Hello. I am trying to decide between a career as a CNM or a direct-entry midwife. I know there are some differences between the two and I was wondering if anyone can expand on this. I read that CNM spend a lot of time doing other things like GYN and often don't have time to spend w/ a laboring woman, (which I want to do). She basically just comes in to catch the baby. Also, I would like work in a birth center, but is it hard for a CNM to find work in a birth center? How often would CNM get to participate in labor and delivery if she has to also tend to non-pregnant women? I live in MD where direct-entry isn't legal, so based on your answers, I might have to consider moving. Thanks.