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Midwives, rural clinicians warn of maternity-care deserts and urge birth-center legislation and Medicaid changes
Summary
Certified nurse midwives and rural nurse practitioners told a legislative committee that Vermont faces potential birthing-unit closures, urged birth-center legislation and Medicaid eligibility and reimbursement changes, and pressed for investments in doulas and donor milk services.
Certified nurse midwives, nurse practitioners working in rural communities and emergency nurses told a legislative committee that potential closures of hospital labor-and-delivery units create maternity-care deserts and that birth-center legislation and Medicaid policy changes are needed to protect access.
Janet Kaplan, a certified nurse midwife who said she has worked in Vermont for 22 years and currently practices at NVRH in St. Johnsbury, told the committee that certified nurse midwives are advanced practice registered nurses who provide prenatal, labor, delivery, postpartum and newborn care. “Certified nurse midwives are about 7% of the total APRN workforce in the state,” Kaplan said, adding that the last workforce infographic she cited showed 60…
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