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This page was last updated in May 2014. US MERA held its third annual in-person meeting in April 2015; this page will provide a link to updated information as soon as it is publicly available.

At ACNM, our mission is to establish midwifery as the standard of care for all women. As part of this mission, we are pleased to announce the 2014 release of the shared vision and action plan from the US Midwifery Education, Regulation, and Association (US MERA) work group, in which ACNM has played an active role.

US MERA is comprised of 7 organizations—ACNM, the Accreditation Commission for Midwifery Education, American Midwifery Certification Board, Midwifery Education Accreditation Council, Midwives Alliance of North America, National Association of Certified Professional Midwives, and North American Registry of Midwives. These organizations have been working together to envision and work toward a more cohesive US midwifery presence globally and domestically, inspired and informed by global midwifery standards and competencies adopted by the International Confederation of Midwives in 2011.

The 2014 US MERA joint statement was historic, and we are very proud of the dedication and effort on the part of our organizations to take these important steps together. Whether you plunge in to read the full 8-page US MERA 2014 report or just the one-page executive summary, we encourage you to share it with others, and consider its implications for the future—in your communities and nationally, for the success of the midwifery profession and most importantly, the women we serve.

Additionally, ACNM in collaboration with the Accreditation Commission for Midwifery Education (ACME) and the American Midwifery Certification Board (AMCB), published a position statement in March 2014, approved by the Board of Directors, entitled “Principles for Licensing and Regulating Midwives in the United States in Accordance with the Global Standards of the International Confederation of Midwives.”  In publishing this statement, ACNM clarified its longstanding positions on licensing and regulating midwives that were last updated in 2009.  The ACNM leadership felt that it was important to re-examine the organization’s principles and professional standards in light of the ICM standards, confirm our endorsement of the ICM standards, and provide guidance to Affiliates and ACNM members about how to apply ICM standards in the US context when considering midwifery licensure and regulation in individual states.   (Also see the overview of the position statement.)

There is much work still to be done, but please take a moment to savor these important steps forward and think how you too can pave the way so that in the future, every woman will have access to a high-quality midwife.

We celebrate the vision and commitment that it has taken for our organizations to come together. There is so much we need to accomplish! We look forward to continuing our participation in the US MERA initiative and we value your input and reflections on this work, which you can email to [email protected].

US MERA has contracted with Managance Consulting & Coaching to provide facilitation and coaching services to promote strategic thinking, solidify progress in working together, and deepen and expand practices and strategies to sustain momentum. Financial support for Managance is granted by the Transforming Birth Fund, a donor-advised fund of the New Hampshire Charitable Foundation. The A.C.N.M. Foundation, Inc., a 501(c)3 organization, serves as the fiscal agent for funding received through the Transforming Birth Fund.

Click here for 2014 US MERA Meeting: A Summary Report

Click here for the March 2014 US MERA update from ACNM Vice President Cathy Collins-Fulea.

Click here for the January 2014 US MERA update

You may also join the ACNM Town Hall eMidwife Discussion Group for further updates.


American College of Nurse-Midwives.
8403 Colesville Rd, Suite 1550 | Silver Spring MD 20910
Phone: 240-485-1800 | Fax: 240-485-1818