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Midwives Speak: Integration Challenges in California’s Health System
Research shows that midwives deliver high-quality clinical outcomes and high levels of patient satisfaction. However, midwives in California, especially licensed midwives, are often restricted from practicing to the full extent of their license or expertise and frequently experience challenging relationships with hospitals, physicians, and health plans.
To better understand the midwife workforce, the University of California, San Francisco, with funding from the California Health Care Foundation, conducted the Survey of California Nurse Practitioners and Nurse-Midwives and the Survey of California Licensed Midwives from July 18, 2022, to March 31, 2023.
Findings indicated that midwives are particularly effective in community-based settings, where they provide care that is culturally sensitive and respectful, reducing the likelihood of mistreatment and improving birth outcomes.
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