L & D nurses routinely deliver babies?

Specialties Ob/Gyn

Published

I was wondering if there are any hospitals in which the L & D nurses routinely deliver women? I am a midwife in London and hoping to move to Florida soon. My mum lives in Fort Lauderdale. She spoke to a L & D nurse who works in Memorial West in Mirimar and she told my mum that the nurses there deliver babies without doctors. Doctors are involved if there are any complications only. I hope this is true as this would be ideal job for me!

I was watching the Discovery Health Channel and one of the nurses said that they are required to do one delivery a year (whether by accident or planned) so that they are prepared.

I was watching the Discovery Health Channel and one of the nurses said that they are required to do one delivery a year (whether by accident or planned) so that they are prepared.

Sarah, check the Florida licensing for midwives. I think they are one of the few who have direct entry midwives practice. This is something I checked into when I started back to school. I still think you have to sit for the exam from the certification board though. Youu should have no problems.

Lisa

Specializes in OB, lactation.

Here's info for foreign-trained midwives from ACNM:

http://www.midwife.org/edu/fenm.cfm

Here's some info on LM's in Florida:

http://www.cfmidwifery.org/states/states.asp?ST=12

Here's a state-by-state breakdown of the laws for direct-entry midwives ... they are legal in most states:

http://www.cfmidwifery.org/states/

Specializes in cardiac, diabetes, OB/GYN.

Not on purpose, but you do , on occasion, have to catch...I have 10 and counting and believe me, it wasn't planned that way. Only one boy in the bunch!

I passed my NCLEX after 75 questions........so happy! :)

I passed my NCLEX after 75 questions........so happy! :)

Congradulations

I passed my NCLEX after 75 questions........so happy!

:balloons:

Lisa

I passed my NCLEX after 75 questions........so happy! :)

:balloons: Congrats!!!!!!!!!!!!!!!!!!! You should be VERY proud of yourself, go out and celebrate!

Quicky question: I had maternity last semester and then we were required t take the NLN test and remeidate if necessary on that topic. I did fine but one question is sticking with me and I've lent my maternity book to another student. If you are the nurse and the baby is crowning with no doctor/midwife in the room, besides calling for assistance, what exactly does the nurse do? I only remember the one answer which was, apply gentle pressure to the head and I think another option was to pull the baby out. Any thoughts? L&D nurses?

Specializes in Trauma ICU, MICU/SICU.
Thing that puts me off this is that it seems that it is the L & D nurses who are with the women through their labours and not the CNMs. Defies the whole essence of what a midwife is.

I had a CNM and she was with me for my entire 25.5 hours laboring in hospital (save a 2hr break from 2-4am). My sister was with me during that time and at that point I was in a pretty good groove with relaxing/breathing through my contractions. She was also only a few steps away if I needed her.

Also, ended up with a C/S and my CNM took the pix. :D

Thanks for the replies. Maybe she was talking about CNMs?? I am coming to USA with an agency and am contracted to them for at least 18 months as a L & D nurse. Worried that I am going to find it really difficult to adjust to the practice in the US. Used to being fairly autonomous as a midwife in UK. Anyhow I want to come live in US so will have to get through it. May train to become CNM eventually..... Thing that puts me off this is that it seems that it is the L & D nurses who are with the women through their labours and not the CNMs. Defies the whole essence of what a midwife is. Anyway going to Atlanta tomorrow to sit NCLEX. If I cant pass it all of this is irrelevant as I cant come! :)

Aloha Midwife Sarah,

It is true on a very rare occasion RNs deliver babes when MDs cannot get there in time. It is unforseen and can't be helped but it is routine for the MDs and Certified Nurse Midwives we have to deliver our babes. Please get in touch with me and I could hook you up with the midwives here as one of them just came from Florida where she was practicing!

I have had the pleasure of working with RNs who've been midwives before and the transition from midwife to RN is extremely difficult. As a midwife, they are in charge and make the decisions for labor and delivery of their patients. As RNs they take orders and are not autonomous with decision-making. (You must have lots of birthing experience and you will be such an asset to whoever is lucky enough to have you!) I have not seen one midwife make the transition successfully. The only one that was successful was my girlfriend who was a midwife then became an OB MD. But I want to stress that it is not impossible--nothing is!

I also saw in this thread later that you passed your boards! CONGRATULATIONS! :rotfl: :balloons: Be deligent and you can do it!

Tammy

Thanks for your reply I have sent you a PM. What is an OB MD? I would imagine you mean OB Medical Doctor? Thanks :rolleyes:

Aloha Midwife Sarah,

It is true on a very rare occasion RNs deliver babes when MDs cannot get there in time. It is unforseen and can't be helped but it is routine for the MDs and Certified Nurse Midwives we have to deliver our babes. Please get in touch with me and I could hook you up with the midwives here as one of them just came from Florida where she was practicing!

I have had the pleasure of working with RNs who've been midwives before and the transition from midwife to RN is extremely difficult. As a midwife, they are in charge and make the decisions for labor and delivery of their patients. As RNs they take orders and are not autonomous with decision-making. (You must have lots of birthing experience and you will be such an asset to whoever is lucky enough to have you!) I have not seen one midwife make the transition successfully. The only one that was successful was my girlfriend who was a midwife then became an OB MD. But I want to stress that it is not impossible--nothing is!

I also saw in this thread later that you passed your boards! CONGRATULATIONS! :rotfl: :balloons: Be deligent and you can do it!

Tammy

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