Certified Nurse Midwife

Midwives Model of Care

The Certified Nurse Midwife at Gentle Birth Options practices the Midwives Model of Care™, which is based on the philosophy that pregnancy and birth are normal life processes. The Midwives Model of Care includes:

  • Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle.
  • Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
  • Minimizing technological interventions
  • Identifying and referring women who require obstetrical attention
  • The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.

Certified Nurse Midwives in Florida

Nurse-Midwifery in Florida

  • In the year 2000, Florida nurse-midwives celebrated 30 years of dedicated service. The state’s first nurse-midwifery services was established in 1970 through a federally funded program aimed at reducing the high maternal and infant mortality rates in the South. These successful services were located at Bethesda Memorial Hospital in Boynton Beach, University Hospital in Jacksonville, and Morton Plant Hospital in Clearwater. In 1994, the Florida Call to Action on Midwifery and Birth Centers stated that, “Midwifery should become the standard of care for the normal healthy pregnant woman.” This opinion was endorsed by 11 major health care agencies in Florida.

Statistics

  • As of September 2012, there are approximately 720 certified nurse-midwives with ARNP licenses in Florida, according to the Florida Department of Health.
  • There are approximately 293 locations in Florida with nurse-midwives providing comprehensive maternity care and/or well-women care services.
  • In 2011, CNMs attended 22,985 births in the state of Florida. This accounts for 10.7% of all births and 17% of vaginal deliveries.

Education

  • There are currently 43 accredited education programs in the United States offering post-baccalaureate certificate and masters degree programs in nurse-midwifery and midwifery. A number of these programs have distance learning education options.
  • There are graduate programs in nurse-midwifery at the University of Florida and at the University of Miami.
  • For more information, see http://www.midwife.org/map.cfm.

Practice and Reimbursement Issues

  • Nurse-Midwives are licensed as Advanced Registered Nurse Practitioners by the Florida Department of Health, Board of Nursing. They practice under Chapter 464, F.S., the Nurse Practice Act.
  • In 1988, nurse-midwives in Florida received prescriptive writing privileges. They practice under a joint practice protocol that is signed by the nurse-midwife and the physician. Florida is one of two states without controlled substance prescriptive authority.
  • Under state law, insurance companies operating in Florida must reimburse for nurse-midwifery services. Medicaid reimburses nurse-midwives at 80% of the physician reimbursement rate.

This information was provided by the midwives in Florida.

Updated September 2012.