The role of CNMs in abortion care

  1. 0
    Hello

    I am wondering if there is any programs that educate/train midwives in abortion care. There are currently six states which allow NPs to perform procedures. I am wondering if abortion care is included within the midwifery curriculum of any school.

    I am posting for strictly educational and healthcare inquiries into the field. Please refrain from responding if you have any sort of moral judgment on this particular topic.
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  4. 28 Comments so far...

  5. 0
    I'm not sure, but I don't think it's within a CNM scope of practice to perform surgical abortion.

    Chemical abortion may be different, though.
  6. 0
    I was wondering about this too as I see many job openings for WHNP/CNMs at Planned Parenthood.
  7. 0
    Quote from LoveANurse09
    I was wondering about this too as I see many job openings for WHNP/CNMs at Planned Parenthood.
    They do well-woman care and prescribe birth control. They don't perform abortions.
  8. 0
    Quote from klone
    They do well-woman care and prescribe birth control. They don't perform abortions.
    Good to know..thanks!
  9. 1
    Actually, i currently work at Planned Parenthood of the Columbia Willamette. CNMs do perform surgical and medical abortions. It depends on the state
    machokid likes this.
  10. 0
    Quote from cthomson
    Actually, i currently work at Planned Parenthood of the Columbia Willamette. CNMs do perform surgical and medical abortions. It depends on the state
    Interesting! Thanks for sharing that; I guess it does depend on the state's scope. I didn't realize any states allowed APNs to perform surgical abortion.
  11. 1
    You may be interested in research that is being done at UCSF on this topic: ANSIRH: Research and other workHealth Workforce Pilot Project.
    mz_marit likes this.
  12. 0
    Quote from cthomson
    Hello

    I am wondering if there is any programs that educate/train midwives in abortion care. There are currently six states which allow NPs to perform procedures. I am wondering if abortion care is included within the midwifery curriculum of any school.

    I am posting for strictly educational and healthcare inquiries into the field. Please refrain from responding if you have any sort of moral judgment on this particular topic.
    I am posting from a medica standpoint.

    An abortion is a surgical procedure that if not done correctly, or knowing what to do in case of a major complication, can lead to infection, complications leading to a hysterectomy or even death.

    I do not believe that NP's should perform this service, under ANY circumstance.

    That role needs to be reserved for a physician...who is able to handle a complication, should it arise.
  13. 13
    BabyLady -

    Actually, abortions are not necessarily surgical procedures at all. Many early abortions (which is the focus of ANSIRH, linked to in my previous post) are "medical abortions", completed with the administration of abortifacient drugs such as mifepristone and misoprostol.

    Even if an aspiration technique were called for, for example, advanced practice nurses/CNMs are often trained to perform minor surgical procedures such as episiotomies, suturing, and skin biopsies, all of which have their own risks of complications that APRNs/CNMs are also trained to avoid, and manage or transfer to the care of a physician.

    In any case, I don't think the OP was asking for the opinions of individual posters on whether or not CNMs should be allow to perform abortions, but rather was seeking advice on programs that offer this training.
    mz_marit, mystory, ixchel, and 10 others like this.


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