Today, nurse-midwives have assumed a larger role in mainstream health care than before, yet they are still marginalized. As in the past, nurse-midwives’ futures will depend on continuing changes in American attitudes about childbirth, health care, and women professionals as well as on their own ability to adapt to the changes. The history of the profession suggests that nurse-midwives will continue to navigate in difficult waters in a middle space between the mainstream and the margins of medicine and between the nursing profession and midwifery traditions.
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