Greetings,

In a hospital enviroment CNM's are as you say a Physician Assistant.
But many go into private practice as a collaborative partner or as a
sole provider with a physician back-up doing home births. It is all
about power and money. Physicians do not want to lose either as well
as the hospital which gives out it's addimitting privledges/attending
designations, so the hospital pulls in the progressive Doc who will
give you a back-up physician and the hospital keeps it's clients and
thier money. L&D is one of the few wards that has a profit!

So now many with that insight you may want to look at a birthing
center for a job when you graduate or pursue the Certified
Professional Midwife designation rather than the CNM so that you may
focus on homebirths. Here in Ohio as I understand it CNM's can NOT
attend homebirths, whereas a CPM is not recognized by the state as a
midwife (only CNM's) so they are not confined and can attend
homebirths. The problem is finding a friendly Doc to back you up.
Again it boils down to the control the hospital has it and the
profits that go with it and put up a fight everytime the issue of
homebirths or having the state recognize the CPM designation.

Do not loose faith and talk about what you see and how it all impacts
you (feelings) this will help keep yours and my dreams alive as well
as the other members here and those who may join in the future! It is
these type of messages and helping each other that will provide
comfort and incentives/motivation during these changing times.

peace,
Have a Blessed Day,
Jami
--- In columbusmidwifesanddoulas@y..., "Diana Johansson"
<diana.was@t...> wrote:
> Thank you Jami for your warm welcome ...
>
> I enjoyed my first day at the maternity ward although I feel that
the midwifes didn't do all that much independently but were more doc.
assistants ... it might have been an off day ... we'll see how it
goes ... I feel that I want a more active role in future but it is
very good for me to see all aspects of the profession ...
>
> 2.5 years is nothing if this is my path ... BTW it's that short
because I have already done part of the nursing course when I went
into pysk nursing ..... otherwise I would have had to do 3 years
nursing school then 1 year on the wards then 1.5 years at midwife
school ... total 5.5 years so I am already almost half way there
already ...
>
> Blessings
>
> Diana
>
>
> Greetings and Salutations Dianna,
>
> I am very glad to have you here! I hope you the best! I hope you
like
> what you have decided to pursue and stick it out for the next 2.5
> years, which is really a very short time in the scheme of things! I
> find the work to be rewarding in intangible rewards, not profitable
> but it feeds my soul so I pursue it! I hope all the best for you
and
> that you are active in this club. I have been offline for sometime
> now, almost a year but I will be active NOW! I am back online from
my
> home office, he he!
>
> Peace,
> Have a Blessed Day,
> Jami