title: Nurse-midwifery at Gundersen Clinic: a twenty year review.
abstract: The twenty-year experience of the Certified Nurse-Midwife (CNM) Service at Gundersen Lutheran Medical Center is presented. The Service was started in September, 1975. From 1975 through 1995, the nurse-midwives have attended 9,120 women in labor (32.5% of all laboring women at Lutheran Hospital). During this time, the CNM service perinatal mortality rate was 6.8 per 1,000 births and the primary cesarean section rate was 5.8%. A close working relationship between nurse-midwives and obstetricians is thought to be one of the main factors in the growth, acceptance and safety of the service.
authors.affiliation: Department of Obstetrics and Gynecology, Gundersen Lutheran, La Crosse, Wisconsin, USA.
authors.forename: C F
authors.initials: CF
authors.lastname: DeLano
authors.forename: L D
authors.initials: LD
authors.lastname: Hirsh
authors.forename: C W
authors.initials: CW
authors.lastname: Schauberger
mesh_terms: D003696:Delivery Rooms; D005260:Female; D006801:Humans; D016389:Maternal-Child Nursing / Q000379:methods / Q000592:standards*; D009721:Nurse Midwives / Q000592:standards*; D009731:Nursing Audit / Q000379:methods*; D011247:Pregnancy; D012189:Retrospective Studies; D012449:Safety; D014922:Wisconsin