a difficult choice

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    I spent 7 years as a direct entry midwife and then chose to go to nursing school. At the time I was emotionally/psychologically walking away from midwifery. I really like surgery and I'm considering CRNA.

    However, every nurse, every 'old' friend I know tells me I have the personality for midwifery and that I should pursue CNM instead. I won't lie - it's my first love and I could slip back into it, I think.

    The other issue is that my spouse refuses to relocate, so I'm in the DC area and there doesn't seem to be a lot of CNM positions available. I guess, to pursue due diligence, I'm looking about to see what job opportunities there are for CNMs in the southern MD, Norther, VA and DC area. Several of my professors have said this isn't a good area for CNMs.

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    I never completed my CPM, but I did apprentice in OOH birth for a few years. I have since become an RN and am working in L&D and maternity.

    First of all - one of the things I LOVE about nursing is the options and opportunities available nurses. This kind of flexibility with career options does not exist in the OOH midwifery model.

    One of the hardest things about 'having the heart of a midwife' and working in OB/GYN practices (even OB/GYN practices with CNMs) is that .... oh .... so much of the 'heart of midwifery' is sucked out of it. I struggle with the kind of care I participate in providing. There are days where I feel like I make a different to an individual patient. But there are other days where I feel like a very tiny cog in a big huge baby-birthing industry.

    If you love the OR -and want to become a CRNA, woot woot! I say go for it! I have a few friends who are very happy as CRNAs. I also enjoy the CRNAs whom I work with. Great people. Love having a compassionate CRNA during unplanned c-sections.

    I guess you have to ask yourself if you will ever feel the draw back to midwifery - I completely know what you are talking about when you say you were 'psychologically/emotionally walking away from it.' But it sounds like maybe you still want that.

    I go back and forth about completing my CNM - the reality of how CNMs practice among obstetricians is hitting me pretty hard -and I try to envision a way I could practice nurse-midwifery, get paid a reasonable wage, and not be on call 24/7/365. This might be a position I have to invent for myself - instead of getting hired into an existing practice. Is this something you've considered?
    MeiLana likes this.
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    I really appreciate your advice on it and so sorry to take so long to respond. Georgetown called me back last week after I (once again) queried about it. I think my leaning heavily towards CRNA, though, the more I hear that CNM has the hours, demands, lack of respect/pay that pretty much a DEM had, just with more accountability/licensure. I don't want to be a cog in the machine.