Date of Award

Spring 2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Ketchie, Monica

Second Advisor

MacMillan, Deborah

Third Advisor

Anukam, Antonia


Intrapartum Guidelines for Nurse-Midwives


Intrapartum clinical practice guidelines for certified nurse-midwives (CNMs) can improve quality of care and patient outcomes. Such improvements, however, often relate to the level of rigor in guideline development to assure quality and utilize the most recent and best evidence. This quality improvement project, introduced in three phases, aims to align existing clinical practice guidelines with national clinical practice guidelines and standards of care for certified nurse-midwives providing care in an intrapartum hospital setting. Phase One of this project will review existing clinical practice guidelines for midwifery care, accomplished by appraising 28 intrapartum guidelines. Phase Two includes revising and developing selected guidelines to meet the World Health Organization (WHO) recommendations for quality guideline development (WHO Guidelines Review Committee, 2020). Phase three was the submission of the revised guidelines to medical professionals at a local hospital.