So You Want to be a Midwife?

In Spring 2021 Common Sense Childbirth and the University of California San Francisco launched a national survey of people of color interested in becoming midwives. We also invited survey participants to share their powerful stories of why becoming a midwife was important to them, what barriers they have faced on their journey, and what it would mean to their community to have more midwives of color. You can read their stories below.

 

Commonsense Midwifery - HSR logo - Health Services Research

 

Our article Racism is a motivator and a barrier for people of color aspiring to become midwives in the United States in Health Services Research has been published online.

Frequently Asked Questions (FAQ)

Please find some answers to some of our commonly asked questions.

What is a CPM?

A Certified Professional Midwife (CPM) is a professional, credentialed midwife who is specially trained to provide maternity care in out-of-hospital settings, such as homes or birth centers. A CPM is trained in normal pregnancy, labor, birth, postpartum care, and newborn care. They specialize in community birth, not hospital-based practice. They are certified through the North American Registry of Midwives (NARM) after completing specific education, clinical training, and passing a national exam.

Where Can CPMs Practice?

  • Homes and birth centers are their primary setting.
  • They generally do not have hospital privileges, though laws vary by U.S. state.
  • CPM licensure/legal status differs by location—some states license them, some regulate them differently, and some don’t license them at all.

CPM training includes:

  • Apprenticeships with experienced midwives
  • Accredited midwifery programs (MEAC-accredited schools)
  • Required clinical experiences (prenatal visits, births, postpartum care)
  • Passing the NARM exam

What Services Can CPMs Provide?

  • Prenatal care
  • Labor and birth support (in out-of-hospital settings)
  • Postpartum care for parent and baby
  • Newborn exams and breastfeeding support
  • Education on nutrition, pregnancy health, and informed decision-making

How Do CPMs Differ from Other Midwives?

  • CNM (Certified Nurse-Midwife): A registered nurse with a master’s degree; can work in hospitals, birth centers, or home; licensed in all U.S. states.
  • CM (Certified Midwife): Similar education level to CNM but not a nurse; fewer states license them.
  • CPM: Only out-of-hospital births; not required to have a nursing degree.