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University of Colorado College of Nursing

College of Nursing
 

Nancy K. Lowe, PhD, CNM, FACNM, FAAN

Professor; Chair for Division of Women, Children, and Family Health


nancy.lowe@ucdenver.edu

Dr. Lowe is committed to maximizing health and well-being of childbearing women, their newborns, and their families through evidence-based and cost-effective health care. To maximize positive outcomes and minimize unnecessary costly medical intervention, pregnancy/birth/parenting must be viewed within a holistic, health-promotion framework, a framework that is best constructed by nurse-midwives and other advance practice nurses. Dr. Lowe’s primary research foci are (a) biobehavioral aspects of the childbearing experience and its processes, (b) care during labor, and (c) postpartum outcomes of low-risk, nulliparous women at term gestation with a single fetus in a cephalic presentation. In the past 15 years, there has been a dramatic increase in interventions during labor and birth for this group of first-time mothers. Despite this high level of intervention, there have been no improvements in outcomes for these mothers or newborns. For reasons that remain obscure, healthy first-time mothers are particularly vulnerable to a diagnosis of labor dystocia, the most common indication for cesarean delivery in this population. Dr. Lowe’s scholarship focuses on a biobehavioral model of uterine dystocia in first-time mothers and, with her colleague Dr. Jeremy Neal, improving clinical decision-making in the care of these women through the use of a standardized physiologic partograph. Her secondary line of research is an ongoing collaboration with Dr. Nancy Ryan-Wenger (Nationwide Children’s Hospital, Columbus, OH) to develop a field-expedient self-diagnosis and self-treatment kit for deployed military women with genitourinary infection. Dr. Lowe is a fellow of both the American Academy of Nursing and the American College of Nurse-Midwives, as well as Editor-in-Chief of the Journal of Obstetric, Gynecologic, and Neonatal Nursing (JOGNN).

Degree Awarding Institution Field of Study Graduation Date
Certified Nurse-Midwifery ACNM Certification Council, Inc.

Nurse-Midwifery

1994
Certificate Frontier School of Midwifery and Family Nursing Nurse-Midwifery 1994
PhD University of Illinois at Chicago
Chicago, Illinois
Nursing Science 1986
MS Northern Illinois University
DeKalb, Illinois
Maternal-Child Nursing 1977
BS Wheaton College
Wheaton, Illinois
Nursing 1969
Diploma West Suburban Hospital
College of Nursing
Oak Park, Illinois
Nursing 1967
Title Organization Year
Outstanding Research Presentation American College of Nurse-Midwives. 2007
Outstanding Research Presentation American College of Nurse-Midwives 2005
Fellow Western Academy of Nurses 2006
Fellow American Academy of Nursing 2003
Fellow American College of Nurse-Midwives 2003
Irwin Chabon Award for Research and Education Lamaze International, Inc. 2002
Academic Leadership Fellow Committee on Institutional Cooperation (CIC) Academic Leadership Program. 1998-1999
Faculty Leadership Award The Ohio State University College of Nursing. 1997
Award for Excellence in Research AWHONN District V. 1996
Midwest Nursing Research Society Honor a Researcher Award Childbearing Related Research Section 1996
Outstanding Clinical Research Paper 6th National Meeting of NAACOG 1987
American Nurses' Foundation Scholar American Nurses' Foundation 1986-1987
Graduate Student Poster Award 10th Annual Midwest Nursing Research Society Conference, Omaha, Nebraska. 1986
Health and Human Services National Research Service Predoctoral Fellow 1985-1986
Fellow of the Graduate College University of Illinois at Chicago. 1983-1984
  1. Neal, J. L., Lamp, J., Buck, J., Lowe, N., Gillespie, S., & Ryan, S. L. (in press). Outcomes of nulliparous women with spontaneous labor onset admitted to hospital in pre-active versus active labor. Journal of Midwifery & Women’s Health.
  2. Carlson, N. S., & Lowe, N. K. (2013). A concept analysis of “Watchful Waiting” among providers caring for women in labor. Journal of Advanced Nursing. doi: 10.1111/jan.12209.
  3. Carlson, N. S., & Lowe, N. K. (in press). Intrapartum management associated with obesity in nulliparous women. Journal of Midwifery & Women’s Health.
  4. Levine, M., & Lowe, N. K. (in press). Nurse attitudes toward childbirth: a concept clarification. Nursing Forum.
  5. Corwin, E. J., Guo, Y., Pajer, K., Lowe, N., McCarthy, D., Schmiege, S., Weber, M., Pace, T., & Stafford, B. (2013). Immune dysregulation and glucocorticoid resistance in minority and low income pregnant women. Psychoneuroendocrinology, 38, 1786-1796. doi: 10.1016/j.psyneuen.2013.02.015.
  6. Neal, J. L., Lowe, N. K., & Corwin, E. J. (2013). Serum lactate dehyrogenase profile as a retrospective indicator of uterine preparedness for labor: a prospective, observational study.  BMC Pregnancy and Childbirth, 13 (128). doi:10.1186/1471-2393-13-128.
  7. Lowe, N. K. (2013). A new take on term pregnancy. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(6), 617.
  8. Lowe, N. K. (2013). Leadership, accountability, and safety in health care. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(3), 247-248.
  9. Lowe, N. K. (2013). The overuse of cesarean delivery. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(2), 135-136.
  10. Lowe, N. K. (2013). Cervical cancer screening guidelines 2012.  (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(1), 1.
  11. Corwin, E. J., Meek, P., Cook, P., Lowe, N. K., & Sousa, K. (2012). Shape shifters: Biobehavioral determinants and phenomenon in symptom research. Nursing Outlook, 60, 191-197.
  12. Lowe, N. K., & Ryan-Wenger, N. A. (2012). Uncomplicated UTIs in women. The Nurse Practitioner. 37(5), 41-48.
  13. Banta-Wright, S. A., Shelton, K. C., Lowe, N. K., Knafl, K. A., & Houck, G. M. (2012). Breastfeeding success among infants with phenylketonuria. Journal of Pediatric Nursing, 27, 319-327.
  14. Neal, J. L. & Lowe, N. K. (2012). Physiologic partograph to improve birth safety and outcomes among low-risk, nulliparous women with spontaneous labor onset. Medical Hypotheses, 78, 319-326.
  15. Lowe, N. K., Cockey, C.D., & Hartley, A. (2012). JOGNN meets the challenges of growth. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(6), 715-716.
  16. Lowe, N. K. (2012). The persistent problem of postpartum hemorrhage. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(4), 459-460.
  17. Lowe, N. K. (2012). Reflections on the importance of the nurse. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(3), 325-327.
  18. Cook, P. F. & Lowe, N. K. (2012). Differentiating the scientific endeavors of research, program evaluation, and quality improvement studies. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(1), 1-3.
  19. Lowe, N. K., & Corwin, E. J. (2011). Proposed biological linkages between obesity, stress, and inefficient uterine contractility during labor in humans. Medical Hypothesis, 76, 755-760.
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  23. khong, K., Perrin, N., & Lowe, N. K. (2011). Psychometric testing of the Thai version of the Childbirth Self-Efficacy Inventory and the Childbirth Attitudes Questionnaire. Journal of Advanced Nursing, 67, 193-203.
  24. Lowe, N. K. (2011). The Nurses’ Health Study and the National Children’s Study. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(5), 507-508.
  25. Lowe, N. K. (2011). The Surgeon General’s Call to Action to Support Breastfeeding. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(4), 387-389.
  26. Lowe, N. K. (2011). The future of nursing. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(3), 253-254.
  27. Lowe, N. K. (2011). Electronic fetal monitoring revisited. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(2), 139.
  28. Lowe, N. K. (2011).  Let the celebration begin! (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(1), 1-
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  33. Lowe, N. K. (in press). Psychometric testing of the Thai version of the Childbirth Self-Efficacy Inventory and the Childbirth Attitudes Questionnaire. Journal of Advanced Nursing.
  34. Lowe, N. K. (2010). The landscape of advanced practice nursing. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(4), 359-360.
  35. Neal, J. L., Lowe, N. K., Patrick, T. E., & Corwin, E. J. (2010). What is the slowest-yet-normal cervical dilation rate among nulliparous women with spontaneous labor onset? Journal of Obstetric, Gynecologic, & Neonatal Nursing, 39, 361-369.
  36. Lowe, N. K. (2010). What’s a woman to do about the new breast and cervical cancer screening guidelines? Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(2), 133-134.
  37. Neal, J. L., Lowe, N. K., Ahijevych, K. L., Ryan-Wenger, N. A., & Corwin, E. J. (2010). Active phase labor length and rate of cervical dilation in nulliparous women: a systematic review. Journal of Midwifery and Women’s Health,55, 308-318.
  38. Lowe, N. K. (2010). Transforming maternity care. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(3), 235-237.
  39. Ryan-Wenger, N. A., Neal, J. L., Jones, A., & Lowe, N. K. (2010). Accuracy of vaginal symptom self-diagnosis algorithms for deployed military women. Nursing Research, 49, 2-10.
  40. Lowe, N. K. (2010). Journal update. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(1),
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  42. Kass-Wolff, J. & Lowe, N. K. (2009). A historical perspective of the women’s health nurse practitioner. Nursing Clinics of North America, 44, 271-280.
  43. Lowe, N. K. (2009). JOGNN’s 2009 Reviewer of the Year. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(6), 335-336.
  44. Lowe, N.K., Neal, J. L., & Ryan-Wenger, N. M. (2009). Accuracy of the clinical diagnosis of vaginitis compared to a DNA probe laboratory standard. Obstetrics & Gynecology, 113, 89-95.
  45. Lowe, N. K. (2009). Systematic literature reviews. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(4), 335-336.
  46. Lowe, N. K. (2009) Evidence-based maternity care. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(3), 253-
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  49. Hodnett, E. D., Stremler, R., Willan, A. R., Weston, J. A., Lowe, N. K., Simpson, K. R., Fraser, W. D., & Gafni, A. (2008). Does a formalized approach to nursing care in hospital labor assessment units affect birth outcomes? Results of an international randomized controlled trial. BMJ, 337, a1021 doi:10.1136/bjm.a1021. Published online August 28, 2008
  50. Lowe, N. K. (2009). The future of registered nurses in the United States. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(2), 119.
  51. Lowe, N. K. (2009). The authorities resolve against home birth. (Editorial). Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(1), 1-3.
  • 2013-2015 Sponsor, Nicole Carlson NINR Ruth L. Kirschstein NRSA, "Comparative Effectiveness of Labor Management in Obese, Nulliparous Women," funded.
  • 2012-2013 Co-Principal Investigator (PI: Martha Levine, PhD student), "Revision and Psychometric Testing of the Nurse Attitudes and Beliefs Questionnaire," Doris Kemp Faculty and PhD Student Research Award, $6,000.
  • 2008-2011 Co- Principal Investigator, “A Trial to Maximize the Accuracy of Military Women’s GU Infection Self-Diagnoses,” TriService Nursing Research Program. Nancy Ryan-Wenger, RN, PhD, Principal Investigator.
  • 2006-2007 Co-Investigator, "Evaluating the Clinical Impact of Simulation & Team Training on OB Safety." Agency for Healthcare Research and Quality, 1 U18 HSO16673-01. Jeanne-Marie Guise, MD, MPH, Principal Investigator.
  • 2005-2007 Co-Investigator, "Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety". Agency for Healthcare Research and Quality, 1 U18 HS015800-01, Jeanne-Marie Guise, MD, MPH, Principal Investigator.
  • 2002-2006 Co-Investigator, "SELAN – Structure Early Labor Assessment & Care by Nurses", Ellen Hodnett, RN, PhD, Principal Investigator, University of Toronto, Maternal, Infant and Reproductive Health Research Unit Canadian Institute of Health Research.
  • 2002-2005 Co-Investigator, "GU Self-Diagnosis for Deployed Military Women", Nancy Ryan-Wenger, CPNP, PhD, Principal Investigator, The Ohio State University. National Institute of Nursing Research (NINR), National Institutes of Health, RO1