For awhile now, I have watched silently as people discuss the very large amounts of money CPMs must make. The theory, is that they make 4k a birth, do 4 births a month and therefore make 16k a month, which would almost be 200 thousand dollars a year. I'm assuming that the people who claim this about midwives must not know any. It's a nice thought but entirely unrealistic. When I had my homebirth I had two midwives attending. These women usually spent at least two hours with me at every appointment. Looking back, they were very kind to let me ramble on with my questions and concerns, well past my time slot with them, every time. I never felt rushed, I never felt they had somewhere more important to be. They both have three children each and are part of a large, busy practice, yet I always felt like I was their only patient. They each made $1500 from my homebirth. Probably less because a third midwife also helped with my prenatal care and I know some of that money went to her. That is $1500 for the six and a half months of pregnancy care, the 5 hours they stayed with me during labor and giving birth and the 5 hours afterwards where they cleaned everything up- which included doing our laundry. That included the 6 weeks postpartum care and the time when I called at nine at night, crying because I couldn't get my baby to latch and my midwife rushed over to help me. I could go on and on about everything they did, all the time and effort they put in to giving me the best care possible, and I still don't think I could do an accurate job of displaying how amazing and dedicated these women were. In all honesty, I actually think they were underpaid for all the time and effort they put into me and my family.
Now compare that with the 2 or 3 months I saw an OB, had 15 minute appointments each time and still had to pay him $1000 after insurance. I understand this is not everyone's experience with midwives or with OBs but it was mine and I thought I'd share it. I do think OBs are getting a bad rap and I don't think that's fair, considering there are many compassionate and caring ones out there. I think part of the problem is that OBs are very busy and if someone is wanting more one on one time, they might be disappointed with their OB experience. I am also well aware that there are some really negligent midwives out there. I have heard horror stories that absolutely no woman should ever have to encounter. But I'll get more into that later.
However, I think it is really inaccurate to tell people that midwives, in general are in it for the money or that they make more than OBs. Yes, I have even heard that one being claimed!