My bad, I guess I misunderstood your first post. NP's cannot do surgery nor do they deliver babies at the hospital. They just do clinic/office management. I don't believe you would be in any danger from competition from NP's. Nurse midwives do clinic/office and deliver babies at the hospital. They could possibly "compete" with you for uncomplicated pregnancies and deliveries but they do not do GYN surgery or C-sections. I have not heard of any Ob-Gyn's complain about NP's or CNM's as far as competition. There are usually plenty of babies to go around.