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Re: and more Cytotec...From: Susan James (susan_in_sudbury@yahoo.com)Thu Sep 21 07:13:56 2000
And if you want to look at a "closer to home" model of non-nurse midwifery, just gaze north. To date, all Canadian provinces that have regulated midwifery have midwifery as a "direct-entry" profession. The midwifery education programmes in Ontario and Quebec (so far, the only programmes up and running, plans for programmes coming soon to Manitoba and BC)are 4 year BSc degrees. While it is theoretically possible to enter from high school, the vast majority of graduates have fairly extensive post-secondary and/or work experience before entering the programme. The professional "title" for all regulated midwives in Canada to date is "registered midwife" or "RM" - no confusion about who is what - a midwife is a midwife... Susan ********************************* Susan James Directrice -- Programme de Formation des Sages-Femmes Université Laurentienne Sudbury, ON --- Cheri Van Hoover <cherivh@home.com> wrote: > > "Luis Sanchez-Ramos, MD" wrote: > > > By the way what exactly is a Certified > Professional Midwife? I am > > familiar with CNMs (Certified Nurse Midwives)but > not with CPMs. > > CPM is the designation used by those who have passed > the requirements for > certification set forth by the North American > Registry of Midwives (NARM). This > exam and certification system was developed by the > Midwives Alliance of North > America (MANA). Most NARM certified midwives do not > have nursing backgrounds. > The NARM certification is accepted by some states as > the standard for licensing > of non-nurse midwives (often called licensed > midwives or LMs by the states in > which this credentialing system is approved). > > The American College of Nurse-Midwives now has > educational programs in which > non-nurses learn midwifery side by side with nurses. > Upon completion of these > ACNM-accredited programs, these graduates are > eligible to sit for the same Boards > as the nurse-midwives take for certification as a > CNM. Upon successful > completion of these Boards, the non-nurse midwives > certified by ACNM are > Certified Midwives (CMs). > > There is a fair bit of controversy and contention > about which of these > educational and certification routes is most > appropriate for non-nurses wishing > to enter midwifery. It's important to keep in mind > that in many European > countries, midwifery is a separate discipline from > nursing and nursing education > is not a pre-requisite for midwifery education in > these nations. > > The U.S. system of nurse-midwifery was based on the > British model of > nurse-midwifery, rather than the direct entry > approach used in France, Germany, > the Netherlands, and many other places. The > historical reason for this, for > those interested in U.S. midwifery history, is the > influence of Mary Breckenridge > of the Frontier Nursing Service. She brought the > British model to the U.S. > during the 1920s. She endorsed this model because > she was already a nurse and > because she had strong interests in public health > and pediatrics, rather than > purely maternal-child health. Breckenridge came > from a very powerful and wealthy > political family, so wielded enormous influence in > the development of U.S. > midwifery. Her grandfather was Vice President of > the United States (later > Secretary of War for the Confederacy). > > Cheri Van Hoover, CNM > San Francisco, CA >
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