This study determined differences in delivery outcomes of primiparous women (n = 107) by certified nurse midwives versus similar deliveries by experienced obstetricians through a retrospective chart review of low risk births. The use of both forceps and midline episiotomies were found to be significantly higher in the obstetrician group. Obstetricians also were more likely to use anesthesia than the midwife group. No significant differences were found in the number or degree of perineal lacerations or in the mean Apgar scores.