Midwifery Question

Here's some great info on what different states license NPs to do:

http://www.acnpweb.org/i4a/pages/index.cfm?pageid=3465

Each individual state determines who can prescribe, and who can prescribe what substances. Usually only MDs, DOs, DMDs, and DVMs have completely independent prescribing authority (each with its own specific limitations), though about 13 states and DC also grant this to APRNs. For example, NPs in Alabama cannot practice independently or prescribe anything other than OTCs, while NPs in Mississippi can practice and prescribe completely independently.

To the best of my knowledge, all states classify any nursing doctor (DNP, DNSc, PhD) the same way as any other APRN. Certainly IF/when the DNP becomes the minimum degree for practice, they'll all be seen as the same. (Along the same lines, becoming a doctor of clinical psychology lets you be called "doctor" -- in most states --, but it doesn't let you prescribe.)

CNM practice rules may be slightly different; it would probably pay to get in touch with a faculty member at one of your state's midwife schools to find out exactly what your state laws are.

Physician-backing depends upon the state. However, a DNP is not equivalent to an MD; so the DNP does not negate the need for physician-back up, if that state requires it.

Generally, CNMs are lumped in with all other advanced practice nurses, when it comes to a state's regulations. NY may be the exception, as they are the only state that has a separate governing body for CNMs.

No. Nursing doctorate does not change the scope of practice. A back up doctor is for when a client become high risk or need care that in not within the CNM scope of practice.