Hi everyone! This is my first post on All Nurses. I am sitting at the first step of my midwifery career and I am trying to figure out what to do.
My end goal is to be a midwife. I've known this for years, but I am just now in a position to really begin pursuing this dream. I am torn between going to a MEAC school and becoming a CPM or going the nursing route towards a CNM. My dream is to work in a birth center and I know this is an option in my state regardless of which route I take. However, the legal field is always changing and I really don't want the constant headache of the legal battles, fighting with insurance, etc. I feel that being a nurse and working as a CNM would be a more safe route. I personally know of CPMs who have shut down their practice because the cost of trying to keep up with state standards was just too much.
My question is, do you find that your hands are always tied as a CNM? Do most hospitals have strict policies on Pitocin, when to move to a cesarean section, etc? I fear that as a CNM, I will start to become "medicalized" and lose my values and personal beliefs about the birth process. Don't get me wrong, I know that hospital births have their place! I am just wondering how many CNMs truly get to practice physiological birth the majority of the time.
Also, has anyone worked as a doula while in nursing school? I realize that taking on clients would be pretty impossible, but I'm hoping if I get my doula certification that I can maybe shadow some midwives. If I do go the CNM route, my ultimate goal would be to get into Frontier. Since we have to find our own preceptors, I think having doula experience would help me start to establish some references/contacts. I'm sure it would make my application look a little better as well.
I know I am looking WAY down the road, but nursing is such a huge investment of time and money. I want to make sure I am doing the right thing. Thank you so much for reading this (if you have!) and appreciate any feedback! Feel free to be brutally honest. I can take it!