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The Credential CNM and CM









Certified Nurse-Midwives (CNMs) and Certified Midwives (CMs) are educated in graduate-level midwifery programs accredited by the Accreditation Commission for Midwifery Education (ACME). CNMs and CMs pass national certification examination administered by the American Midwifery Certification Board (AMCB) to receive the professional designation of CNM (if they have an active RN at the time of the certification exam) or CM.

See how the CNM and CM credentials compare to other midwifery credentials in the United States.



Legal Recognition

Laws and regulations governing the practice of midwifery are rapidly changing. Certified Nurse-Midwives (CNMs) and Certified Midwives (CMs) are regulated on the state level, thus professional practice and interaction with other health care professionals, such as physicians, can vary from state to state. CNMs are legally recognized to practice in every state in the US and in the District of Columbia. CMs are currently legally recognized to practice in Delaware, Hawaii, Maine, New Jersey, New York, and Rhode Island.

For individual state statutes and regulations, check with the regulatory agency in each state. This may be the state board of nursing, the board of medicine, the board or midwifery, or the state department of health or public health.


Visit the State Resource Center for information about state laws and regulations.





American College of Nurse-Midwives
8403 Colesville Rd. Ste. 1550 Silver Spring, MD 20910
Phone: 240.485.1800 Fax: 240.485.1818
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