Certified nurse-midwives (CNMs) and certified
midwives (CMs) attended 332,107 births in 2014,
according to the National Center for Health Statistics.
(This is the most recent year for which final birth data
are available.) This represents 12.1% of all vaginal births,
or 8.3% of total US births.
CNMs/CMs Represent Majority of Midwives
CNMs/CMs have accounted for more than 90% of all midwife-attended births since 1989, the first year that CNM/CM statistics were made available. In 2014, CNMs/CMs attended 91.3% of midwife-attended births.
Trends in CNM/CM-attended Births
Since 1989, the percentage of CNM/CM-attended births has
risen nearly every year. In 2014, CNMs/CMs attended 8% of all
hospital births, an 11.1% increase since 2005. The percentage of
out-of-hospital births attended by CNMs also increased 9.1%
over this period, from 28.6% in 2005 to 31.4% in 2014. Both
the number and percentage of CNM/CM-attended births in
the United States slightly increased from 2013 to 2014. The percentage of total US births attended by CNMs/CMs increased from 8.2% to 8.3%, and the percentage of vaginal
births rose from 12% to 12.1%.
CNMs/CMs Provide Midwifery Care in All Settings
CNMs/CMs practice wherever women give birth. In 2014, the
majority of CNM/CM-attended births occurred in hospitals
(94.2%), while 3% occurred in freestanding birth centers,
and 2.7% occurred in homes.
Hamilton BE, Martin JA,Osterman MJK, Curtin, SC, Mathews TJ. Births: Final Data for 2014. National Vital Statistics Reports; Vol 64, No 12. Hyattsville, MD: National Center for Health Statistics. 2015.