{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T20:44:05Z","timestamp":1771361045943,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"vor","delay-in-days":0,"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":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Since the US Supreme Court overturned <jats:italic>Dobbs v Jackson<\/jats:italic>, expanded access to abortion has been critical. Abortion is safe, and related complications are rare. The safety of abortion provision by advanced practice clinicians (APCs) is well documented. Despite the increase in targeted restrictions for patients and clinicians in many states post\u2010<jats:italic>Dobbs<\/jats:italic>, in recent years there have been meaningful gains in recognition and codification of abortion as part of an expanded scope of practice for APCs. Thus, creating a formal written pathway for midwives to obtain privileges in abortion provision could also improve abortion access. In New York City's public health care system, the largest in the United States, midwives provide a significant portion of perinatal and gynecologic care. Yet, until recently, a process to privilege midwives in the provision of abortion services did not exist. In response, midwives and physicians at a large New York City hospital system sought key stakeholder support to develop a pathway for certified nurse\u2010midwives and certified midwives, licensed midwives in New York state, to obtain the necessary training needed for independent abortion provision. This article describes the development of a midwifery\u2010led pilot program to improve abortion access by increasing the availability of trained midwifery abortion providers, along with the results of staff meetings exploring attitudes toward abortion care by APCs. We report our safety statistics from this pilot program and share existing evidence for safety of abortion provision by midwives and other APCs.<\/jats:p>","DOI":"10.1111\/jmwh.13577","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T10:44:18Z","timestamp":1697625858000},"page":"769-773","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Privileging Midwives for Abortion Care"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9944-1476","authenticated-orcid":false,"given":"Keeley","family":"McNamara","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology New York Presbyterian\u2010Hudson Valley Hospital  Cortlandt Manor New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa","family":"Poverman","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology NYC Health + Hospitals\/Jacobi  Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa","family":"N\u00e1das","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology NYC Health + Hospitals\/Jacobi  Bronx New York"},{"name":"Obstetrics &amp; Gynecology and Women's Health Albert Einstein College of Medicine  Bronx New York"},{"name":"NYC Health + Hospitals  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Mallow","sequence":"additional","affiliation":[{"name":"NYC Health + Hospitals  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Gerber","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell  Hempstead New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Dobbs v Jackson 945 F3d 265 (5th Cir 2019)."},{"key":"e_1_2_10_3_1","unstructured":"Roe v Wade 410 US 113 (1973)."},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","unstructured":"JonesRK WitwerE JermanJ.Abortion incidence and service availability in the United States 2017. Guttmacher Institute September 2019. Accessed February 14 2023.https:\/\/www.guttmacher.org\/report\/abortion\u2010incidence\u2010service\u2010availability\u2010us\u20102017","DOI":"10.1363\/2019.30760"},{"key":"e_1_2_10_5_1","unstructured":"NashE GuarnieriI.Six months post\u2010Roe 24 US states have banned abortion or are likely to do so: a roundup. Guttmacher Institute January 2023. Accessed February 8 2023.https:\/\/www.guttmacher.org\/2023\/01\/six\u2010months\u2010post\u2010roe\u201024\u2010us\u2010states\u2010have\u2010banned\u2010abortion\u2010or\u2010are\u2010likely\u2010do\u2010so\u2010roundup"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2022.2075965"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2017.304042"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000004176"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2012.301159"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.11.002"},{"key":"e_1_2_10_11_1","volume-title":"Position Statement: Midwives as Abortion Providers","author":"American College of Nurse\u2010Midwives","year":"2019"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000456327.96480.18"},{"key":"e_1_2_10_13_1","volume-title":"APHA Policy Statement 9917: Advocating for Nurse Practitioners, Nurse\u2010Midwives, and Physician Assistants as Abortion Providers","author":"American Public Health Association","year":"1999"},{"key":"e_1_2_10_14_1","unstructured":"Legislative memo: Reproductive Health Act. New York Civil Liberties Union July 14 2020; updated January 23 2019. Accessed February 15 2023.www.nyclu.org\/en\/legislation\/legislative\u2010memo\u2010reproductive\u2010health\u2010act"},{"key":"e_1_2_10_15_1","unstructured":"Protecting & strengthening abortion rights. State of New York. Accessed May 26 2023.www.ny.gov\/abortion\u2010new\u2010york\u2010state\u2010know\u2010your\u2010rights\/protecting\u2010strengthening\u2010abortion\u2010rights"},{"key":"e_1_2_10_16_1","unstructured":"Reproductive Health Act S 240 (NY 2019)."},{"key":"e_1_2_10_17_1","volume-title":"Position Statement: Expansion of Midwifery Practice and Skills Beyond Basic Core Competencies","author":"American College of Nurse\u2010Midwives","year":"2022"},{"key":"e_1_2_10_18_1","volume-title":"Basic Ultrasound Skills Evaluation","year":"2014"},{"key":"e_1_2_10_19_1","volume-title":"Daily Evaluation Care \u2013 Uterine Aspiration Training","year":"2014"},{"key":"e_1_2_10_20_1","volume-title":"TEACH Abortion Training Curriculum","author":"Fleming M","year":"2022"},{"key":"e_1_2_10_21_1","volume-title":"Independent Practice Competency Assessment","year":"2014"},{"key":"e_1_2_10_22_1","unstructured":"An overview of abortion laws. Guttmacher Institute 2022. Accessed February 10 2023.https:\/\/www.guttmacher.org\/state\u2010policy\/explore\/overview\u2010abortion\u2010laws"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2020.02.001"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.10.011"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.13577","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T06:59:58Z","timestamp":1707289198000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.13577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,18]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1111\/jmwh.13577"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.13577","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,18]]},"assertion":[{"value":"2023-10-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}