ABSTRACTSelected data pertaining to management of delivery are compared for United States resident nurse‐midwives who participated in 1976 to 1977 and 1982 national surveys of nurse‐midwives conducted by the American College of Nurse‐Midwives. Of the 1213 United States residents who participated in the 1976 to 1977 survey, 521 (43.0%) were managing deliveries, and 937 (59.2%) of the 1584 residents who participated in the 1982 survey were managing deliveries. Nurse‐midwives who participated in the 1982 survey were found to be working in private practices, conducting deliveries, and providing continuity of care more frequently than nurse‐midwives who participated in the 1976 to 1977 survey. Except for manual removal of the placenta, nurse‐midwives who participated in the 1982 survey used procedures associated with potentially high‐risk or problematic situations less often than nurse‐midwives who participated in the 1976