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existing successful practice models that can be easily replicated to better integrate midwives into Louisiana’s obstetrical land- scape. Given our current maternal child health situation, we must double down on our efforts. Though we are making positive strides, better integrating skilled midwives into the healthcare landscape is a giant step in the right direction. n REFERENCES 1 Rosenberg, J. (2019). Physician shortage likely to impact OB/GYN workforce in coming years. American Journal of Managed Care. 2 Smith, S. “New March of Dimes Research Shows Access to Maternity Care Worsening for Millions of Women in the U.S.” March of Dimes, news re- lease Aug. 1, 2023. https://www.marchofdimes . org/about/news/new-march-dimes-research- shows-access-to-maternity-care-worsening-mil- lions-women-us 3 American College of Nurse Midwives. “Defini- tion of Midwifery and Scope of Practice of Cer- tified Nurse-Midwives and Certified Midwives.” Last updated December 2021. https://www.mid - wife.org/acnm/files/acnmlibrarydata/uploadfile- name/000000000266/Definition%20Midwife- ry%20Scope%20of%20Practice_2021.pdf 4 Kennedy, H. P.; Balaam, M.C.; Dahlen, H.; et al. “The role of midwifery and other international insights for maternity care in the United States: an analysis of four countries.” Birth 47, vol. 4 (De- cember 2020): 332-345. DOI: 10.1111/birt.12504 5 Renfrew, M.J.; McFadden, A.; Bastos, M.H.; et al. “Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care.” The Lancet 384, No. 9948 (Sept. 20, 2014): 1129-1145. DOI: 10.1016/S0140- 6736(14)60789-3 6 Combellick, J.L.; Telfer, M.L.; Ibrahim, B.B.; et al. “Midwifery care during labor and birth in the United States.” American Journal of Obstetrics and Gynecology 228, issue 5 (May 23, 2023): S983-S993. DOI: 10.1016/j.ajog.2022.09.044 7 World Health Organization. “Strengthening quality midwifery for all mothers and newborns.” Accessed October 2014. https://www.who.int/ activities/strengthening-quality-midwifery-for- all-mothers-and-newborns 8 Nove, A.; Hoop-Bender, P.T.; Boyce, M.; et al. “The State of the World’s Midwifery 2021: find- ings to drive global policy and practice.” Human Resources for Health 19, art. 146 (2021). https:// doi.org/10.1186/s12960-021-00694-w 9 Hollander, M.; de Miranda, E.; Vandenbussche, F.; et al. “Addressing a need. Holistic midwifery in the Netherlands: A qualitative analysis.” PLoS One 14, No. 7 (July 30, 2019): e0220489. DOI: 10.1371/journal.pone.0220489 10 Jividen, S. “Full Practice Authority for Nurse Practitioners by State.” Nurse.org, March 22, 2024. https://nurse.org/education/np-full-prac- tice-authority/ 11 American Association of Nurse Practitioners. “Issues at a Glance: Full Practice Authority.” Re- vised August 2024. https://www.aanp.org/ad- vocacy/advocacy-resource/policy-briefs/issues- full-practice-brief MichelleCollins, PhD, CNM, deanat LoyolaUniversityNewOrleans College of Nursing and Health is a certified nurse-midwife active in clinical practice, teaching, research, and administration. In addition to her current administrative position, Collins works as a CNM at Ochsner Baptist in New Orleans. She represents the American College of Nurse-Midwives on several national committees and initiatives and is a nationally recognized expert on the use of nitrous oxide in labor and birth. Collins also writes an invited blog for the British show Call the Midwife , which appears on the PBS website. She is a fellow of the American College of Nurse-Midwives, the American Academy of Nursing, and the National Academies of Practice. Michelle Collins, PhD, CNM, RNC-EFM, FACNM, FAAN, FNAP Dean of Loyola University New Orleans College of Nursing and Health HEALTHCARE JOURNAL OF NEW ORLEANS I  JAN / FEB 2025 39 12 American Nurses Association. “Scope of Prac- tice.” Accessed October 2024. https://www.nurs - ingworld.org/practice-policy/scope-of-practice/ 13 Fikre, R.; Gubbels, J.; Teklesilasie, W.; Gerards, S. “Effectiveness of midwifery-led care on preg- nancy outcomes in low-and middle-income countries: a systematic review and meta-analy- sis.” BMC Pregnancy and Childbirth 23 (May 26, 2023): 386. DOI: 10.1186/s12884-023-05664-9 14 Dahlen, H.G.; Drandic, D.; Shah, N.; et al. “Sup- porting midwifery is the answer to the wicked problems in maternity care.” The Lancet Global Health 10, issue 7 (July 2022): e951-e952. DOI: 10.1016/S2214-109X(22)00183-8 15 Rooks, J. P. (1999). “The midwifery model of care.” Journal of Nurse-Midwifery 44, issue 4 (Jan. 10, 2012): 370-374. DOI: 10.1016/S0091- 2182(99)00060-9 16 American College of Obstetricians and Gyne- colotists. “Joint Statement of Practicec Relations Between ACNM and ACOG.” Statement of policy, revised and reaffirmed November 2022. https:// www.acog.org/clinical-information/policy-and- position-statements/statements-of-policy/2018/ joint-statement-of-practice-relations-between- ob-gyns-and-cnms 17 Kozhimannil, K.B.; Henning-Smith, C.; Hung, P. “The practice of Midwifery in Rural US Hospitals.” Journal of Midwifery & Womens Health 61, No. 4(July 2016): 411-418. DOI: 10.1111/jmwh.12474 18 Vedam, S.; Stoll, K.; MacDorman, M.; et al. “Map- ping integration of midwives across the United States: Impact on access, equity, and outcomes.” PLoS ONE 13, No. 2 (Feb. 21, 2018): e0192523. https://doi.org/10.1371/journal.pone.0192523