What does data say about midwifery and outcomes? We know that research has demonstrated that CNMs functioning in a hosptial setting have the best overall outcomes of any care provider.
Historically Michigan's data on out-of-hospital birth with various types of midwives has been vague at best. Our birth certificates lacked specificity that would lend themselves to understanding outcomes stratified by care giver type and intended place of birth. New birth certificate questions are more specific and aimed at collecting better data so we can understand more fully, the trends in outcomes. It has been difficult for epidemiologists to assess safety, given gaps in Michigan data.
We can look at other states who have mandated better data analysis regarding home birth, and the subsequent results. One recent example is the state of Oregon.