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J Midwifery Womens Health. 2019 Jul 19. doi: 10.1111/jmwh.13015. [Epub ahead of print]

Expanded Practice in Midwifery: Designing, Implementing, and Maintaining Programs.

Author information

1
Division of Midwifery and Community Health, Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts.
2
Midwifery Education Program, Division of Midwifery and Community Health, Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts.

Abstract

Advances in health care science and delivery, coupled with patient need for access to care, have driven expanded practice in midwifery for decades. The process for development and implementation of expanded practices for midwives and midwifery practices is described. Important components include assessment of need, identifying stakeholders and supporters, development of a program proposal, obtaining privileges, developing training programs, and conducting ongoing quality management and program evaluation. Examples of expanded practice in midwifery are presented.

KEYWORDS:

advanced practice nursing; expanded practice; midwifery; midwives; nurse-midwife; scope of practice

PMID:
31322839
DOI:
10.1111/jmwh.13015

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