title: Midwives and obstetrician-gynecologists collaborating for Native American women's health.
abstract: Certified Nurse-Midwives (CNMs) and Obstetrician-Gynecologists (OBGs) have a long history of successful collaborative practice serving Native American women from the 1960s. CNMs provide holistic, patient-centered care focusing on normal pregnancy and childbirth. OBGs support CNMs with consultation services focusing on complications during pregnancy and specialty gynecology care. Collaborative care in Indian Health Service and Tribal sites optimizes maternity care in a supportive environment, achieving excellent outcomes including low rates of cesarean deliveries and high rates of successful vaginal birth after cesarean.
authors.affiliation: Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM 87131, USA. jogburn@salud.unm.edu
authors.forename: Joseph A Tony
authors.initials: JA
authors.lastname: Ogburn
authors.forename: Eve
authors.initials: E
authors.lastname: Espey
authors.forename: Marilyn
authors.initials: M
authors.lastname: Pierce-Bulger
authors.forename: Alan
authors.initials: A
authors.lastname: Waxman
authors.forename: Lisa
authors.initials: L
authors.lastname: Allee
authors.forename: William H J
authors.initials: WH
authors.lastname: Haffner
authors.forename: Jean
authors.initials: J
authors.lastname: Howe
mesh_terms: D001942:Breast Feeding; D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D005260:Female; D006176:Gynecology / Q000191:economics / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American; D007231:Infant, Newborn; D007400:Interprofessional Relations; D008297:Male; D008430:Maternal-Child Health Centers / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D008880:Midwifery / Q000191:economics / Q000458:organization & administration*; D009774:Obstetrics / Q000191:economics / Q000458:organization & administration*; D019555:Physician-Nurse Relations; D011247:Pregnancy; D014481:United States; D016549:United States Indian Health Service / Q000191:economics / Q000458:organization & administration* / Q000592:standards