title: Description of a successful collaborative birth center practice among midwives and an obstetrician.
abstract: Collaboration among professional groups is essential for safe and efficient health care. Midwifery care is optimized when allowed to function independently within an integrated health care system of support to address complications should they arise. A formal process for collaboration facilitates a smooth, expedient flow of information and decision making in a time of need, maximizing safety and efficiency. This article describes a successful collaborative model among four midwives and one obstetrician that addresses the impending maternity health care provider shortage, the needs of vulnerable populations, and cost-efficiency through appropriate use of technology and choice of health care provider.
authors.affiliation: Reading Birth and Women's Center, Reading, PA 19607, USA. RBWCjs@gmail.com
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Stevens
authors.forename: Tammy L
authors.initials: TL
authors.lastname: Witmer
authors.forename: Robin L
authors.initials: RL
authors.lastname: Grant
authors.forename: Dominic J
authors.initials: DJ
authors.lastname: Cammarano
mesh_terms: D016550:Birthing Centers; D003299:Cooperative Behavior; D005260:Female; D049673:History, 20th Century; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008427:Maternal Health Services / Q000266:history / Q000458:organization & administration* / Q000592:standards; D008880:Midwifery / Q000266:history / Q000458:organization & administration* / Q000592:standards; D017146:Models, Organizational; D009721:Nurse Midwives / Q000193:education / Q000458:organization & administration*; D009774:Obstetrics / Q000266:history / Q000458:organization & administration* / Q000592:standards; D017063:Outcome Assessment, Health Care; D019555:Physician-Nurse Relations; D011247:Pregnancy; D015203:Reproducibility of Results; D014481:United States; D000078329:Workforce