In plain words
A certified nurse-midwife, or CNM, is a registered nurse who has finished graduate midwifery training and passed a national exam. CNMs give prenatal care, attend labor and birth, and see mothers after birth. They can prescribe medicine in every US state. They work in hospitals, birth centers, and clinics. Many CNMs are part of a larger practice, so a mother may meet several providers during pregnancy. A CNM is different from a certified professional , who trains by another route and often attends home births. When you choose a provider, the credential shows the training behind the care.
The deeper version
CNMs are licensed through state nursing boards and certified by the American Midwifery Certification Board (AMCB) after completing an ACME-accredited graduate program. includes low-risk pregnancy management, vaginal birth, and collaborative management with physicians for higher-risk care. Studies comparing midwife-led and physician-led care in low-risk pregnancy have reported fewer episiotomies and lower rates of with midwifery models, with no increase in perinatal mortality (Cochrane review of models, 2016). rates vary by setting and case mix, so direct comparison requires careful adjustment. Some states restrict CNM practice settings, which affects where mothers can access this care.
Where it comes up
- OB or midwife: choosing who catches your babyGetting Ready for Birth
- Building your birth teamGetting Ready for Birth
What mothers here say about certified nurse-midwife
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Sources
- American College of Nurse-Midwives — Definition of Midwifery and Scope of Practice
- American Midwifery Certification Board — Certification candidate handbook