I am a midwife in Tennessee and am also licensed in VA.  As a CPM our scope of practice and training is underutilized in VA.  We can not even carry an O2 tank or administer Vitamin K to infants under the current guidelines in VA.  In most states we have the ability to carry life saving pharmaceuticals in case of postpartum hemorrhaging like Cytotec or Pitocin or administer an IV for shock or even dehydration in the first trimester.  

Virginia women should be allowed to have complete care from their midwives unhindered by laws that keep them from doing so.