Quote from YUPPIE2009
I just wonder if you end up doing more things that a labor and delivery nurse might do instead of all the things that you have trained for in school? I was looking up one public hospital in Georgia that stated Nurse Mid-wives were only responsible for a very small percentage of their yearly births.
I don't think that I end up acting as the labor nurse, except for when I choose to do so. For example, I will do quite a bit of labor support (if I can, and if the woman desires that) which could be seen as a nursing role. I see labor support as the role of everyone involved, including me, and I really enjoy doing labor support. I think I do more in terms of patient comfort measures, like changing chux pads or getting water/snacks, than almost all the physicians I know do, but I choose to do that, too. I do those things in addition to what I was trained for, not instead of.
CNMs are responsible for about 7% of all births in the US, which is a small number, but there are still a lot more OBs out there than CNMs, and the numbers are increasing every year. In New Mexico, the number is much higher - closer to 30%. Since Georgia was the last state to give CNMs prescriptive authority, I am not sure how friendly the climate is towards CNMs there. Why the numbers are so small can be related to a lot of factors, including political, economic, and legal issues. And many CNMs do choose to not do births as part of their practice - I have friends who teach, who do just gynecology, who do counseling, who do just prenatal/postpartum care, who specialize in menopause care, and some who do just labor and delivery.
I hope that answered your question. :spin: