Are these things a CNM would do?

Published

Hello everyone

I am currently in nursing school and considering what I would like to do in the future. I'm considering a lot of things and I know things might change as I get farther along In nursing school.

I am very passionate about pregnancy and babies. I believe pregancy and birth should be seen as incredible, not a disease. I believe that women's bodies know what they are doing and that natural childbirth should be encouraged whenever possible. I want to work with pregnant women and newborns, especially low income and young mothers, but I'm not only interested in the pregnancy and delivery part. I would love to get involved with breastfeeding promotion/support and health promotion after the baby is born but I'm not sure if that is something a CNM would be involved with.

Im concerned about the lack of work/family balance because I want children of my own and I don't want a nanny to raise them. Are there any jobs a CNM could do part time for a few years? Also, are CNMs involved with abortions or artificial family planning usually? I'm not willing to participate in or advocate for abortions or artificial family planning.

I am also doing research online and trying to find a midwife to shadow but I would love to get some information from the knowledgeable people on here.

I would tell her what natural or OTC products can help with conception. I would also counsel her on cycle awareness and fertility monitors because I think all women should have that information and I don't see that as participating in the conception. I would also prescribe her prenatal vitamins and order labwork because I'm not going to put the health of the baby at risk because I don't approve of the home he/she is being born into. if she came to me pregnant, I would provide care because the conception is already done and she's going to have that baby whether I like it or not. I might as well do my best to ensure that it is a healthy pregnancy and baby.

Specializes in Reproductive & Public Health.
I would tell her what natural or OTC products can help with conception. I would also counsel her on cycle awareness and fertility monitors because I think all women should have that information and I don't see that as participating in the conception. I would also prescribe her prenatal vitamins and order labwork because I'm not going to put the health of the baby at risk because I don't approve of the home he/she is being born into. if she came to me pregnant, I would provide care because the conception is already done and she's going to have that baby whether I like it or not. I might as well do my best to ensure that it is a healthy pregnancy and baby.

Well, not too much to argue with there! I was glad to see that response.

It troubles me though, to hear people say that gay or single parents are inherently subpar, compared to their straight counterparts. No parent is perfect. We all manage to screw up our kids in our own unique way. I cannot even begin to fathom an argument for why a random straight couple would be better parents than a random gay couple. And yes, there are benefits to being partnered as a parent, that's for sure. But it doesn't then follow that single parents are somehow "suboptimal." I've not yet met a parent, gay or straight or single or coupled, who had this parenting thing totally figured out.

Specializes in Telemetry, IMCU.
Well, not too much to argue with there! I was glad to see that response.

It troubles me though, to hear people say that gay or single parents are inherently subpar, compared to their straight counterparts. No parent is perfect. We all manage to screw up our kids in our own unique way. I cannot even begin to fathom an argument for why a random straight couple would be better parents than a random gay couple. And yes, there are benefits to being partnered as a parent, that's for sure. But it doesn't then follow that single parents are somehow "suboptimal." I've not yet met a parent, gay or straight or single or coupled, who had this parenting thing totally figured out.

I just feel confused at the response of her treating them while silently disapproving of how or where the baby is conceived. That's just... Wow...

I know there are many wonderful gay parents and single parents and when they adopt children, I think it's great. However, I think the best situation is for a child to have its own mother and father. It doesn't always turn out that way, unfortunately, but I don't think that's a good reason to deliberately have a child knowing it will grow up without its mother or father. I believe it's selfish and unfair to the child so I won't help make it happen.

MariposaLPN, I don't believe for a moment that you approve of everything your patients do. I'm assuming you stil treat them despite disapproving of choices they make.

Specializes in Telemetry, IMCU.
MariposaLPN, I don't believe for a moment that you approve of everything your patients do. I'm assuming you stil treat them despite disapproving of choices they make.

Abortion for willy nilly reasons yes, other than that? Not really. It's quite odd that creating a child via IVF isn't acceptable. Just fyi, not all children are good candidates for adoption. Not all male and female couples are good for a child, and that doesn't change the fact that you said you'd refuse to help/assist. It's one thing to keep it to yourself, it's another to refuse to give your patient, who is seeking you for assistance, the ability to choose treatment for her reproductive health.

Specializes in Reproductive & Public Health.

yeah, but not agreeing with my patient's choice to decline vaccination is not the same as having a moral objection to a fundamental part of their being.

eta- Not agreeing with a patient's choice =/= thinking my patient is a suboptimal parent!

Specializes in Telemetry, IMCU.
yeah, but not agreeing with my patient's choice to decline vaccination is not the same as having a moral objection to a fundamental part of their being.

There's no point in even discussing it anymore. It's sad that if I were to encounter her and seek help in conceiving, as a diabetic, she'd refuse to help me, especially if I was single...

Of course not all children are good candidates for adoption and not all male/female couple are going to be good parents. And again, I'm not refusing my patient the ability to choose treatment for herself. I'm simply not providing certain treatments and will have to refer her elsewhere.

I don't have an objection to a fundamental part of their being. I have an objection to deliberately making children who you know won't be raised by both of their parents. If it was a lesbian couple who planned to raise the child with the father, I would be much less opposed. If the single woman was planning to raise the child with the father, I would also be much less opposed. However, that's usually not the case.

Do you never encounter patients that you believe to be suboptimal parents? When you encounter these parents, do you refuse to provide care for them because you believe they are suboptimal parents?

MariposaLPN, is it sad when you go to doctor for a certain procedure and they don't do it and refer you to someone else? Why should conception be any different?

Specializes in NICU, Trauma, Oncology.

http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf

Please, please read the nursing code of ethics.

Also, I think you are disillusioned about the population you say you want to help. Low income, young mothers. This is a population that has a high rate of abortion - "The abortion rate among women living below the federal poverty level ($9,570 for a single woman with no children) is more than four times that of women above 300% of the poverty level (44 vs. 10 abortions per 1,000 women).

Poor and low income women account for more than half of abortions in the United States. When asked the primary reason they had an abortion, 23% of women cited inability to afford a baby at this time."

As far as your stipulations on providing care to LGBT couples, is that even legal? Your is gonna have a field day with that!

Our Moment of Truth - What is a Midwife?

+ Join the Discussion