Mapping integration of midwives across the United States: Impact on access, equity, and outcomes.
Version: 4 – Released: Wed Feb 21 13:33:19 PST 2018
Cataloging Information
Data & Analysis
Comments (0)
Data Citation
If you use these data, please add the following citation to your scholarly references. Why cite?
Vedam, S, Stoll K, MacDorman M, Declercq E, Cramer R, Cheyney M, Fisher T, Butt E, Yang T, Kennedy H. Mapping integration of midwives across the United States: Impact on access, equity, and outcomes. Plos One.
Data Citation Details
TitleMapping integration of midwives across the United States: Impact on access, equity, and outcomes.
Study Global IDhdl:11272/10528
AuthorsVedam, Saraswathi et al. (University of British Columbia)
Deposit DateDecember 06, 2017
Original Dataverse
Description and Scope

Our multidisciplinary team of legal, clinician, and perinatal epidemiology experts designed a study to assess the effects of state regulation of midwives on patient access to high quality maternity care in the US. We developed a novel, weighted scoring system that ranks all 50 states and DC on level of midwifery integration, and then linked state scores to maternal and newborn outcomes. In our study we demonstrate that greater integration of midwives is associated with significantly higher rates of physiologic birth outcomes, lower rates of obstetric interventions, and fewer adverse neonatal outcomes. Our new Midwifery Integration Scoring System provides an evidenced-informed tool that can identify barriers to effective health human resource allocation in maternity care, based on population-level health outcomes data. In the current context of the Sustainable Development Goals to facilitate equitable access to skilled maternity providers, we believe that our findings will be of great interest to your readers. We uploaded the 1) Midwifery Integration Scoring System and 2) the data set that includes all data points needed to replicate the results presented in our paper. Most of the data is for the year 2014 and comes from the CDC. Other data sources are detailed in the publication and a short data dictionary will be uploaded soon.

Description DateDecember, 2017
Keywordsmidwifery integration
Topic ClassificationOpen (Open Access Tag)
Unit of AnalysisState
Data Availability
Number of Files 2
Terms of Use
RestrictionsCreative Commons Licence
This work is licensed under a Creative Commons Attribution 4.0 International License.
Dataverse Terms of Use
View Terms of Use [+]

Terms of Use

  1. Introduction

    1. The "Service" means, collectively, all aspects of the Abacus / NESSTAR and associated services and websites.
    2. The term "Content" means the data, text, graphics, photos, sounds, music, videos, audiovisual combinations, interactive features, software, scripts, and any other electronic materials you may view on or access through the Service.
  2. Your Acceptance of this Agreement

    1. By clicking you agree to the terms and conditions of this Agreement, which supplement the policies, rules and requirements of your institution.
    2. If you do not agree to these Terms of Use you must not log in, access, browse or otherwise use the Service. If you have questions or concerns, please contact
  3. Use of the Service and Content

    Use of the Service and Your Content. You may access and use the Content uploaded on the Service strictly in compliance with the copyright terms identified on or associated with such Content, and if no such terms are identified on or associated with such Content, then otherwise on the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International license.
  4. General Conditions of Use

    1. Without limiting the foregoing and the prohibited uses set out in Policy #104, Acceptable Use and Security of UBC Electronic Information and Systems, which is hereby incorporated by reference, the following is not permitted:
      1. using any automated system, including without limitation, "robots," "spiders," or "offline readers," to harvest or scrape information from the Service or any part(s) thereof, or to send more request messages in a given period of time than a human can reasonably produce in the same period by using a conventional on-line web browser; or
      2. in any way intentionally placing undue burden on the technical systems or networks connected to the Service.
    2. UBC may suspend your account, or access to the Service, if it learns or is credibly notified (as determined by UBC) that your conduct is in violation of these Terms of Use.
  5. Liability and Indemnity

    1. The Service and the Content is provided to you AS IS. You understand that UBC does not endorse any Content submitted to the Service by any user, or any opinion, recommendation, or advice expressed therein, and UBC expressly disclaims any and all liability in connection with Content, including without limitation all direct, indirect, special, incidental or consequential damage or any other damages whatsoever and howsoever caused, arising out of or in connection with the use of the Service or any Content, or in reliance on the Service or the Content.
    2. In addition, the Service may contain links to third party websites. UBC has no control over, and assumes no responsibility for, the content, privacy policies, or practices of any third party websites.
    3. You agree to indemnify and hold harmless UBC, its Board of Governors, agents, contractors, licensors, and licensees against any all claims arising from or in any way relating to your use of the Service.
  6. Trademarks

    Certain words, phrases, names, designs or logos used on the Site may constitute trademarks, service marks or trade names of the UBC or other entities. The display of any such marks or names on the Site does not imply that UBC or other entities have granted a license or authorization of any kind to use such marks or names. You may not use any of UBC's trademarks, service marks or trade names without UBC's prior written permission.
  7. Choice of Law

    The laws of the Province of British Columbia and the laws of Canada applicable therein shall govern as to the interpretation, validity and effect of this document, notwithstanding any conflict of laws provisions of your domicile, residence or physical location. You hereby consent and submit to the exclusive jurisdiction of the courts of the Province of British Columbia in any action or proceeding instituted under or related to your use of the Service.
Download the cataloging information in XML format - DDI (full)
Abacus Dataverse Network - British Columbia Research Library Data Services - Hosted at the University of British Columbia © 2018

"Mapping integration of midwives across the United States: Impact on access, equity, and outcomes. ", hdl:11272/10528