TABLE 4.
Nature and scope of CNM Care in Texas (N = 141)
| Variable | n | % | Variable | n | % |
|---|---|---|---|---|---|
| Clinic Days/Month | Attend Births | ||||
| 0–9 | 41 | 41.0 | Yes | 86 | 81.9 |
| 10–19 | 38 | 38.0 | No | 19 | 18.1 |
| 20–29 | 19 | 19.0 | Birth Setting | ||
| ≥30 | 2 | 2.0 | Hospital | 65 | 75.6 |
| Patients Cared for in 8 hr Clinic Day | Birth Center | ||||
| 1–5 | 2 | 2.0 | Hospital | 1 | 1.2 |
| 6–10 | 20 | 20.4 | Freestanding | 26 | 30.2 |
| 11–15 | 32 | 32.7 | Home | 11 | 12.8 |
| 16–20 | 35 | 35.7 | Monthly Births in CNM Practice | ||
| 21–25 | 4 | 4.1 | <10 | 12 | 14.1 |
| 26–30 | 4 | 4.1 | 10–20 | 31 | 36.5 |
| >30 | 1 | 1.0 | 21–35 | 13 | 15.3 |
| Current Workload | 36–50 | 6 | 7.1 | ||
| Overextended | 12 | 11.9 | 51–75 | 7 | 8.2 |
| At full capacity | 60 | 59.4 | 76–100 | 8 | 9.4 |
| Able to see more patients | 29 | 28.7 | >100 | 8 | 9.4 |
| Uncompensated (Charity) Care/Year | Take Call | ||||
| 1–2 days | 18 | 17.5 | Yes | 66 | 62.9 |
| 3–5 days | 16 | 15.5 | No | 39 | 37.1 |
| 6–10 days | 15 | 14.6 | Call Taken From | ||
| 11–14 days | 7 | 6.8 | Out-of-hospital | 55 | 83.3 |
| 15–21 days | 2 | 1.9 | In-hospital | 9 | 13.6 |
| 22–31 days | 2 | 1.9 | Other | 2 | 3.0 |
| >31 days | 5 | 4.9 | Call Hours/Month | ||
| None | 39 | 36.9 | <24 | 4 | 6.2 |
| Serve as Clinical Preceptor | 24–48 | 4 | 6.2 | ||
| Yes | 48 | 46.6 | 49–72 | 7 | 10.8 |
| No | 52 | 50.5 | 73–100 | 8 | 12.3 |
| Don’t Know | 3 | 2.9 | >100 | 42 | 64.6 |
| Midwifery Students Precepted | Other Types of Students Precepted | ||||
| Nurse-midwives | 63 | 44.7 | WHNP | 41 | 29.1 |
| Professional midwives | 9 | 6.4 | FNP | 49 | 34.8 |
| Lay midwives | 7 | 5.0 | EMT/paramedic | 16 | 11.3 |
| Do not teach MW students | 32 | 22.7 | Basic RN | 26 | 18.4 |
| Percentage of Time Spent Teaching MW Students | Medical students | 26 | 18.4 | ||
| <25 | 66 | 80.5 | Physician residents | 23 | 16.3 |
| 25–50 | 11 | 13.4 | Physician assistants | 12 | 8.5 |
| 51–75 | 5 | 6.1 | Other | 5 | 3.5 |
Where numbers do not equal 141, there were missing responses. Percentages may not equal 100 due to rounding.
MW, midwifery; CM, certified midwife; CNM, certified nurse-midwife; WHNP, women’s health nurse practitioner; FNP, family nurse practitioner; EMT, emergency medical technician; RN, registered nurse.