I guess I am sticking my toe over the line and asking just who does get to tell me who I am!! When I meet with a client,I tell them what I am and what I am not. I ask them what they need/want and get very real about what I will or won't do.[fortunately Michigan is a open state.] The only way to be accepted as midwives[with women]is to do it. Look at the unassisted birth movement that is saying I am an adult and I can be trusted with my body. I can make good decisions for ME,and I can be responsible for those decisions. We are mamals and we do know how to birth. Research shows that women will make good safe plans and carry them out if they are left alone to do so. Read some of Henci Goer's books[my favorite is Obstretric Myths VS Research Realities] Read Michael Odent's books. Women pick positions that facilitate their birth,not everyone elses but their birth. And I can bet you a bunch it won't be in the dead cockroach position[flat on back,feet in the air] In times past women picked some calm woman do be with her. That woman tended to get called again,and so she became a midwife.
Did things go wrong Of course they did. Have Dr. learned to help the few women who need help? Yes most assuredly. Do we need Drs. and hosp. who can help? Yes we do and there is nothing more heart stopping than the things that can go wrong and when the team shows up. What you learn is when something is wrong and what to do about it. It is hard to make people believe that there is usually time to deal with the going bad things before they are BAD. Those real emergencies,can happen anywhere and most of them it wouldn't matter where you are,they will happen.
It is just that women do not need to all have all the bells and whistles just because we know how! Makes as much sense as taking every person with a small laceration to ICU just in care something terrirle happens.
Back to how you get to be a midwife. I think what ever works for you is right. I think women come to their calling in different ways. I just object to being separated and labeled like prize cattle. I think that wheither you are a direct entry,lay,BSN. what ever. It is a divide and keep us busy fighting among our selves move on the part of the big important in folks. with initials.
I also think that a woman is safer to be in her own house that a hospital. [My step daughter and her baby got MRSA this summer at one of the finnest hosps. in the land]It is because of just such issues that I believe most anybody attending them would be better than what is being done to young woman at a terrible price in real money and the after affects. So just do it folks.