{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T19:31:02Z","timestamp":1792524662700,"version":"4.5.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,2,24]],"date-time":"2015-02-24T00:00:00Z","timestamp":1424736000000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Data on attendance at birth by midwives in the United States have been available on the national level since 1989, allowing for the documentation of long\u2010term trends. New items on payer source and prepregnancy body mass index (BMI) from a 2003 revision of the birth certificate provide an opportunity to examine additional aspects of US midwifery practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data in this report are based on records on birth attendant gathered as part of the US National Standard Certificate of Live Birth from a public use Web site, Vital Stats (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.cdc.gov\/nchs\/VitalStats.htm\">http:\/\/www.cdc.gov\/nchs\/VitalStats.htm<\/jats:ext-link>), which allows users to create and download specialized tables. Analysis of new items on prepregnancy BMI and birth payer source are limited to the 38 states (86% of US births) that adopted the revised birth certificate by 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 1989 and 2012, the proportion of all births attended by certified nurse\u2010midwives (CNMs) increased from 3.3% to 7.9%. The proportion of vaginal births attended by CNMs reached an all\u2010time high of 11.9%. Births attended by \u201cother midwives\u201d (typically certified professional midwives) rose to a peak of 28,343, or 0.7% of all US births. The distribution of payer source for CNM\u2010attended births (44% Medicaid; 44% private insurance; 6% self\u2010pay) is very similar to the national distribution, whereas the majority (53%) of births attended by other midwives are self\u2010pay. Women whose births are attended by other midwives are less likely (13%) to have a prepregnancy BMI in the obese range than women attended by CNMs (19%) or overall (24%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The total number of births attended by CNMs and other midwives has remained steady or grown at a time when total US births have declined, resulting in the largest proportions of midwife\u2010attended births in the quarter century that such data have been collected.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.12287","type":"journal-article","created":{"date-parts":[[2015,2,24]],"date-time":"2015-02-24T22:19:07Z","timestamp":1424816347000},"page":"10-15","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Midwife\u2010Attended Births in the United States, 1990\u20132012: Results from Revised Birth Certificate Data"],"prefix":"10.1111","volume":"60","author":[{"given":"Eugene","family":"Declercq","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-2011.2012.00198.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2009.02.006"},{"key":"e_1_2_6_4_1","unstructured":"Centers for Disease Control and Prevention.National Center for Health Statistics.http:\/\/www.cdc.gov\/nchs\/vitalstats.htm. Accessed July 22 2014."},{"key":"e_1_2_6_5_1","unstructured":"National Center for Health Statistics.User Guide to the 2012 Natality Public Use File. Hyattsville Maryland: National Center for Health Statistics. Annual product 2014."},{"key":"e_1_2_6_6_1","unstructured":"MartinJA HamiltonBE OstermanJK et al.Births: Final data for 2012. National vital statistics reports; vol 62 no 9. 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