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Recommendations for Midwifery Care: Policy Actions for Maternal-Infant Health, Lecture notes of Decision Making

Recommendations from the national partnership for women & families to increase access to midwifery care in the us. The unique value of midwifery care, safety and effectiveness, and the need to address barriers to access and diversify the profession. Recommendations for federal, state, and private sector policymakers include legislative actions, payment parity, licensure, and engagement with community-based midwives.

Typology: Lecture notes

2021/2022

Uploaded on 09/12/2022

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Download Recommendations for Midwifery Care: Policy Actions for Maternal-Infant Health and more Lecture notes Decision Making in PDF only on Docsity! Recommendations to Increase Access to Midwifery Care October 2021 Improving Our Maternity Care Now Through Midwifery* outlines the evidence that supports midwifery’s unique value across different communities, the safety and effectiveness of midwifery care in improving maternal and infant outcomes, the interest of birthing people in midwifery care, and the current availability of, and access to, midwifery services in the United States. Midwives have a distinctive, dignifying, person-centered, skilled model of care and an exemplary track record. They are an important part of the solution to the nation’s need for a higher-performing maternity care system and shortage of maternity care providers. However, there are barriers to enabling more childbearing people and families to experience benefits of midwifery care and to diversifying the profession of midwifery. *These recommendations are excerpted from National Partnership for Women & Families, Improving Our Maternity Care Now Through Midwifery, October 2021, available at https://www.nationalpartnership.org/midwifery/ 2NATIONAL PARTNERSHIP FOR WOMEN & FAMILIES Federal policymakers should: • Enact the Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act (H.R. 3352 and S. 1697 in the 117th Congress). This bipartisan bill would increase the supply of midwives with nationally recognized credentials (CNMs, CMs, CPMs) by supporting students, preceptors, and schools and programs. It would give funding preference to programs supporting students who would diversify the profession and who intend to practice in underserved areas. • Mandate equitable payment for services of CMs and CPMs recognized in their jurisdiction by Medicaid, the Child Health Insurance Program (CHIP), TRICARE (the military health care program), the Veterans Health Administration (VHA), the Indian Health Service (IHS), and Commissioned Corps of the U.S. Public Health Service, and make CMs and CPMs eligible to qualify for federal loan repayment from the National Health Service Corps. • Mandate that hospitals cannot deny admitting and clinical privileges to midwives as a class. • Require the collection and public reporting of data related to health inequities, such as racial, ethnic, socioeconomic, sexual orientation, gender identity, language, and disability status in critical indicators of maternal and infant health – including, but not limited to, maternal mortality, severe maternal morbidity, preterm birth, low birth weight, cesarean birth, and breastfeeding. • In all relevant deliberations, consistently engage early and proactively with community-based midwives bringing a birth justice framework. This involves their meaningful decision-making roles in shaping federal policy priorities and strategies, and diverse representation that reflects the demographic makeup of adversely affected communities.
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