Evidence map›Paper›PMID 42414146›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

State Midwifery Full Practice Authority Policies and Midwife-Attended Births Among Rural and Urban U.S. Residents.

Clara E Busse, Emily C Sheffield, Caitlin Carroll, Karen Jefferson, Jennifer Vanderlaan, Katy Backes Kozhimannil, Julia D Interrante

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Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Clara E BusseDivision of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota; Division of Health Policy and Management, University of Minnesota Rural Health Research Center, Minneapolis, Minnesota. Electronic address: BUSSEC2@chop.edu.
Emily C SheffieldDivision of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota; Division of Health Policy and Management, University of Minnesota Rural Health Research Center, Minneapolis, Minnesota.
Caitlin CarrollDivision of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota.
Karen JeffersonAmerican College of Nurse-Midwives, Silver Spring, Maryland.
Jennifer VanderlaanDepartment of Nursing, University of Las Vegas, Las Vegas, Nevada.
Katy Backes KozhimannilDivision of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota; Division of Health Policy and Management, University of Minnesota Rural Health Research Center, Minneapolis, Minnesota.
Julia D InterranteDivision of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota; Division of Health Policy and Management, University of Minnesota Rural Health Research Center, Minneapolis, Minnesota.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UM1TR004405 · NCATS · UNIVERSITY OF MINNESOTA · PI Bruce R Blazar, Damien A Fair · 2023 to 2026
$30.8M
NCATS NIH HHS UM1 TR004405
6 · The paper itself

Abstract

introductionMidwives play an important and growing role in U.S. perinatal care. Several state-level policies regulate midwifery practice. We examined whether the adoption of one such policy-licensing midwives to practice without physician supervision (full practice authority)-changed the percentage of midwife-attended births for rural and urban residents.

methodsUsing 2007-2023 Centers for Disease Control and Prevention's Wide-ranging ONline Data for Epidemiologic Research and state-level data on full practice authority policies collated by the American College of Nurse-Midwives, we estimated differences in the percentage of midwife-attended births before and after state adoption of these policies, examining rural and urban births separately.

resultsIn 2007, 13 states and the District of Columbia had full practice authority policies; an additional 20 states passed such policies between 2008 and 2023. The percentage of midwife-attended births increased between 2007 and 2023 among states without full practice authority policies (rural, from 9.9% to 14.8%; urban, from 9.6% to 14.4%), among states that passed policies in 2007 or earlier (rural, from 16.9% to 22.0%; urban, from 14.7% to 25.0%), and among states that passed policies during the study period (rural, from 14.3% to 20.2%; urban, from 9.5% to 16.3%). Difference-in-difference models show no change in midwife-attended births associated with full practice authority policy adoption relative to trends in states without such policies by 2023.

conclusionBetween 2007 and 2023, the percentage of midwife-attended births rose in both rural and urban settings and was higher in full practice authority states, although the trends did not change following the adoption of these policies.

Indexed as

Health PolicyMaternal Health ServicesMidwiferyNurse MidwivesProfessional AutonomyRural Health ServicesFemaleHumansPregnancyRural PopulationState GovernmentUnited StatesUrban Health ServicesUrban Population

Identifiers

PMID42414146
PMCPMC13437037

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