• 1 July 1989
    • journal article
    • research article
    • Vol. 74  (1) , 112-116
Abstract
This study of the effectiveness of certified nurse-midwives in a health maintenance organization (HMO) led to five conclusions: 1) Maternity patients accepted certified nurse-midwife care; 2) the general female HMO population had little awareness of certified nurse-midwives but was receptive to receiving certified nurse-midwife care once the role was explained; 3) certified nurse-midwives reduced inpatient cost; 4) the use of certified nurse-midwives did not affect perinatal outcomes; and 5) physicians and certified nurse-midwives worked well together as team members. Certified nurse-midwives proved to be an unqualified success as team members in this setting.

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