Lisa Kane Low, CNM, PhD, FACNM
Candidate for President-Elect
See Lisa’s CV here
Question: What challenges to midwifery practice have you observed/experienced either nationally or in your region, and what solutions would you suggest or implement to eliminate that barrier?
Answer: As midwives, we expend significant time and energy defending our ability to offer women the scope of care we were educated to provide. Constraints on our practice due to state regulations limiting our independent scope of care, health care payers with mandatory supervision stipulations, and complex hospital and payer credentialing hurdles reduce women’s access to midwife care. Despite these persistent barriers, we have new opportunities resulting from national quality initiatives linked to physiologic approaches to childbirth and expanded access to women’s reproductive health care services. These opportunities are arriving at the same time as maternity care provider workforce shortages, ACOG’s expanded interest in collaborative practice, and incentives to engage in interdisciplinary education and research. We can capitalize on these opportunities by creating a comprehensive approach to promoting midwives as an essential primary provider of women’s health care who can accomplish national health care quality and safety goals. To do this we need to: