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Margie Bridges, DNP, RNC-OB, ARNP-BC, CNS



Margie Bridges, DNP, RNC-OB, ARNP-BC, CNS
Washington, Region I

  • Video Introduction
  • Bio
  • Q & A

Video Introduction



Margie is a Perinatal CNS and adjunct faculty, dedicating 3 decades to perinatal nursing with a passion for moms, babies and nurses who care for them. Formally an AWHONN emerging leader, Margie then served on the National Conference Planning Committee and started an AWHONN Chapter. Currently Margie is the Washington State AWHONN Section Chair, and member on the National AWHONN Education Advisory Committee.

Margie is committed to improving care and outcomes for mothers and newborns as an active member in the Washington State Perinatal Committee working with “Substance use, Mental Health and Pregnancy”, “Obesity” and “Postpartum Follow up” workgroups. She is an appointed member of Washington States Maternal Mortality Review Panel that conducts comprehensive, multidisciplinary reviews of maternal deaths and recommends system changes to improve outcomes for women in the state. Additionally, Margie serves on the Washington State Hospital Association Steering Committee and Content Development Group for the Safe Delivery Road Map.

In 2015, Margie was awarded March of Dimes Nurse of the Year for Education. She completed her Doctorate Degree from Walden University and Masters of Nursing and BSN from the University of Washington. Margie has been married for 36 years, has 4 amazing children and 4 fantastic grandchildren.


Q & A

Question #1
Please describe significant contributions you have made to AWHONN and/ or in another professional leadership role. Include any examples where you have advanced the strategic agenda of AWHONN and/or other professional organizations. 

I am grateful for a wide range of career and volunteer leadership roles that allow me to naturally advance AWHONN‘s strategic agenda, and elevate our professional organization’s visibility. I serve in many leadership roles, and truly love what I do, and who I do it for!  Additionally, I have with strong desire to maximize member experience, and creation and gift of the EWEB necklaces has been a unique contribution to boost membership.

In my current role, I utilize AWHONN as the leading nursing authority in women’s health, obstetric and neonatal nursing, and recognize nurses have significant effects on patient outcomes.  I promote and measure the quality of care nursing provides for improved health care.  A few Key initiative examples include:  support, protection and promotion of breastfeeding, immediate and sustained skin-to skin contact, continuous labor support and discouraging non-medically indicated induction and augmentation of labor to achieve improved birth outcomes. 

Question #2
Please describe your expertise or contributions related to promoting improved care for women and babies. Discuss this in terms of your position on Maternal Mortality and Morbidity, Workforce Diversity and other racial and ethnic disparities in reproductive healthcare.


Serving on the Washington State Maternal Mortality Review Panel affords the opportunity to improve maternal health outcomes. My involvement in the multidisciplinary workgroup includes investigation, discussion, review of system-related risk factors, gaps in service, and racial and ethnic disparities associated with mortality. Preventable factors are identified and recommendations for healthcare policy developed. 

My recent related contributions include implementation of a “Maternal Early Warning Trigger” (MEWT) tool to facilitate early recognition of potential decline in patients. Thee tool integrates early identification criteria with an algorithm for treatment, and a formal response system encompassing four main categories: sepsis, severe hypertension, cardiopulmonary events and hemorrhage.  Additionally, implementation of Quantitative Blood Loss (QBL) for all births dovetails nicely with previously implemented PPH initiatives. There is a great opportunity for improving maternal population health.  Surprisingly, considering our access and resources, America’s mortality rates are quite high with an increasing trend and require focused attention.

Question #3

Please describe a significant leadership challenge that you have experienced; how you addressed it and relevant outcomes.


Decreasing cesarean birth rates has been on the sharp end of our quality improvement work for over 5 years. From C-Suite to bedside staff, all leaders are committed to increasing vaginal birth rates.  We have implemented a robust inventory of best practices to positively influence health of our diverse community related to mode of delivery. The challenge is not related to an inability to adopt best practices or embrace change.  We have had many successes in quality improvement for the OB population. While we have significantly decreased C/S rates, we remain disheartened with our inability to meet local, state and national benchmarks for cesarean section birth rates, with a lack of consistency in performance. Our dedicated team consists of both Nursing and Medicine disciplines to facilitate our work. We continue our shared commitment to monitor, investigate, share results, while investing a high level of engagement and commitment to the cause.




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AWHONN is approved by the California Board of Registered Nursing, Provider #CEP580. Accredited status does not imply endorsement by AWHONN or the American Nurses Credentialing Center of any commercial products displayed or discussed in conjunction with educational activities.

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