Medical Professional Liability and the Delivery of Obstetrical Care Volume II, An Interdisciplinary Review (1989) / Chapter Skim
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Professional Liability Insurance and Nurse-Midwifery Practice
Professional Liability Insurance and Nurse-Midwifery Practice
Pages 104-112
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From page 104... ...
. Nurse-midwifery practice is the independent management of the care of essentially normal newborns and women antepartally, intrapartally, postpartally, and gynecologically within a health care system that provides for medical consultation, collaborative management, or referral and is in accord with the functions, standards, and qualifications for nurse-midwifery practice as defined by the ACNM.i The American College of Nurse-Midwives was incorporated in 1955 in New Mexico and functions as a trade association for nurse-midwives in the United States.
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From page 105... ...
As of 1982, the ACNM had certified 2,550 nurse-midwives; 1,684 responded to the survey.2 Respondents reported that they were practicing in every state but Indiana3 and were performing deliveries in every state but Idaho, Indiana, and North Dakota. Fourteen percent performed home deliveries; an additional 12 percent performed deliveries in nonhospital birth centers.
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From page 106... ...
Survey and All Mothers Who Delivered in the United States in 1977, by Age, Parity, and Education Percent Distribution of All Deliveriesb Maternal Characteristic Percent Distribution of Deliveries by N-Msa Age (283 Reporting practices) Under 15 1.2 0.3 15-19 15.3 16.8 20-29 59.0 65.0 30-39 22.6 17.1 40 + 1.9 0.8 Total 100.0 100.0 Parity (274 Reporting practices)
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From page 107... ...
military and thus were covered under the Federal Tort Claims Act. This act permits malpractice claims to be brought, but the defendant must be the United States; the plaintiff may not name individual defendants.
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From page 108... ...
had ever been sued.~5 This low rate is in sharp contrast to the 70 percent of obstetricians reporting suits in the latest survey by the American College of Obstetricians and Gynecologists (ACOG) .~6 The ACNM claims data (which include information only from policies handled by the ACNM-sponsored insurer and not from other commercial policies)
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From page 109... ...
Now that commercial insurance is again available to nurse-midwives through a consortium, it is tempting to believe that practices can continue to develop. Hospitals, however, generally require that their nonemployed professional and medical staffs carry professional liability insurance; when a minimum amount is specified, it is usually $1 million per cIaim/$3 million annual aggregate.
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From page 110... ...
The amounts charged ranged from $94 to $23,000 per physician annually.~9 Changes In Practice In May 1988 two nurse-midwifery students reported on a study they had done on the effects on nurse-midwifery practice of changes in professional liability insurance costs and coverage.20 Data from the 300 questionnaires that were returned and analyzed indicated that the average insurance premium amount of $4,000 was about 14 percent of a nursemidwife's gross income. Sixty-four percent of nurse-midwives were working full time; 21 percent were working part time.
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From page 111... ...
2. American College of Nurse Midwives (ACNM)
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From page 112... ...
Paper presented at the American College of Nurse-Midwives 33rd annual convention research forum. Detroit, Michigan.
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