Where are you birthing?
How long were you TTC?
How many children including this one (these two)?
Your age when the first was/is born?
How old are you?
I saw CNM's for my first pregnancy and was happy with them for the most part. However, after my induction (at 41+6) let to a c-section, they seemed doubtful of a successful VBAC. only reason given is that I didn't go into labor on my own within their timeframe. The OB that handled my c-section saw no reason for me not to have a successful VBAC with a subsequent pregnancy.
So I am seeing OB's - not the ones that did my c-section, I like him, however I just feel more comfortable in an all female practice. So far, so good. I think I got a little more personal attention with the CNM's, but since my goal is a VBAC I want a practice more open and supportive of my VBAC.
I was all set to go with awesome CNM practice, but after finding out about the twins, I now 'risk out' of my midwives and am under the care of an OB. I'm sad, but glad to be with a practice that handles lots of twins so I feel well-cared for. The OB practice deals with my midwives, so they have similar philosophies, which is nice.
I am currently with a family doctor practice with 6 doctors. I am hoping and praying that one of the midwives has a free spot opening before April 12 so I never have to see my dr again. That probably isn't going to happen so I'm just praying that someone opens up before the birth! I would switched to a licensed midwife, there are no (well there might be but they're way underground) unlicensed midwives where I live.
Licensed just means recognized by the state; certified means that you have met the requirements of an outside certification group (AMCB or NARM). Depending on state regs, a CNM as well as a CPM may be a Licensed Midwife. Direct-entry includes all midwives who are not nurses. That includes CPMs and lay midwives (who may not have undergone formal training). I think it would've been more helpful to subdivide into CNMs and CPMs.
A Canadian RM doesn't have an exact US equivalent--they are non-nurse midwives who handle births in home and hospital. They're more like Australian or British midwives in terms of training, though their scope of practice is a little different. A British midwife also does what we would consider to be obstetrical nursing jobs here in the US.
I have a CPM, because that is who does homebirths in Colorado (and this is my first birth in Colorado). I might be happier with a CNM, simply because I like seeing a single person for all my needs (like prescriptions, birth control, well-woman checks), and I've only used CNM's in the past, but I'm also pretty hands-off with testing and interventions, so a CNM is a good fit in that regard.