Gynecologic and Contraceptive Services Provided by Certified Nurse-Midwives in North Carolina

Gynecologic care by midwives has been little represented in the peer-reviewed literature despite the fact that the majority of midwives provide these services. Offering patients a variety of contraceptive options is important for informed choice and consent and for reducing the unintended pregnancy...

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Bibliographic Details
Published in:Journal of midwifery & women's health 2006-11, Vol.51 (6), p.410-414
Main Authors: Likis, Frances E., Petersen, Ruth, Clark, Kathryn Andersen, Payne, Patricia A.
Format: Article
Language:English
Subjects:
Adult
Ambulatory Care Facilities - organization & administration
contraception
Contraception - nursing
Contraception - statistics & numerical data
Contraceptive Agents, Female
Contraceptive Devices, Female
Cross-Sectional Studies
family planning services
Female
gynecology
Humans
Middle Aged
midwives
North Carolina
Nurse Midwives - organization & administration
Nurse Midwives - statistics & numerical data
Nurse's Role
Nurse-Patient Relations
Nursing
Nursing Evaluation Research
Surveys and Questionnaires
Women's Health
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Summary:Gynecologic care by midwives has been little represented in the peer-reviewed literature despite the fact that the majority of midwives provide these services. Offering patients a variety of contraceptive options is important for informed choice and consent and for reducing the unintended pregnancy rate, which is nearly 50% in the United States. This study describes the volume of gynecologic care and the contraceptive methods provided by certified nurse-midwives (CNMs) in North Carolina. The study was conducted using a cross-sectional, confidential, self-administered mail questionnaire completed by 133 CNMs in clinical practice in North Carolina. The majority of the CNMs worked in private practice settings (67%), in urban areas (60%), and had 10 or fewer years of experience (62%). The median number of women seen weekly for gynecologic care was 15 (range 0-80), and 30% of CNMs provided gynecologic care to more than 25 women each week. The contraceptive methods discussed and provided by the CNMs were comprehensive. The high percentage of midwives providing gynecologic care merits further study of the content and quality of this care.
ISSN:1526-9523
1542-2011
DOI:10.1016/j.jmwh.2006.08.007