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This study compares the labor and delivery outcomes of certified nurse-midwives (CNMs) and physicians. For care processes, (e.g., epidural, labor induction, episiotomy), CNMs were found to have lower rates of application/use. For infant outcomes, (e.g., low Apgar, low birth weight, neonatal intensive care unit admission), there were no differences between physicians and CNMs. Perineal lacerations were lower and breastfeeding rates were higher among women cared for by CNMs compared with physicians.

By Stephanie Tillman, CNM, MSN I have come to believe that one of the hallmarks of a great midwifery practice is ability to integrate new midwives....

STEP 2: Select CNM/CM Exam Applications. STEP 3: Scroll down until you see: "For online CNM/CM Exam Applications Click Here". Click and you will be re-directed to the AMCB Portal Page STEP 4: Click on First Time Applicant-Certified Midwife (CM) or Certified Nurse-Midwife (CNM) then click Create Account.

This article explores how restrictions on CNM scope of practice affect health outcomes. Scope of practice laws were found to be neither helpful nor harmful regarding health outcomes. However, states without scope of practice barriers for CNMs had lower rates of induced labor and cesarean deliveries.

This article asks the question: "Compared to other providers (physicians or teams without APRNs), are APRN patient outcomes of care similar?" The study is specific to USA and includes data regarding NPs, CNRAs, and CNMs. Outcomes were determined by the following: patient satisfaction with provider/care, patient self-assessment of perceived health status, functional status, blood glucose, serum lipids, blood pressure, emergency department visits, hospitalization, duration of ventilation, length of stay, and mortality (p9).

History of the CNM

In reproductive endocrinology, there is no clear role for a CNM. I feel like this article has an undertone that doesn't seem to invite the CNM to the table for collaboration, though I still found it interesting.

Hi i'm not sure that I posted on this site correctly... this article explores how relationships between midwives can impact student success in transitioning to the role of a CNM. :) -molly jobe

Article written by a CNM on the history of midwifery up to the 1940s.

Informational time line of childbirth and midwifery in America. This might be a helpful jumping-off point for creating your infographic.

In depth history of the midwifery profession and current events.

Informational time line of childbirth and midwifery in America.

Glad that you found this... Great information when preparing for the exam.

Great document that highlights the scope of practice of CNMs and the patient population.

I thought this was a very nice summary of the history of Midwives in Colonial America. Oh my, how things have changed!

Another gem, I found when researching the history of the American Midwife.

By Stephanie Tillman, CNM, MSN As with all things in midwifery practice, the search for the first, or the next, midwifery job must be holistic: keep in mind life's logistics, economic demands, and the needs of your soul. What kind of midwife do you want to be?

This article is part of a series by Stephanie Tillman (Feminist Midwife) for ACNM about being a new nurse-midwife. This article specifically talks about resources for the job hunt and strategies to help with that process.

Dawley clearly outlines the critical role birth centers and home birth during the 1930's and 1940's played in the developed of our current professional midwifery culture.

Connects efforts for full practice authority for NPs to the ratification of the Equal Rights Amendment by various states. States that ratified the ERA and therefore have a more egalitarian view of women are more likely to have full scope of practice laws for NPs, CNMs, and CRNAs

I'm curious about how my first few clinical days will turn out!