Which states are CNMs permitted to do homebirths? - page 3

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
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    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
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  3. Visit  Eeyore_fan profile page
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    CNMs can do homebirths in Florida.
  4. Visit  WantToBeMidwife profile page
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    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 ;-)
  5. Visit  monkeybug profile page
    1
    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!
    WantToBeMidwife likes this.
  6. Visit  WantToBeMidwife profile page
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    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!
  7. Visit  chwcbesteph profile page
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    Alabama and Nebraska are the two states where it is illegal for a CNM to attend a homebirth.
  8. Visit  WantToBeMidwife profile page
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    It is illegal for ANY midwife to attend a home birth in Alabama, not just CNMs but CPMs also!!!!!!
  9. Visit  Skips profile page
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    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.
  10. Visit  IrishIzRN profile page
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    Pennsylvania allows CNMs to do home births.
  11. Visit  MidwifeCNM profile page
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    I'm a CNM In Missouri where I attend homebirths with regularity. I have an excellent collaborating physician who 100% respects And supports homebirths
  12. Visit  MidwifeCNM profile page
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    SAYING that, We need to fight for NO collaboration agreement"


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