ACOG and the American College of Nurse-Midwives Issue Statement on Practice Relations

American College of Obstetricians and Gynecologists (ACOG)October 7, 2014Articles

The American College of Obstetricians and Gynecologists (ACOG) and the American College of Nurse-Midwives (ACNM) affirm our shared goal of safe women’s health care in the United States through the promotion of evidence-based models provided by obstetricians-gynecologists (ob-gyns), certified nurse-midwives (CNMs), and certified midwives (CMs). ACOG and ACNM believe health care is most effective when it occurs in a system that facilities communication across care settings and among providers. Ob-gyns and CNMs/CMs are experts in their respective fields of practice and are educated, trained, and licensed, independent providers who may collaborate with each other based on the needs of their patients. Quality of care is enhanced by collegial relationships characterized by mutual respect and trust, as well as professional responsibility and accountability.

Nurse-MidwifeRecognizing the high level of responsibility that ob-gyns and CNMs/CMs assume when providing care to women, ACOG and ACNM affirm their commitment to promote the highest standards for education, national professional certification, and recertification of their respective members and to support evidence-based practice. Accredited education and professional certification preceding licensure are essential to endure skilled providers at all levels of care across the United States.

ACOG and ACNM recognize the importance of options and preferences of women in the health care. OB-gyns and CNMSs/CMs work in a variety of settings including private practice, community health facilities, clinics, hospitals, and accredited birth centers. ACOG and ACNM hold different positions on home birth. Establishing and sustaining viable practices that can provide broad services to women requires that ob-gyns and CNMs/CMs have access to affordable professional liability insurance coverage, hospital privileges, equivalent reimbursement from private payers and under government programs, and support services including, but not limited to laboratory, obstetrical imaging, and anesthesia. To provide highest quality and seamless care, ob-gyns and CNMs/CMs should have access to a system of care that fosters collaboration among licensed, independent providers.

Approved by Executive Board of the American College of Obstetricians and Gynecologists
Approved by Board of Directos of the American College of Nurse-Midwives
February 2011
Reaffirmed by the ACOG Executive Board, July 2014

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