Which states are CNMs permitted to do homebirths? - pg.2 | allnurses

Which states are CNMs permitted to do homebirths? - page 2

I am a pre-nursing student with the long-time goal of becoming a midwife. Since I love homebirth and believe that it is ultimately best for many women/families, I would like to know if anyone knows... Read More

  1. Visit  melmarie23 profile page
    0
    Quote from klone
    Not physician oversight, but collaboration. Such as, do you have an accepting physician if you need to transport? I know many midwives just take them (or dump them, sadly) at the ER, but it's much safer and better for the family if she has a collaborative agreement with a physician who has privileges somewhere.
    most do have collaboration and have a hospital lined up for transports if need be, yes (I chose these women for the births of my two children). My hospital has a great collaboration with one of the local birth centers and at least once a month on average end up taking one of their patients. In NH though, its CPMs who are the bulk of midwives who practice out of hospital/run birth centers/attend home births. But some CNMs do/have as well. CNMs here are still mostly found in hospital though.

    NH is unique in that for most APRNs, they are not required to have physician oversight and can practice independently. However, most choose to go into partnership with them.
    Last edit by melmarie23 on Nov 9, '12
  2. Visit  Journey_On profile page
    0
    CNMs can do homebirths in Florida.
  3. Visit  WantToBeMidwife profile page
    0
    klone they "dump" them b/c of how THEY will be treated. OBs treat them so badly they should be embarrassed.

    As for the OP's question, I think NJ FL, and NY for sure. I live in TN now and I don't know the law here on it. I will one day when I become a CNM ;-)
  4. Visit  monkeybug profile page
    2
    Quote from WantToBeMidwife
    klone they "dump" them b/c of how THEY will be treated. OBs treat them so badly they should be embarrassed.

    As for the OP's question, I think NJ FL, and NY for sure. I live in TN now and I don't know the law here on it. I will one day when I become a CNM ;-)
    Since you are in TN, have you heard of The Farm? I really wanted to go their to deliver, but my husband was opposed, and it was a bit of a drive. Ina May is one of my heroes!
    mamagui and WantToBeMidwife like this.
  5. Visit  WantToBeMidwife profile page
    0
    Yes I live about 35-45 minutes from the Farm. I've never been there, but am going soon to check it out, and plan to do their midwifery assistant workshop next year if I can save $900!!!! Ina May is amazing, I just love her, met her a few times and she's such a sweet lady!
  6. Visit  chwcbesteph profile page
    0
    Alabama and Nebraska are the two states where it is illegal for a CNM to attend a homebirth.
  7. Visit  WantToBeMidwife profile page
    0
    It is illegal for ANY midwife to attend a home birth in Alabama, not just CNMs but CPMs also!!!!!!
  8. Visit  Skips profile page
    0
    Quote from queenanneslace
    There are few states where it is legally prohibited for CNMs to attend OOH birth. Nebraska comes to mind as one. Was it North Carolina where it just got real ugly for CNMs working OOH? This year? I think so.

    There are many other states where it is not prohibited by law, but the requirements for a written collaborative agreement with a physician or mandatory malpractice insurance equivalent to what an obstetrician must carry creates barriers to OOH CNM practice.

    Not legally prohibited. Just financially and/or collaboratively difficult.

    Of the CNM practices that were independent (either in hospital or OOH) - they usually had a collaborative relationship with an OB in private practice. And finding an OB in private practice is becoming rarer and rarer. Group practices of physicians don't want to sign on as collaborators for CNMs in private practice. It creates an difficult situation for CNMs.

    And it all gets confusing with the laws that do and don't apply to CPMs and DEMs because the public often does not understand the distinction between the different types of midwives.

    To obtain a license in my state, CNMs require a written collaborative agreement with a physician. CPMs do not.



    Whole-heartedly agree.
    You got it! It is illegal for a CNM to attend a homebirth here in Nebraska. It's not a very homebirth-friendly state.

    North Carolina did have some issues, I remember reading! And I think Alabama and Nebraska are the only two states in the country that CNMs are not legally able to attend homebirths...I could be wrong, though.
  9. Visit  IrishIzCPNP profile page
    0
    Pennsylvania allows CNMs to do home births.
  10. Visit  MidwifeCNM profile page
    0
    I'm a CNM In Missouri where I attend homebirths with regularity. I have an excellent collaborating physician who 100% respects And supports homebirths
  11. Visit  MidwifeCNM profile page
    1
    SAYING that, We need to fight for NO collaboration agreement"
    mamagui likes this.
  12. Visit  adoRNo2b2015 profile page
    0
    Quote from Eeyore_fan
    CNMs can do homebirths in Florida.
    There's quite a few lay midwives that attend births at home. these "midwives" are not even. nurses , they have just taken some courses on midwifery but are not licensed or certified. there's on CNM in a county close to ours who has shown up a few times to our unit saying that she was working under dr such and such and of course dr such and such denied that information and it turned out the CNM was backed up by a dentist from her county. not sure how a dentist can be a CNM's back up. some of them try crazy things like VBAC at home with no physician present, etc, it is crazy what some of these people are allowed to do. have you seen Born in the Wild?
    that show should be cancelled! All this deliveries in the middle of nowhere with temperatures below zero. what would these people do in the even of a shoulder dystocia,
    a prolapsed cord? OMG! I can't begin to imagine!!!!! we have some midwives who are wonderful and work under one of our OB/GYN" but they would absolutely not do home births.
  13. Visit  Red Kryptonite profile page
    1
    Quote from adoRNo2b2015
    crazy things like VBAC at home with no physician present, etc, it is crazy what some of these people are allowed to do.
    I had a HBA2C with a licensed midwife (not CNM) and would do it again. The medical model of birth failed me twice, and stole my births from me. I sure as hell wasn't giving them a third chance.

    After my two unnecessary cesareans, I had three unmedicated natural births with babies as big or bigger than the ones I was told my body couldn't birth. After the planned home birth, I had my 4th in a hospital with a CNM due to moving to a different state where laws were different. I planned to do that again with my 5th, but she was in a hurry and ended up being born into her Daddy's hands in my bathroom.

    Planned home birth with a trained attendant is as safe or safer than hospital birth. Even safer for VBACs I'd contend, due to hospitals' refusal to stop using pitocin and even misoprostol on women with uterine scars.

    Don't fool yourself that hospitals don't pose their own whole set of risks to birthing mothers and their babies. Each venue has its risks and benefits. At least home birthing mothers are usually educated as to what those are.
    Last edit by Red Kryptonite on May 1
    vintagemother likes this.


Nursing Jobs in every specialty and state. Visit today and find your dream job.

Visit Our Sponsors
Top
close
close