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Certified Nurse Midwife (CNM)

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What is a Certified Nurse Midwife (CNM)

Certified nurse-midwives (CNMs) provide comprehensive care to women before, during, and after pregnancy. CNMs differentiate themselves from OB/GYN physicians by treating women with uncomplicated pregnancies using non-medical interventions. If a pregnancy does develop complications, the CNM collaborates with an OB/GYN. Certified nurse-midwives are considered valuable members of the OB/GYN team.    

It is also important to remember that not all midwives are nurses. Certified midwives (CMs) receive the same midwife training as nurses, but certified nurse-midwives (CNMs) are registered nurses with advanced practice certification who are also trained to be midwives. They provide the benefit of having multiple sources of education and experience. 

People often think midwives only deliver babies at home. CNM/CMs attend to approximately 10% of all U.S. births. However, in 89% of those births, CNM/CMs attended to mothers inside a hospital. Less than 10% of those babies were delivered in homes or birthing centers in 2019. Another misconception is that CNM/CMs are only delivery coaches. That is the role of a doula. CNM/CMs coach women, but that is only one of their many roles.  

CNMs attend to deliveries the same way OB/GYNs do but with a more holistic approach. They aid women with both their physical and psychosocial needs, assist with alternative pain management during labor, tend to the newborn after birth, and give women breastfeeding guidance.

Certified nurse-midwives also focus on providing women's health outside of prenatal care, labor, delivery, and postpartum care. Some also provide gynecological services, reproductive teaching, and peri and post-menopause care. 

Certified nurse-midwives can obtain their advanced practice degree as women's health nurse practitioners (WHNPs) in addition to midwifery training. 

What does a Certified Nurse Midwife (CNM) Do?

Certified nurse-midwives assist women at any stage of pregnancy, during childbirth, and during postpartum care. They also can care for the new infant for the first month. Certified nurse-midwives often meet prospective patients when a woman has found out she is pregnant but may also be introduced to them if there are infertility issues.

General activities may include: 

  • Perform physical exams, order lab work, and other tests 
  • Develop a birth plan that includes: tracking fetal growth, mother’s nutrition, pain management options for delivery, and where the delivery is planned to occur. 
  • Coordinate a plan of care with the OB/GYN team
  • Manage the labor of mother and delivery of the infant
  • Perform postnatal examinations
  • Plan postpartum education for the woman and family that includes breastfeeding, contraception, and newborn care
  • Attend to post-menopausal needs such as hormone imbalances and screening for breast cancer and ovarian cancer
Certified Nurse Midwife (CNM)

What skills does a Certified Nurse Midwife (CNM) need?

Certified nurse-midwives must manage all the care a mother needs during pregnancy. They must be independent thinkers and be patient and compassionate.  

They essentially care for two patients, the woman, and her infant, at the same time and support other family members in attendance at the birth.  

They possess skills to: 

Perform pelvic exams
Administer STD testing and lab work evaluation
Circumcisions
Sonograms
Measure fetal heart rate with monitoring
Prescribe and administer medications as needed

What skills does a Certified Nurse Midwife (CNM) need?

Certified nurse-midwives must manage all the care a mother needs during pregnancy. They must be independent thinkers and be patient and compassionate.  

They essentially care for two patients, the woman, and her infant, at the same time and support other family members in attendance at the birth.  

They possess skills to: 

Learn More About
Certified Nurse Midwife (CNM)s

Work settings for Certified Nurse Midwife (CNM)s

Certified nurse-midwives often work in hospitals, community clinics, labor and delivery wards, and OB/GYN doctor’s offices but also birthing centers and even the U.S. armed forces.

Common Cases Certified Nurse Midwife (CNM)s Encounter

Certified nurse-midwives care for women and teenagers of every socioeconomic level who need OB/GYN care, and they provide newborn care after delivery.

How to Become A Certified Nurse Midwife (CNM)

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree: takes about two to four years based on the program
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Gain experience in OB or labor and delivery for at least one year 
  4. Attend an ACME-accredited master’s in nursing program. Nurses with ADN degrees can complete their BSN in conjunction with their master’s or doctoral degree. These programs take about 18 months to three years to complete.
  5. Take the exam to become a Certified Nurse Midwife (CNM) through the AMCB

How to Advance Your Career As A Certified Nurse Midwife (CNM)

A CNM may go on and obtain a doctoral degree in nursing (likely honing in on a specific area within CNM nursing). These doctoral degrees are not to be confused for medical doctor degrees that physicians hold.

Education Requirements & Helpful Certification

Certified nurse-midwives must be BCLS certified and renew their CNM license every five years. There are two options to choose from:

Option 1: AMCB Certificate Maintenance Module Method

Successfully complete three AMCB modules over the five-year certification cycle. One module must be completed in EACH of the three areas of practice: Antepartum and Primary Care of the Pregnant Woman; Intrapartum, Postpartum, and Newborn; and Gynecology and Primary Care for the Well-Woman. CNM must also obtain 20 contact hours in addition to the three modules

Option 2: Reexamination Method 

Re-take the current AMCB Certification in the fourth to fifth year of the current certification cycle.

Average Salary For Certified Nurse Midwife (CNM)s

Certified nurse-midwives typically make between $97,852 - $145,145, with a median salary of $115,633, according to Salary.com. 

The May 2021 Bureau of Labor and Statistics report shows which states have the highest and lowest wages for certified nurse-midwives. The highest-paid states are California, Utah, and West Virginia. The lowest-paid states are Idaho, Kansas, and Tennessee.

Ideal Personality Traits

  • Clear, calm communicator
  • Ability to act independently
  • Resourceful
  • Quick problem solver
  • Reassuring and nurturing style
  • Strong interest in women’s health, pregnancy, and childbirth

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Certified Nurse Midwife (CNM)

A Certified Nurse Midwife (CNM) is an advanced practice nurse who cares for women during pregnancy, childbirth, during their postpartum period, and after. Their focus is a more holistic style of nursing by aiding women in both their physical and psychosocial needs, assisting with alternative pain management during labor, tending to the newborn right after birth, and giving women breastfeeding guidance. A CNM manages a woman’s healthcare needs by providing preventive health and contraception education.

Education Requirements

Certified nurse-midwives must be BCLS certified and renew their CNM license every five years. There are two options to choose from:

Option 1: AMCB Certificate Maintenance Module Method

Successfully complete three AMCB modules over the five-year certification cycle. One module must be completed in EACH of the three areas of practice: Antepartum and Primary Care of the Pregnant Woman; Intrapartum, Postpartum, and Newborn; and Gynecology and Primary Care for the Well-Woman. CNM must also obtain 20 contact hours in addition to the three modules

Option 2: Reexamination Method 

Re-take the current AMCB Certification in the fourth to fifth year of the current certification cycle.

How to advance/career pathway

A CNM may go on and obtain a doctoral degree in nursing (likely honing in on a specific area within CNM nursing). These doctoral degrees are not to be confused for medical doctor degrees that physicians hold.

RESPONSIBILITIES

  • Perform gynecologic exams
  • Pregnancy care during antepartum, labor, delivery, and the postpartum period
  • May assist a physician in a hospital delivery
  • Deliver and care for newborns at birth
  • Provide primary care, counseling, and education during pregnancy and afterward 
  • Assist with lactation needs of the mother

MOST COMMON CASES

Certified nurse-midwives care for women and teenagers of every socioeconomic level who need OB/GYN care, and they provide newborn care after delivery.

How to become a

Certified Nurse Midwife (CNM)

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree: takes about two to four years based on the program
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Gain experience in OB or labor and delivery for at least one year 
  4. Attend an ACME-accredited master’s in nursing program. Nurses with ADN degrees can complete their BSN in conjunction with their master’s or doctoral degree. These programs take about 18 months to three years to complete.
  5. Take the exam to become a Certified Nurse Midwife (CNM) through the AMCB

The Pros

The Pros of Being a Certified Nurse-Midwife

  • Able to deliver more holistic primary care to women
  • More involved in a woman’s pregnancy
  • Ability to spend more time doing teaching
  • Care for both the mother and the infant
  • Rewarding to be part of a family’s life event

The Cons

The Cons of Being a Certified Nurse-Midwife

  • Stress due to unpredictable hours and being on call
  • Fatigue due to long hours during labor and delivery
  • Private insurance may not pay for all care delivered
  • Some view midwives with less respect
  • Concern if there is a bad birth outcome
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Personality Traits

  • Clear, calm communicator
  • Ability to act independently
  • Resourceful
  • Quick problem solver
  • Reassuring and nurturing style
  • Strong interest in women’s health, pregnancy, and childbirth
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Average Salary

Certified nurse-midwives typically make between $97,852 - $145,145, with a median salary of $115,633, according to Salary.com. 

The May 2021 Bureau of Labor and Statistics report shows which states have the highest and lowest wages for certified nurse-midwives. The highest-paid states are California, Utah, and West Virginia. The lowest-paid states are Idaho, Kansas, and Tennessee.

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Certifications

After becoming a CNM, to maintain your certification, you must do continuing education through the American Midwifery Certification Board (AMCB).

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Work Setting

Certified nurse-midwives often work in hospitals, community clinics, labor and delivery wards, and OB/GYN doctor’s offices but also birthing centers and even the U.S. armed forces.