Monkey face, where are you getting your information from, and these STATS in reference to CPM's over in the States? I'm American myself and would never consider becoming an "obstetric nurse." I'm thankful for a better system over here to study and to work. And as far as your last statement is concerned with hospitals over here seeing the "horrible things about America's direct entry midwives." Where are you getting your information from about these "horrible things" and their terrible STATS? Do you actually know people in the hospital system here sitting and comparing what goes on over there to here? Are you actually a practicing nurse/midwife yourself? How do you know that the "nursing part does matter" or that its not just a matter of policies changing and getting used to a new system? Change is always hard. Like I've said before I was counselled by many midwife friends who had done the double degree, to NOT go for a double degree now that the BMid degree is available. My counsel was that it was a waste of time for a lot of the subjects when you need to be doing more clinical care. My qualified nurse friend also counselled me in this way. She said that even as a nurse you are specialised in different areas depending on where you work when you come out and your experiences, so it would be more ideal to get the specialised midwifery training and be "with women" in a clinical setting straight up.