Another disillusioned RNWow!
I thought I was the only OB RN in the world who felt these things. I agree with pretty much everything that has been said about the sorry state of childbirth in most of our hospital settings, and am very glad to see that some of us can remain working L&D within the hospital and fight for change.
Unfortunately, I did not have that kind of emotional stamina. After I had my first daughter, a homebirth, while working L&D in a Level III hospital (yes, I tried not to tell anyone, and yes, they literally told me I was crazy and probably doubted my nursing judgment after that), I realized I couldn't go back to the policies & procedures that led to unhappy outcomes, which were accepted and expected, so I transferred to postpartum where I selfishly didn't have to deal directly with the orders and decisions that I felt were so wrong.
I was also in grad school at the time to become a CNM and I also realized that, at least in my state, becoming a CNM was not going to put me in a better position to help laboring women than I was already in as an RN. I have no idea why having a child myself made me see these things more clearly, but it did. Of course, everyone on my unit assumed I had a "traumatic" birth experience at home and so couldn't face laboring women anymore, which was SO not the case, as my homebirth was perfect.
The CNMs in Colorado seem to be stuck in the crossfire between docs/hospitals telling them they are too laid back, dangerous, and cause high insurance rates and bad outcomes, and those who realize the CNMs are forced to carry out all the medicalizations of the on-call backup within the hospital setting. So, I'm no longer in the CNM program, and unfortunately Colorado has a law that if you are an RN and want to become a lay-midwife to do homebirths then you have to give up your RN license. Thanks, state board of nursing, way to encourage midwifery. We don't have any hospital supported birthing centers, either. There is one CNM who has started her own birthing center in a house near a hospital, but this has happened in the past two years, so I am not too up on how it is going.
Anyway, thanks to everyone for posting. It's nice to know there are others within the hospital settings that are in the same boat.