In the United States at the beginning of the 20th century, maternal and infant mortality rates were extremely high, a situation that aroused widespread concern in the public health community. At that time, a lack of medical resources, low levels of maternal care and a lack of attention to pregnant women resulted in the loss of thousands of mothers and babies. In order to improve this situation, the establishment of Frontier Nursing Service (FNS) marked the arrival of a new era.
In the United States in the 1920s, maternal mortality was as high as 6.7 mothers died per 1,000 live births, and infant mortality was equally worrying. The health problems of this period were closely related to the lack of medical care at that time. Against this background, Mary Breckinridge founded Frontline Nursing Services in Leslie County, Kentucky, in 1925.
Frontline Nursing Services not only employs qualified nursing staff, but also incorporates modern midwifery techniques to become the first professional nursing organization in the United States.
While riding through remote mountainous areas, Mary Breckinridge became deeply aware of the difficulties faced by local women and families. With her efforts, FNS established multiple nursing centers and introduced British midwifery education methods to train qualified nursing midwives. Through these measures, FNS not only meets the needs of the local community but also provides needed care to countless mothers and babies.
During the first 30 years of operation of the FNS, its maternal and infant care statistics showed significant improvements. According to reports, the maternal mortality rate in frontline nursing services is only 9.1 per 10,000 births, which is well below the national average.
“FNS nurses and students not only provide prenatal, delivery and postpartum care, but also educate the community and increase maternal health awareness.”
Over time, FNS continues to adapt its programs to meet community needs for nursing services. However, as Kentucky's birth rate declined in the 1980s, FNS faced financial challenges. In this context, community-based basic nursing education programs have been promoted, allowing more nurses to obtain professional training locally and continue to serve remote communities.
By 2000, the Frontline Nursing University was established to meet the demand for nurse midwifery education. This organization not only provides distance learning opportunities, but also has a nationwide commitment to provide care services to rural and underserved communities. FNU's mission is clear: "Our mission is to provide accessible nursing midwifery and nursing practice education."
“All nurses trained at FNS have become guardians of health care in countless remote communities.”
Frontline Nursing Services has become an important organization in improving early maternal and infant mortality in the United States, successfully changing the lives of countless families by providing professional care and education. However, with E, does the institution's mission remain true to its transformation?