The nurse-midwife's past, present, and future roles in the primary car
e of women are explored using a recent Institute of Medicine report on
primary care as a framework for discussion. Primary care, the scope o
f services, and the role of the primary care clinician are described,
and specific strategies for a primary care emphasis in basic nurse-mid
wifery education are addressed. The nurse-midwife's future roles in co
llaborative practice for the primary care of women and the need for co
ntinuing education opportunities in primary care are also discussed.