As a two time client of CPM midwives I must insist you correct the discrepancy in this regulation that prevents Virginia's Licensed Midwives from using the skills for which they are trained. I needed rhogam after my first birth and it was incredibly difficult with how much jumping through hoops I had to do to get this standard medicine for A-negative blood type moms. Not because my care providers aren't trained to, just that the regulation fails to reflect that. 

The medicines that midwives are trained to carry prevent emergencies. Subjecting women and care providers to stress and uncertainty surrounding such important resources is senseless. Some of the medicines are even required by the state to be offered. Why overburden our healthcare system with moms and infants who could easily get that care at home? 

Virginia should be reaping the full benefits of our licensed midwives.