title: Speaking up and talking out. Barriers and obstacles to nurse-midwifery practice.
abstract: There are internal as well as external barriers to nurse-midwifery practice. We have let others define us. It is time to articulate a new vision for nurse-midwifery that speaks to what midwifery does better than obstetrics. We need to claim our "partnership" model and argue for its integration into health policy for all childbearing women.
authors.affiliation: Nurse-Midwifery Program, University of California-San Francisco/San Francisco General Hospital.
authors.forename: J
authors.initials: J
authors.lastname: Flanagan
mesh_terms: D001291:Attitude of Health Personnel; D003362:Cost-Benefit Analysis; D005544:Forecasting; D007857:Leadership; D008389:Marketing of Health Services; D016294:Models, Nursing; D009721:Nurse Midwives / Q000458:organization & administration* / Q000523:psychology; D009774:Obstetrics; D009937:Organizational Objectives; D010348:Patient Care Team; D011364:Professional Practice / Q000458:organization & administration*; D011787:Quality of Health Care