Midwifery

Published

In the state of Arizona, does the midwife have the ability to first assist in Cesarean births? I have been debating CNM, NP and PA but I definitely want to be delivering and assisting in C-Sections. Misery to me would be following women through OB care but not being able to deliver...Please educate me as best as possible! :)

klone, MSN, RN

14,490 Posts

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership. Has 17 years experience.

Yes, as far I know. We had one practice that had a CNM who worked in the clinic and also was first assist at scheduled C/S. She did not have privileges to practice at the hospital.

klone, MSN, RN

14,490 Posts

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership. Has 17 years experience.

At our hospital, if a midwifery patient has to go for a C/S, she will usually accompany the woman into the OR as emotional support for the parents.

But if you're there as the midwife in deck, you can't just change gears and scrub in. You're usually taking care of other patients at the same time.

Katie71275

947 Posts

Specializes in L&D. Has 2 years experience.

Where I work at the midwife can go in as first assist(but I'm in Louisiana)...however, for the most part it is the resident and the attending physician who go in and the midwife isn't really needed.

OBERrural

36 Posts

Specializes in OB. Has 9 years experience.

In North Dakota they do.

momof3jboys

7 Posts

It seems like it is state specific and maybe even hospital specific ???

TexRN, BSN, RN

552 Posts

Has 6 years experience.

Hopefully as a midwife your C/S rate will be super low anyway! :)

smallnurse10

94 Posts

Specializes in L&D. Has 5 years experience.

The midwives I work with always scrub in at night or if they are busy then a family medicine resident will be called. It is probably hospital specific vs. state specific.