Reply to ON-GYN vs Nurse-Midwife

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[quote=Anonymous]I'm a former CNM and here are the main things to consider. I practiced full scope midwifery (gyn care, pre-natal care, labor and delivery) in both a hospital and free-standing birth center (with a few home births for friends) for many years but stopped about a decade ago (the hours were so demanding).

1) Philosophy of care. Midwives are low intervention and very patient focused. OBs will generally come in and catch the baby. Many midwives will actively labor with the woman for as long as it takes to deliver the baby or until their 24 hour shift is up. This is great for the patient (and why many women seek midwifery care) but can be exhausting on the midwife. 
2) Restricted scope of care. Midwives don't do c-sections so a midwife always has to have a formal agreement with a physician to step in and operate if needed. If I'm honest, I didn't like this. I chronically wished I had the skill set to solve my own problems. 
3) Salary.  Ob/gyns will make about 4 times what a midwife makes, if not more.

If I had to do it again, I would have gone to medical school and practiced ob/gyn care with a low intervention/natural bent. [/quote]

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