World Health Organization. (2002). Strategic directions for strengthening nursing and midwifery services. Retrieved from http://whqlibdoc.who.int/publications/2002/924156217X.pdf_K0JmbHBDqiZBGmr_SKrGEb1wqpa2NQKp0phVQdJOcjsBvwD
