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State-sponsored training and regulation of midwives took many different forms and existed to varying degrees in numerous states from the 1900s onwards. In Maryland in 1910, there were 23,456 lay midwives, who had in many cases had been practicing for decades, required to be recognized by the state in order to practice. [12]
As of March 2009, the American College of Nurse-Midwives represents over 11,000 Certified Nurse-Midwives (CNMs) and Certified Midwives (CMs) in all 50 states and most US territories. [4] In 2005, Certified Nurse-Midwives attended more than 10% of vaginal births in the United States. [4] In terms of gender, only 2% of CNMs are men. [5]
MANA membership includes midwives and student midwives, other healthcare providers, and families. Over one-third of MANA's member midwives are certified professional midwives (CPMs), [6] the remainder are certified nurse midwives, certified midwives, state-licensed midwives, traditional midwives, and student/apprentice midwives.
US Navy CNM checks on a mother. In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives' essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as a nurse midwife and credentialing as a Certified Nurse-Midwife.
The law, passed in 2019, regulates midwifery care by mandating a specific state license for anyone who provides information, advice or assistance during a pregnancy, birth or the postpartum period.
A direct-entry midwife is a midwife who has become credentialed without first becoming a nurse. There are direct-entry midwifery programs that prepare students to become Certified Nurse Midwives (CNMs) or Certified Professional Midwives (CPMs). [1] [2] Certified Professional Midwives are known for being "more natural and less intervention ...