Certified Nurse-Midwife (CNM)

CNM’s are women who are nurses who have a MS degree in midwifery and are certified by the American Midwifery Certification Board. CNMs attend almost 8 percent of the births in the United States. 96 percent ofthese births are in hospitals.

Certified Midwife (CM)

CM’s are typically not nurses who have received a degree in midwifery, who also possesses evidence of certification by the American Midwifery Certification Board.

Certified Professional Midwife (CPM)


CPM’s are typically non-nurses who may or may not hold a degree. CPM’s are independent midwifery practitioners who have met the standards for certification set by the North American Registry of Midwives (NARM). NARM recognizes that the education of a Certified Professional Midwife (CPM) is composed of didactic and clinical experience. The clinical component of the educational process must be least one year in duration and equivalent to 1350 clinical contact hours.The CPM is the only international credential that requires knowledge about and experience in out-of-hospital settings.

Direct-Entry Midwife (DEM)


A direct-entry midwife is an independent practitioner educated in the discipline of midwifery through self-study, apprenticeship, a midwifery school, or a college- or university-based program distinct from the discipline of nursing. A direct-entry midwife is trained to provide the Midwives Model of Care to healthy women and newborns throughout the childbearing cycle primarily in out-of-hospital settings.T