CNM

anonymous asked:

If you had the choice would you have gone to school to be a CPM rather than a CNM since it's a cheaper and quicker route? What are the benefits to being a nurse midwife instead?

Oh boy. Prepare for a ramble haha. So I actually did have the choice (don’t we all?) and ultimately decided to go for CNM. There’s a school here in my state for aspiring CPMs that I had initially considered for a few different reasons, one of which was certainly that it was cheaper and quicker. I was also afraid that nursing school and training as a nurse midwife in a clinical setting would be too far away from the traditional training that I was really seeking in midwifery. I was concerned that I would become sort of institutionalized into an interventionist, technological mindset. And yes, it seemed easier. But after some introspection and looking through the actual program and some others that are similar, I decided that it just wasn’t for me. It’s a 2-year distance education program (as many of them are), during which time you’re studying as an apprentice under an experienced midwife. The programs I was looking at just seemed strangely inadequate to me. A couple years of textbook reading at home in your kitchen and a handful of births was about all that was required for some of them. I could not fathom coming out of that as a competent healthcare provider. I am not at all saying that CPMs are incompetent, nor do I believe that to be true. I had both a CNM and a CPM at my own birth and absolutely loved and trusted them both. But I have also talked to many women who went through similar programs, who were said to be qualified midwives, but who did not feel comfortable enough in their training to even practice. That’s scary to me. I want to be 1000% comfortable and confident in the program that I pursue. And if I was being honest with myself, if I was choosing the path because it was cheaper and quicker, could I really call myself committed? Would I personally want a midwife who chose her path of training based on how quick, cheap, and easy it was? Literally hundreds of women are going to trust me enough to put their own lives and the lives of their children into my hands. I want to have training that will allow me to provide them with the care they deserve, and for me to be the midwife that I want to be. With the program offered here in my state, I can’t say for sure that I would be able to do that. (This is also kind of a PSA moment - choose a reputable, quality program if you’re pursuing a career as a midwife. Not all programs are created equal. Don’t go for what’s cheap and easy. Dedicate that which is deserved.) And when it comes down to it, I’m not going to become an OB/GYN. I’m going to be a midwife. Despite my fears of institutionalization, Nurse-Midwives still practice according to the Midwifery Code of Ethics, which still views birth as a normal physiological occurrence and which encourages natural birth and low-intervention and individualized, personal care.

As for the benefits of going the CNM route, the first that occurred to me was hospital privileges. I want to be available for the women under my care, even if they need to be transferred to an OB for whatever reason. I know women in this area who can still be cared for by their Nurse-Midwives, despite being considered high-risk, because the OB is readily available within the hospital to check in on the patient. That wouldn’t be so as a CPM because most of the time they have no hospital privileges. CNMs can also work in all birth settings (home, hospital, birth center) whereas CPMs can only work home or birth center settings (and only in some states). While I certainly hope to do home births one day, the option of working in a hospital is there for my choosing and that means steadier work, higher salary, benefits, financial stability, my life won’t be on call 24/7 because I’ll be able to share the load a little with other midwives. Many states are not CPM friendly, some even have specific laws against CPMs practicing, while CNMs can legally practice in all states. I’ll also be able to work within a larger scope of practicing as I’ll be providing well-women care to women throughout every stage of their life. I’ve even considered combining my Midwife major with that of Pediatric Nurse Practitioner so that I can provide well-care to the children I help birth as well their mothers. Thanks to better insurance coverages, more women will have access to my care. I think my nursing training will be invaluable and I’ll also have prescriptive authority (a benefit that I was thankful for with my own CNM as she was able to provide me with a prescription for my breast pump).

For me, the distribution of benefits between the route of CPM and CNM fell easily to that of CNM. I believe the time and money put forth for my schooling will be well worth what I get out of it.

(Sorry for the really intense rant.)

anonymous asked:

ff ozellıklı

Upuzun bir ff yazıcam şimdiii 

@mrve-glsm En başa en değerlim 💙

@yuzme-bilen-hayaller İyi geceler mesajı atan mikemmel insan 😝 

@frambuazlididom dilarağağağğ 

@basarangencc   Enişteğeğeğeğ 

@kmleraskina Deniz'im her anımda yanımdaa 

@bestpinkdevil  Çook mikemmel bir blog jdfshsdk

@morjelibon  Beni her yerden ekleyip stalklayacak insan :D

@tozlukuceler  Azeri bir bey çokzel yazıyor kesinlikle takip edilmeli

@bookumuyebokumu   Yazmıyo bana ama çok samimi 

@optalijkumus Egoist ebru beni hatırlamayan ebru 

@apapatyaa    Zeyneppp kızım seni nası tanımlıyım kjgfkfdg

@uzaydakiiadam  Ya ben Ensar’ın  hangi özelliğini veriyim tumblrdaki en mükemmel blog onun dağılın fjkdhjfkd

@lysninabv  Arkadaş lys kasıyo 

@gizemlikusmuk   1aderiiim

@kutsalmandelina    Burnu güzel tuhçe

@yildizsizgecelerinadami   Animeci bir beyefendi kföfkföogl

@kulolanhayaller  ‘salak ve gerizekalı ‘ diyip susuyorum apo dhjgkhfdk

@naillaleu  Şuna bi anonim olun jsdhffkds

@milyonerfakir  Çok samimi ve mükemmel bir sitesi var kesinlikle katılın ‘Scoblr’

@olubirruhmisali  O bir aç egoist 

@depresyonalizm öle mi cnm ayrıca çokzel yazıyo : @sizofreninkaleminden 

@endrose zorla ff verdirdiğim hatun

Buraya ne açıklama yapmam gerektiğini bilemedim :

@mars-dondurmacisi 

@yagmurluyazgecesi 

@azkullanilmisblog

@sesinhuzurveriyor

@fiyonkburun 

@hichrzmnhictr

@olmasa-da-olurmu

@kelebeginhayali

@phenomenaleyes

@uvuvwevwevweonyetenossas

@mervivivi

@paranoyaa

@birkucukuzaylii

@kokoinlilatte

@emojisikalpgoz

@alkoldolubulut 

@bennedicektimm 

Unuttuğum olmaması lazım ama varsa bilemem jhfdkhg hepsi mikemmel bloglar çoğusuyla tanışıyoruz takipleyin hadi eyvallah fgfhkdlfgj

youtube

uyandım cnm ;)

sevda yüklü trenler boş raylarda ilerler sevenleri üzenler hep o yolda giderler

sınıftan bi çocuk sınavda çıkabilecek soruları yolladı

“al güzel abim bunlar çıkabilir uyuma çalış” dedi

“senin gibi adam yok şu üni de herkes bencil pislik çıkarcı adamsın lan” dedim

“yok abim işini görsün yeter” dedi

harbi duygulandım herkes sinsi sinsi takılıyor çocuğa sormadım bile direk yolladı hep yolluyo cnm benim ya buram buram anadolu saflığı kokuyo bide uyuma çalış diyo ya şapşirik

anonymous asked:

Hey cnm bin erst 15 und frage mich ob es peinlich ist alleine in die Stadt zum Shoppen zu fahren wenn ich mal grad keine Lust auf meine Freunde habe fühle mich dann immer so isoliert haha. Wünsche dir noch einen schönen Abend

Nein, wieso peinlich? Aber mir ist es immer unwohl, alleine in der Stadt rumzulaufen hahah