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Professional PRactice & Policy

2023 Report

The Professional Practice and Policy department of ACNM has many roles. We are there for midwives with clinical or policy questions, especially around scope of practice. We serve as a resource for anyone interested in becoming a midwife or re-entering midwifery practice. We guide midwives educated abroad who want tp become a US midwife. We work closely with the Clinical Standards & Documents committee to manage the writing, updating and revising of ACNM documents, including position statements, standard setting documents, and clinical bulletins. We represent ACNM in multiple partnerships dedicated to sexual and reproductive health. Professional Practice and Policy partners with Government Affairs to keep midwifery in the spotlight. We want to extend a big thanks to the ACNM volunteers who extend our reach by representing ACNM and midwifery on many national interest groups (see below).

ACNM and key partnerships

Alliance for Innovation on Maternal Health (AIM): ACNM has joined the Clinical and Community Advisory Group (CCAG), which will inform the work of the ACOG’s Technical Assistance Center and maintain the quality of content offered by the AIM program. The CCAG consists of representatives from national maternal health organization who will bring unique clinical and community input to AIM via quarterly meetings, review documents and materials, and recommend subject matter experts for resource development and educational offerings. ACNM is proud to continue to participate in this program to improve perinatal outcomes.

United States Preventative Services Task Force: ACNM is a dissemination in implementation partner to the USPSTF. Karen Jefferson, along with volunteer Julie Blumenfeld, attend USPSTF meetings. ACNM comments on draft recommendations and share materials pertinent to midwifery with our members.

An Adaptive Prenatal Intervention to Increase Childhood Vaccinations (ADEPT study): ACNM was invited to participate in the expert advisory board to this study based at Emory University. The goal of the CDC/ADEPT study is to evaluate whether an adaptive intervention to promote childhood vaccines among pregnant individuals leads to age-appropriate vaccinations in their children post-birth. ACNM reviewed and provided feedback on ADEPT prenatal provider survey which was distributed to ACNM and ACOG members. We also reviewed an article based on the survey results that the study team hopes to publish.

Raising the Bar: ACNM was an invited participant in this project led by the National Partnership for Women and Families. This project focused on how health care as a sector could do more to improve health outcomes and equity, in general and specifically regarding maternal health. Over a greater than 2-year span we met with key partners from all sectors of health care, as well as community groups and healthcare consumers. Resources were developed for providers, employers, community partners, and advocates. The guidance that was developed provides a roadmap for healthcare provider institutions to reduce inequities and improve maternal healthcare, experiences, and outcomes.

Maternal Immunization Task Force for Pregnant People: A Call to Action: An ongoing CDC funded project that is now led by ACOG, convenes a bi-monthly immunization task force consisting of key partners including ACNM that develop and carry out strategies for promoting maternal immunizations. ACNM created public facing visual content that continues to be shared through social media and the ACNM website.

ACNM Liaisons

Volunteers, board members, and staff represent ACNM in the following groups (selections – not exhaustive):
  • Advisory Committee on Infant and Maternal Health- Systems Issues in Rural Health Workgroup
  • United States Breastfeeding Coalition
  • Women’s Preventive Services Initiative
  • CDC Advisory Committee on Immunization Practice
  • ACOG-CREOG Council
  • ACOG Committee on Obstetric Practice
  • ACOG Maternal Mental Health Expert Working Group
  • Pelvic floor disorders network data safety monitoring board
  • ACNM Liaison for ACOG Committee on Indigenous Health
  • ACOG Committee on Clinical Consensus – Obstetrics

Updates to ACNM Publications in 2023

Standard Setting Documents 

American College of Nurse-Midwives Philosophy of Midwifery

Position Statements 

Access to Comprehensive Sexual and Reproductive Health Care
Climate Change and Maternal, Fetal, and Infant Health
CNM/CM as First Assistant at Surgery
Collaborative Agreement Between CNMs/CMs and Physicians or Other Health Care Providers
Effect of Environmental Toxins on Reproductive and Development Health
Expedited Partner Therapy
Midwifery Care During the Third Stage of Labor
Prevention of Gun Violence
Primary Cesarean Birth by Request
Rural Midwifery Practice – NEW
Shared Decision-Making in Midwifery Care
Ultrasound in Midwifery Practice

Position Statements – Retired 

Human Immunodeficiency Virus (HIV) and acquired immunodeficiency syndrome (AIDS)
Prevention of Preterm Labor and Preterm Birth
Standard Nomenclature for Intrapartum Fetal Heart Rate Surveillance

Clinical Bulletins in Progress

ACNM volunteer subject experts are in the process of:

  • Authoring a new clinical bulletin, Female Genital Cutting,
  • Revising and updating of Care of Pregnant Person with a History of Cesarean Birth
  • Revising and updating Provision of Home Birth Services
ACNM volunteer subject experts are in the process of:
  • Authoring a new clinical bulletin, Female Genital Cutting,
  • Revising and updating of Care of Pregnant Person with a History of Cesarean Birth
  • Revising and updating Provision of Home Birth Services

ACNM and key partnerships

Alliance for Innovation on Maternal Health (AIM): ACNM has joined the Clinical and Community Advisory Group (CCAG), which will inform the work of the ACOG’s Technical Assistance Center and maintain the quality of content offered by the AIM program. The CCAG consists of representatives from national maternal health organization who will bring unique clinical and community input to AIM via quarterly meetings, review documents and materials, and recommend subject matter experts for resource development and educational offerings. ACNM is proud to continue to participate in this program to improve perinatal outcomes.

United States Preventative Services Task Force: ACNM is a dissemination in implementation partner to the USPSTF. Karen Jefferson, along with volunteer Julie Blumenfeld, attend USPSTF meetings. ACNM comments on draft recommendations and share materials pertinent to midwifery with our members.

An Adaptive Prenatal Intervention to Increase Childhood Vaccinations (ADEPT study): ACNM was invited to participate in the expert advisory board to this study based at Emory University. The goal of the CDC/ADEPT study is to evaluate whether an adaptive intervention to promote childhood vaccines among pregnant individuals leads to age-appropriate vaccinations in their children post-birth. ACNM reviewed and provided feedback on ADEPT prenatal provider survey which was distributed to ACNM and ACOG members. We also reviewed an article based on the survey results that the study team hopes to publish.

Raising the Bar: ACNM was an invited participant in this project led by the National Partnership for Women and Families. This project focused on how health care as a sector could do more to improve health outcomes and equity, in general and specifically regarding maternal health. Over a greater than 2-year span we met with key partners from all sectors of health care, as well as community groups and healthcare consumers. Resources were developed for providers, employers, community partners, and advocates. The guidance that was developed provides a roadmap for healthcare provider institutions to reduce inequities and improve maternal healthcare, experiences, and outcomes.

Maternal Immunization Task Force for Pregnant People: A Call to Action: An ongoing CDC funded project that is now led by ACOG, convenes a bi-monthly immunization task force consisting of key partners including ACNM that develop and carry out strategies for promoting maternal immunizations. ACNM created public facing visual content that continues to be shared through social media and the ACNM website.

Updates to ACNM Publications in 2023

Standard Setting Documents 

American College of Nurse-Midwives Philosophy of Midwifery 

Position Statements 

Access to Comprehensive Sexual and Reproductive Health Care 
Climate Change and Maternal, Fetal, and Infant Health 
CNM/CM as First Assistant at Surgery 
Collaborative Agreement Between CNMs/CMs and Physicians or Other Health Care Providers 
Effect of Environmental Toxins on Reproductive and Development Health 
Expedited Partner Therapy 
Midwifery Care During the Third Stage of Labor 
Prevention of Gun Violence 
Primary Cesarean Birth by Request 
Rural Midwifery Practice – NEW 
Shared Decision-Making in Midwifery Care 
Ultrasound in Midwifery Practice 

Position Statements – Retired 

Human Immunodeficiency Virus (HIV) and acquired immunodeficiency syndrome (AIDS) 
Prevention of Preterm Labor and Preterm Birth 
Standard Nomenclature for Intrapartum Fetal Heart Rate Surveillance 

ACNM Liasons

Volunteers, board members, and staff represent ACNM in the following groups (selections – not exhaustive):
  • Advisory Committee on Infant and Maternal Health- Systems Issues in Rural Health Workgroup
  • United States Breastfeeding Coalition
  • Women’s Preventive Services Initiative
  • CDC Advisory Committee on Immunization Practice
  • ACOG-CREOG Council
  • ACOG Committee on Obstetric Practice
  • ACOG Maternal Mental Health Expert Working Group
  • Pelvic floor disorders network data safety monitoring board
  • ACNM Liaison for ACOG Committee on Indigenous Health
  • ACOG Committee on Clinical Consensus – Obstetrics