Midwifery Practices Across the U.S.
Midwives are in growing demand. We asked provider organizations how they’re responding.
More patients are considering a wide variety of birth options, 云顶集团40011官网和独立的生育中心正在扩大他们的助产实践,以满足需求. 这只是最近一项对助产士在各种环境下进行的调查的发现之一.
心电图的妇女健康小组密切监测妇女保健云顶集团的趋势, 产科云顶集团40011官网的一些变化促使我们进行这项调查. Specifically:
- Birth rates are stabilizing.
- Labor and delivery closures are common.
- 据报道,越来越多的患者在传统的医院环境之外寻求分娩经验.
31个答复者代表了医院和云顶集团40011官网(52%)。, independent birth center settings (32%), and other practice settings (16%).
调查的目的是帮助我们评估助产的现状和辨别助产士做法之间的差异. 问题集中在组织人口统计、战略、运营和薪酬方面.
受访者被要求考虑其助产实践的未来,并对四个战略选择进行排名:增加助产士人数, expand their geographic reach, expand inpatient coverage, and expand outpatient services. Across the board, 最受欢迎的增长策略是增加助产士的数量, followed generally by growing outpatient and inpatient services.
Group Demographics
On average, 医院和云顶集团40011官网雇用的助产士群体往往比生育中心群体大, with nearly 12 midwives and 3 midwives, respectively. Hospital and health system midwife groups also tend to cover more inpatient and outpatient locations; they have more than one additional midwife FTE in each delivery location than do birth center groups. 医院和云顶集团40011官网的平均助产士组覆盖3至4个分娩地点和5个门诊地点. 分娩中心组助产士负责1至2个分娩地点和1至2个门诊地点.
我们调查的受访者每年总共接生近7000人. The largest health system midwife group has more than 1,900 deliveries per year, 最大的独立诊所每年接生400人. On a per FTE basis, 医院/云顶集团40011官网小组的助产士接生的新生儿数量几乎是生育中心助产士的两倍.
Practice Operations
接受调查的助产士一般都积极参与全面的助产云顶集团, in multiple settings, attending births and providing services while on call. As one might expect, 医院和云顶集团40011官网中的所有助产士都在医院接生, 相比之下,大约四分之一的助产士来自独立的生育中心. 超过三分之一的接生中心助产士在患者家中接生, while only 1 in 8 hospital and health system midwives do.
Home Births
For many years, home births were relatively consistent across the country at over 38,000 per year; in 2020, that number increased to over 45,000, likely as a result of the COVID-19 pandemic. The share of births that took place at home was 1.3% in 2020 compared to 1.0% in 2019.
Call Coverage
Regardless of the setting, being on call is a typical part of the midwife role, 每月在独立的生育中心和医院/云顶集团40011官网进行6到10次轮班. 绝大多数呼叫轮班是不受限制的,持续时间为24小时. 当覆盖范围发生变化,助产士被要求在规定的班次之外进行额外的呼叫时, most (70%) are not paid for that additional coverage.
Midwifery in Outpatient Settings
All of the hospital/health system midwives have outpatient practices, 而只有大约四分之三的独立生育中心助产士会这样做. 在这些办公室/门诊设置中,医院/云顶集团40011官网组和分娩中心组之间的预约时间差异显著且一致, 独立分娩中心的助产士报告说,所有预约类型都比医院和云顶集团40011官网的同行至少长25%. For example, 产后检查在独立的分娩中心(45分钟)比在医院(20分钟)的时间长两倍多。. It’s important to note that the longer appointment time is not necessarily an indication of inefficiency; ACOG and other organizations emphasize the importance of postpartum care and describe it as a “ongoing process, 而不是一次相遇”,这是他们关于优化产后护理的立场声明.
Midwife/Physician Collaboration
86%的受访组织报告称,助产士与妇产科云顶集团40011官网有合作关系, 41%的人表示他们的助产士是独立的,与云顶集团40011官网没有合作关系. 22个组织中有6个(27%)表示,他们的助产士同时与, and independently of, physicians. In most cases, 这些组织提出,这些助产士是独立执业的,然后合作治疗高危患者, MFM referrals, etc.
Summary
虽然这个初始数据集显示了助产士实践类型和化妆之间的一些差异, 也有与提供高质量护理的组织目标相一致的一致性领域. In particular:
- 患者的参与和满意度往往是优秀的助产士患者, 表明一个实践模式,提供富有同情心的云顶集团,它打算提供.
- Complication rates, c-section rates, and medical cost data are also reportedly low, 这表明患者不仅对他们的经历感到满意, but that they are getting high-quality care.[1]
如果您的组织与助产士合作或正在考虑这样做, 仔细检查你的做法,以确保有一个良好的平衡运作, job structure and compensation, 和策略,这样这些实践可以提供他们所知的优质护理.
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About Our Rapid Surveys
ECG conducts online rapid surveys that include up to 20 questions, can be completed in five minutes or less, and are distributed directly to organizations or providers. 快速调查是快速检查新兴趋势的市场脉搏的绝佳工具.
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