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Discussion Starter #1
So this is going to be LONG....with lots of questions.....and a lot of what ifs....and prob some ramblings too, so I apologize in advance!<br><br>
I want so desperately to become a midwife. A lot has to do with this over whelming feeling that has been growing in my heart over the last few years, and now it has reached a point where I feel like I might just explode with the joyous feeling whenever i think about it<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">. I think I feel this way because of the birth exp I've had (3 sections, 1 BAD exp, 2 okay) but with the last one I wanted so desperately to have a hba2c, but ended up resigning myself to another section after talking to my dh and ob and looking at my records. I want to change things for other women in my area who are told one thing, and then find out later they were lied to. (like I was.) I want to give them another option. We don't have a whole lot of midwives which service my area (Flint, MI.) Sometimes I think I was supposed to have the birth experience I did so that it would make me think the way I do now, and that in turn would put me on this path I find myself on today.<br><br>
I was planning on starting back to school to pursue my RN then continue to CNM, but I'm having second thoughts now, and think maybe I want to go the CPM route. Here is where I have TONS of questions as far as what way I should go because of my thoughts on the whole process of birth...<br><br>
I believe pregnancy is a natural, not a medical event. The less meddling the better. I don't want a dr looking over my shoulder telling the mom shes on the clock. I don't want to have to have a mom transfer to an OB because she is x days past her due date. I don't want to deal with all the other stuff pertaining to getting my RN, I'm not interested in all that, just Labor/delivery and well woman care. I want to be able to provide women with a safe alternative to dealing with the hospitals and all their "policies." Ultimately I don't want to work in the hospital enviroment, I believe that is for sick people, not healthy women having healthy babies. I want to attend to women and their family in THEIR home where they are most comfortable. However, I want to know that I will still be able to make some kind of a living because dh wouldn't be working full time when I was done with whatever route i choose to take. I don't have any idea about insurance premiums for either route. I don't know how hard it would be to find a preceptor for either route since there are not that many CPM's in my area, and only 1 practicing CNM. I don't know how busy the CPM's have been in my area, but I know the CNM has been getting pretty busy lately.<br><br>
So, if you got through all that, what do you think? Should I go the CNM route or the CPM route because of my way of thinking? Any advice or insight would be greatly appreciated.<br><br>
Like I said, I feel like I have this urge growing inside of me, and DH telling me to just DO IT (sorry if that brought up Nike in anyones mind<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue">) I feel like there is something calling me to do this and it is almost like the feeling has taken on a life and personality of its own in my heart (as weird as that sounds that is the only way I can really describe it.)
 

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well, if you really want to do homebirth then the honest answer is that it can be difficult to make an income regardless of if you are a CPM or a CNM, but generally you will have less educational debt if you are a CPM <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue"><br><br>
I wish I could just tell you what route to take, but this is something that each woman needs to figure out for herself. We need really good CPMs and we need really good CNMs too.<br><br>
I often debated between the two because I really wanted to be able to do more well-woman stuff including birth control, prescriptions, etc that would come with a CNM. However, I decided to go the CPM route because other parts of it really spoke to me. I have no regrets, although sometime in the future I may end up back in school again.... I am keeping all options open.
 

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I agree that it will be hard to make a living as a homebirth midwife no matter your training.<br><br>
Here's how I see it (I'm a CPM):<br>
CPM-less educational debt, yes, but I still spent a fortune on gas, travel, school, books, training, equipment, etc. None of it was paid for by student loans, however. Less insurance reimbursement. Less hiring ability--I can't just quit being an independent midwife and go get a job doing shift work or in an office or even as a nurse. I have to make this work on my own.<br><br>
CNM-costs more to train. More time, more energy, more money. You'll have to get your RN, then work a year as a nurse, then get your BSN and THEN go to midwifery school, unless by chance you live within commuting distance of a program that has an RN-CNM option (I don't). Has more options for jobs--hospital, shifts, private practice, public health, and possibly homebirth (check on this because in my state CNMs can't practice without a physician and no physician is going to allow their advance practice nurse practitioner to attend homebirths!). Insurance pays more often. Can Rx (again, with a physician backup in my state), so there is a wider clientele, thus more work that way. Lots of hours, usually, not a lot of pay. I've always thought that CNM school takes almost as long as med school and CNMs get paid about 10-30% what OB/GYNs make. Something to think about.<br><br>
Either way, it really depends on what you want from your career and your practice. Sometimes I really wish I had the "out" that having a CNM would offer me--there's a hospital an hour away that's hiring two CNMs right now. But in reality, I'm not sure it's something I REALLY want, KWIM?
 

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If I were in your shoes, I would start the nursing training. If you take science classes, communication classes, social science classes, etc., preparing for nursing school, those things will be helpful in CPM training as well.<br><br>
If you are planning to stay in Michigan, the next year or two will have a big impact on what your life would be like as CPM. We are trying to get licensing for CPMs and if that effort is successful, it will be less risky personally for you to practice, but possibly the law will come with restrictions that you don't want to be bound by. My advice is, get your start in school and wait and see what happens. Your time in these early classes will not be wasted, regardless.
 

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Discussion Starter #5
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<div>Originally Posted by <strong>Defenestrator</strong> <a href="/community/forum/post/15381565"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">If I were in your shoes, I would start the nursing training. If you take science classes, communication classes, social science classes, etc., preparing for nursing school, those things will be helpful in CPM training as well.<br><br>
If you are planning to stay in Michigan, the next year or two will have a big impact on what your life would be like as CPM. We are trying to get licensing for CPMs and if that effort is successful, it will be less risky personally for you to practice, but possibly the law will come with restrictions that you don't want to be bound by. My advice is, get your start in school and wait and see what happens. Your time in these early classes will not be wasted, regardless.</div>
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I was kind of thinking on taking classes either way as well ( I've actually already taken a lot of nursing pre-req's when I started college a few years back but then I dropped out due to getting pregnant and married all in one year!) Very good advice and I thank you kindly! I wasn't aware of anyone getting anywhere so to speak on the licensing. Is there a web addy or anything where it talks about it more, or more info on it? If there is anything I can do to help, please by all means let me know!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 
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