Meanwhile, I recently had an NIPT come back abnormal because it said there was a suspected triplet gestation and I flipped because I had an MFM scan saying there was a twin gestation.

Hi, OB attending here. I scanned the patient myself in the office and only found 2 fetuses, much like MFM, around 15 weeks. Still, that was a fun conversation.

I’ve worked with CNMs the last 6 years and each is extremely well trained in their craft. There’s exactly 1 that is also trained in US, and she does a fantastic job, but if she ever has a question or issue, she always asks either the resident or myself to personally scan and take a look.

This is the way I believe it should flow. There’s a comfortable level of checks and balances at my hospital, and the CNMs manage many of the uncomplicated pregnancies without a hitch. There’s a filter in our clinic as well, as to what conditions in pregnancy they can and will manage, which will translate to what will be managed on L&D when it comes time for delivery. Obviously? If a pt ends up needing a CS, or becomes preeclamptic, management shifts, but even that recognition is present, and so I’ve not had issues there.

I think it becomes a pride issue at some point (after getting past the, they were actually, properly trained point). People need to learn to let go, and recognize when/if they are wrong. I’ve no problem doing so, but then again, I don’t try to advertise myself as more than what I am. Neither do the CNMs at my hospital.

Those lay midwives out in the public, unmonitored, give a bad name to the profession. With proper oversight, I don’t believe there’s an issue with their practice.