Down the rabbit hole: examining outcomes of nurse midwifery care.
Care of the laboring woman and subsequent birth interventions have generally been based on tradition rather than a systematic examination of the cost-effectiveness of the interventions. This retrospective study examined the outcomes of nurse midwifery care at a large metropolitan university clinic setting. Findings suggest that more sensitive cost and quality indicators of nurse midwifery care need to be developed, and the effect of these on outcomes needs to be elucidated.
Vincent
Deborah
D
University of Colorado Health Sciences Center, School of Nursing, Denver, Colo, USA. dvincent@nursing.arizona.edu
Hastings-Tolsma
Marie
M
Park
Jeong-Hwan
JH
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D019985:Benchmarking; D003362:Cost-Benefit Analysis; D036861:Delivery, Obstetric; D004522:Educational Status; D005260:Female; D006785:Hospitals, University; D006786:Hospitals, Urban; D006801:Humans; D008423:Maternal Age; D008880:Midwifery / Q000191:economics / Q000193:education / Q000592:standards*; D009721:Nurse Midwives / Q000191:economics / Q000193:education / Q000592:standards*; D015403:Nursing Evaluation Research; D009734:Nursing Faculty Practice / Q000191:economics / Q000592:standards*; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000209:etiology / Q000451:nursing; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D037841:Pregnant People; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity