Safeguarding modern midwifery

About the Site

Centered on CNM/CM best practice and the liability exposures inherent in contemporary clinical work.

About the Author

Why midwives & counsel read

These articles translate CNM/CM standards, legal doctrine, and hospital culture into actionable guidance so clinicians and counsel can navigate modern liability without sacrificing care.

Legal risks in everyday practice

Responsible CNM/CM care and informed legal strategy demand clarity on designations, standards, and how hospital expectations shift from unit to unit.

We outline how negative assumptions, corporate metrics, and knowledge gaps erode public trust and distort courtroom narratives.

Hospital systems & representation

Content focuses on CNM/CM hospital work—where role creep, policy churn, and inconsistent onboarding create hidden exposure.

Attorneys and administrators get primers that distinguish licensure pathways, scope boundaries, and why those differences matter in discovery.

Who this serves

  • CNMs/CMs reconciling bedside realities with evolving standards of care.
  • Hospital leaders repairing cultures of care and aligning policy with safe practice.
  • Attorneys, risk teams, and patients who need a grounded view of each midwifery designation.

March 3, 2025

Cheating On Call Part 2

Updated January 12, 2026

Better the Call Room Than the Courtroom

            Midwives: Once again, call time is not your personal time.  This select time frame includes patients who may need in-person care and advice. Call time, temporarily, should take precedence over your family, an infant, a toddler, your partner, or your much-needed rest. I acknowledge that this responsibility is challenging.

Rosalie Lyons  unspl img
Photo by Rosalie Lyons

On Call and Nursing Infants

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Photo by Moms

The majority of maternal on-call care providers are women: midwives, physicians, nurse practitioners, and others. It is an unfortunate reality that providers who are mothers will experience emotional and practical difficulty, on call, to a greater extent than their male counterparts. There is nothing quite as lonely and uncomfortable as pumping breast milk in a freezing cold hospital call room at three o’clock in the morning.

Professional women are, understandably, torn between their duty to patients and family, and, especially, their need to be available to their nursing infants.  In the old days, one needed to sequester to collect breast milk, as it required privacy and a reluctance to reveal oneself while performing the task.

This may be considered small comfort, but breast pumps have evolved, and the process can now be accomplished discreetly, under clothing, while you interact with co-workers, make rounds, or even deliver a baby.

I am not suggesting that it is no longer hard to be away from a nursing infant, but collecting milk is, currently, more civilized and less isolating than it once was. I understand that it’s still inconvenient to be away from home. Having spent my share of time in the call room, away from several infants, I can attest that the long nights on call will eventually fade from your memory. Poor choices on call, which result in harm to a mother or baby in your care, will remain with you forever.