โ Scribed by Kate Sharp
No coin nor oath required. For personal study only.
The value of this study lies in its selection of care providers and patients. The strict limitation of patients to very low-risk criteria among a!1 provider groups alloys true variations in practice to emerge. Comparisons between CN,Ms and medical doctors can be clouded by the higher risk case load of OUs, rendering such data invalid. Such studies can seem self-serving to CNMs. In other words, to care for less complex paiients and to achieve better outcomes with less intervenlivi: practices is to be expected. In co;ltrast, this study provides a solid documentation of significant differences in the intrapdrtal care of low-risk women. It shows CNMs to use fewt?r financial resources and interventions and to achieve comparable outcomes. This study provides a useful and understandable basis for justification of CNM practice, which may be helpful to a CNM negotiating for practirc: privileges in institutions or with insurers. An inreresting further shady v&d be to expand the risk criteria slightly in all groups to include teens and uninsured women to see how CNM czre differs from other groups for moderate or social risk factors. Thr CNMs of the state of Washington are LCI be commended on their high participation rate in this study. It is through this participation that a body of studies documenting CNM care can develop and provide solid documentation of the characteristics of CNM care.
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