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Friendliest Midwife States.....

post #1 of 9
Thread Starter 

Im new to the forum, so sorry if it has been asked before..I did a bit of browsing and saw some stuf, but not a lot!

I am not a midwife, but am currently a post BA ADN nursing student.   Hubby and I(and 4 kids) live in Louisiana and I would like to eventually become a CNM.  I graduate May 2013 and I am hoping I will get a job in L&D straight out of school.   I would like to work at least 2 years and then hubby and I have discussed leaving the state of Louisiana to relocate in an area that is more CNM friendly....There is a serious lack of CNM's here, and as far as I know, there are none in North Louisiana, so I would not have a preceptor for clinicals.

So long, story short, we are discussing areas we would like to relocate to; and in order to do that, need a list of areas where CNM's are being recognized and utilized..


Thank you in advance for your assistance!



post #2 of 9

Oregon has very liberal laws for midwives although my understanding is that it is changing (and an argument can be made that the current laws are too liberal). However most of the MW around here are not CNM's.

post #3 of 9

I know it's not really pertinent to the actual question here, but I'm also a new ADN-RN with plans to eventually pursue a CNM.  I doubt I'll be the only person to say this, but I do highly recommend getting at least 1 year under your belt in general med/surg before making the jump to L&D. EVERY L&D nurse I spoke with either said they were glad they had, or that they wish they had.  I'm coming up on my 1-year mark now and am in touch with the manager on my hospital's Mother/Baby unit (post-partum) about a transfer.

post #4 of 9
Thread Starter 

dogmom-thanks for your reply.  I've heard that Oregon is super friendly to midwives, but I've also heard that the RN job market in Oregon isn't that great(but may be picking up?)...Im not sure how that would relate to advanced practice RN's though.


nemrac-I've heard that that is recommended, but also have heard many say that if you know you want to specialize then you should go straight to your specialty rather than working in an area you really aren't truly interested in.  I don't have anything against med-surg, but my passion is mothers and babies and I intend to stay in that field my entire career.

post #5 of 9

The main reason it's usually recommended is you can really fine tune your skills for the medical issues you'll face while in L&D, where you won't get the volume of experience to necessarily feel comfortable with them.  Having this under my belt, I know I will feel more comfortable working with mothers who have co-issues such as diabetes, CHF, COPD, and many other medical issues on top of their pregnancies.  Just something to keep in mind. :D

post #6 of 9
We're very CNM friendly here in NM. There are more practicing MW's than OB's in our state. In my city, most hospital births are attended by CNM's.
post #7 of 9
Thread Starter 

Thanks Drummer's wife.    Do you know what the average pay for a CNM is in NM?

post #8 of 9

Texas is very midwife friendly.  I am a CPM, so I don't follow all the laws and such for CNMs.  I do know that there are quite a few of both in the Metro areas and that we are working hard to grow midwifery here.

post #9 of 9

I currently practice in Iowa (independent practitioner required to follow ACNM standards with no collaborative requirement), South Dakota (independent practitioner with some legislated standards and collaborative requirement waived if attending home birth), and Minnesota (independent practitioner with some legislated standards and no collaborative requirement). I am also on the border of Nebraska which requires collaboration, mandates standards, and legally forbids CNMs from attending home births. I don't go there. :) 

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