Federal study_ nurse midwives could fill rural maternity-care gaps _ north carolina health news

Jennifer Perry-Hidalgo, a certified nurse midwife, treats Claire Ida Jean Charles, who is receiving medication to reduce her chances of giving birth prematurely. Paying off student loans with a credit card Photo credit: Thomas Goldsmith.

The resulting data could put the spotlight back on North Carolina’s requirement for midwives to have a contract to work under physician supervision. Student loans uk That requirement that has ended up limiting midwives’ ability to establish and run practices in many underserved areas.


Paying off student loans before graduation Legislation proposed at state, federal levels

A legislative interim committee recommended in 2014 to remove the remove the restriction, but lawmakers in the North Carolina General Assembly declined to move on the measure during the recently completed legislative biennium.

Suzanne Wertman, president of the North Carolina Affiliate of the American College of Nurse-Midwives, said her group is working with legislators who will reintroduce state legislation on the requirement during the new General Assembly session that begins in January.

“We know empirically that we have 31 counties with no maternity-care providers,” Wertman said. Student loans company online “We’ve got these outcomes that could be greatly improved.”

North Carolina is one of a half-dozen states where advanced practice registered nurses, or APRNs, including certified nurse midwives, are required to work under a physician’s supervision.

Jessica Thomas, of Duplin County, travels 35 miles to Goldsboro to receive care at Wayne Women’s Clinic, where doctors and midwives are part of a treatment team. Access student loans Photo credit: Thomas Goldsmith.

If state and federal legislative actions prove successful, North Carolina rural counties without maternity care could benefit from a federal assessment that showed these gaps. Student loans gov consolidation That designation would mean the state’s certified nurse midwives could set up practice with support from the National Health Service Corps, which provides scholarships, loan repayment and other services to primary care providers in eligible areas.

The North Carolina Medical Association supports continuing the supervision requirement, citing physicians’ higher level of training and their role in the growing trend of team practices. Student loans gov contact In addition, organization president Dr. Repay federal student loans Docia Hickey said, nurse midwives tend to move to the same areas as OB-GYNs, a trend that wouldn’t alleviate gaps in maternity care.

“The political fear is that we could be out practicing in a vacuum, in our home,” Wertman said. Website to pay back federal student loans “In other states, we like working in an integrated systems” that include OB-GYNs, she said.

Data also contradict the Medical Society’s argument, showing that when nurse-midwifery is uncoupled from medical practice, they actually do tend to practice in rural settings.

Proponents of maternity care by nurse-midwives agree that some pregnant women require treatment by an OB-GYN, and say that those patients are referred to a physician. Direct student loans payment center Becky Bagley, director of the nurse midwifery program at East Carolina University, has worked with lawmakers on legislation to remove or modify the requirement for physician supervision of certified nurse midwives.

“It’s preventing APRNs from going to many of these rural areas,” Bagley said. Government shutdown and student loans “Physicians don’t want to supervise from a distance.” Natural methods preferred

Pregnant women such as Jessica Thomas, from Duplin County, go out of their way to receive care by a nurse midwife, as she did in the births of two older children, Everton, 4, and John Maxon, 2.

Roethling said he’d want to peruse the wording of legislation before supporting a revisIon of the supervision requirement for certified nurse midwives. Financial aid student loans maximum But he firmly believes in a team system for providing care, the approach used at Wayne Women’s Clinic.

“The way we are set up, it allows us more time with patients,” she said. Student loans company application form “He can say, ‘It sounds like you have lactation questions, go back and see Jennifer.’”

After years of resisting increased scope of practice for midwives, the American Congress of Obstetricians and Gynecologists, OB/GYN’s national professional organization, changed its policy in 2011, and now supports a greater scope of practice for midwives with certification, a spokeswoman said. Student gov loans The organization went so far as to publicly reaffirm their position in 2014.

“ACOG supports full scope, autonomous practice for certified nurse midwives (CNMs) and certified midwives (CMs) as qualified, accountable providers who work collaboratively with ob-gyns in an integrated maternity care system that promotes seamless access to appropriate care,” Megan Christin, director, media relations said in an email. Student loans goverment “We don’t believe documentation of a specific relationship with a physician should be a requirements for CNM/CM licensure.”

“She would have to establish a relationship with an OB-GYN who is in active practice whom she could call,” she said. Student loans company “You pick up the phone and have them on speed dial.”

Thomas has elected to seek care at Wayne’s Women Clinic instead of a facility nearer her home, about 35 miles away in Kenansville. Find federal student loans She cited better response at the clinic to her preference for natural birth.

“It’s really awesome to have someone who knows what your body is capable of as a woman,” Thomas said. Student loans how to apply “I knew I would be able to have freedom of how he was born.”

Some of the professionals she’s encountered in Duplin County seem less than comfortable with the idea of a more natural approach to childbirth, she said.

“With a midwife, it’s coming into an appointment and sitting down with someone who wants to get to know you, who hears your questions and answers your questions and can joke with your husband. Grants to pay off student loans for teachers That makes the person more comfortable.”

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