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Written for graduate students and professionals in the fields of midwifery, women's health, and public health, this book explores the freestanding birth center model in the United States from its conception by pioneering midwives and others in the early 1970s through the present day. Compared to the hospital-based birth model, the freestanding birth center offers a better documented, healthier, more cost-effective, and more humane way to care for women and newborns, consistent with the goals of health care legislation. This rapidly expanding model of care has many positive implications for high-quality, individualized care and birth outcomes across the United States.
Written by U.S. leaders in midwifery, Freestanding Birth Centers: Innovation, Evidence, Optimal Outcomes offers a comprehensive guide to the evolving role of birth centers, clinical and cost outcomes, regulatory and legal issues, provider and accreditation issues, and the future of the birth center model. Woven throughout the text are descriptions of "exemplar" birth centers, representing diverse geographical, business, and service models. These cases illustrate the possibilities for expansion and replication of this model of care.
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Melissa D. Avery, PhD, CNM, FACNM, FAAN, received her bachelor of science in nursing at Northern Illinois University, her master of science in nursing at the University of Kentucky, and her PhD at the University of Minnesota. She is a professor in the School of Nursing, University of Minnesota, Minneapolis, Minnesota, and directs the nurse-midwifery education program there. Dr. Avery has 25 years full-scope midwifery practice experience. Her current research involves examining prenatal care practices to enhance maternal confidence for physiologic labor and birth. Dr. Avery has been a pioneer in distance education and is currently partnering with colleagues to develop interprofessional learning opportunities for midwifery students and OB/GYN residents. She is a member of the Academy of Distinguished Teachers at the University of Minnesota and is a past president of the American College of Nurse-Midwives (ACNM).
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