Certified Nurse Midwife-Attended Births: Trends in Washington State, 1995-2004

Carie G. Bussey, Janice F Bell, Mona T. Lydon-Rochelle

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Nationwide, the proportion of certified nurse-midwife (CNM)-attended births has increased steadily. We examined trends in CNM-attended singleton spontaneous vaginal births between 1995 and 2004 in Washington State by site of birth, payer source, and hospital birth volume. CNMs were more likely than other providers to care for women at risk for adverse outcomes based on several sociodemographic indicators. The increased rate of CNM-attended births occurred primarily in hospitals and among both Medicaid- and privately-funded births. The rate of CNM-attended births doubled in hospitals with high birth volumes. We recommend future research designed to understand these trends.

Original languageEnglish (US)
Pages (from-to)444-450
Number of pages7
JournalJournal of Midwifery and Women's Health
Issue number5
StatePublished - Sep 2007
Externally publishedYes


  • births
  • certified nurse-midwives
  • trends
  • vital records
  • Washington State

ASJC Scopus subject areas

  • Nursing(all)


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