Update...I haven't pursued this yet. I just back into nursing after a 5 year break. I am working now and building up some experience to back me when I am ready to take this on.
Regarding "liability"...when a couple walks into L&D, they are assessed by the nurse. Granted, the hospital is responsible for the nurse doing the assessment. The nurse does the assessment and calls the physician or may rely on standing orders.
What I see for me is to get physician backing. I see no difference in assessing her at home. If there is a problem, she would immediately be referred to L&D.
What I am trying to help with is the fact that these couples come into the hospital and are checked during the night (during the day, they can sometimes come into the doctor's office to be checked), most are sent home. From personal experience, this was very depressing for me. I would have loved for someone to come into my home to check me and the baby and to reassure me in the comfort of my own home. Sometimes, in the middle of the night, couples bring in their children. This can be very stressing for both the couple and the children who are up past their bedtime. My husband and I had to call a neighber in the middle of the night to watch our two sons. See where I am going with this?
Anyway, as I said, I am trying to build up "experience" and reliability before I present this idea to physicians. I already have malpractice insurance
. Most midwives working in the hospitals do not go to patient's homes, so that is not an option.
Again, thanks for the responses and I will let you know how this goes.