I have always dreamed of being a CNM. I have my BSN and just started working L&D. I always thought I would gain hospital experience and then go back to school and become a CNM. However, I live in Southwest MO where OB's DO NOT partner with CNM's and they don't have hospital privileges. Many CNM's are becoming CPM's because they can't practice. So I'm wondering can a FNP legally work with midwives if they do not have hospital privileges? Also, if you are licensed as a CNM & FNP do you still have to partner with a physician to care for pregnant women & do deliveries?