Professional Skills . The care they provide is focused on gynecological services, reproductive health, labor and delivery, postpartum care, and peri-post menopause care. While this percentage may not seem like much, certified nurse midwives accounted for more than 90% of midwife-assisted births. A typical work setting for nurse midwives includes: According to Payscale, nurse midwives earn a median salary of $90,672 annually. This can vary depending on state/city of residence, type of employer, and degree held. According to the Bureau of Labor Statistics, advanced practice nurses, in general, have a promising job outlook. Once the general courses are completed, students can choose a midwifery specialty track.  In some cases, CNMs may also provide care to the male partner, in areas of sexually transmitted diseases and reproductive health, of their female patients. Can a Registered Nurse Supervise a Medical Assistant? Certified … According to the ACNM, certified nurse midwives and certified midwives (non-nurses) attended 332,107 births in 2014, which accounted for 8.3% of total births in the U.S. The states with the highest employment of nurse midwives according to the Bureau of Labor Statistics are: Get more precise details of a midwife salary. 2007 - 2012 Master's Degree in Nursing From. Potential occupational hazards. A certified nurse-midwife or CNM is a health professional who provides care and practices in a variety of settings. The most common pathway programs to becoming a Certified Nurse Midwife is the MSN, or Master of Science in Nursing. In fact, many view nurse-midwifery as embracing the best of both worlds: the organized structure of medical care and the community-based, individualized care of midwifery. Educating mothers on physiologic changes that can last until six weeks after birth, including: Resuming sexual activity and contraception, Recognizing and treating deviations from normal postpartum progress. As with many advanced nursing degrees, choosing your path depends on your current level of education. The ACNM lists the core competencies in detail that all nurse midwives should demonstrate. Certified Nurse Midwives (CNMs), sometimes referred to as simply nurse midwives, do so much more than just delivering babies. They should also have an adequate support system to help them cope with the stress and emotions many caregivers experience. After that, the successful completion of the NCLEX-RN is needed for licensure. Not only do they attend to women during pregnancy, childbirth, and post-partum, they also are responsible for preventive women's health maintenance. Certified nurse-midwives effectively merge the midwifery and medical models by drawing from the ancient art of midwifery, while remaining firmly planted in the contemporary evidence-based practice of maternity care. This is due to: Using a midwife also opens the possibility of home births—an option which helps lessen the mother's anxiety and reduce the possibility of feeling "rushed," which may result in labor-inducing drugs or cesarean delivery. What Is the Difference Between a Certified Midwife (CM), Certified Nurse Midwife (CNM) and Certified Professional Midwife (CPM)? Often, women with high risk pregnancies can receive the benefits of midwifery care from a CNM in collaboration with a physician. Ordering preventive care/screenings such as: Intervening or referring for abnormal conditions/situations to include: Developing an emotional involvement with patients. In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as a nurse midwife and credentialing as a Certified Nurse-Midwife. While there are no formal specialties for nurse midwives (it is a specialty in and of itself), they can choose which clinical focus area to work in, such as: After completing graduate or post-graduate education with a focus in midwifery, candidates can apply and test for certification. With the option to work in a variety of women's health settings, or to take on patients on their own in certain states, CNMs have the opportunity to shape their careers as they see fit. Nurses, especially advanced-practice nurses, must be careful and accurate in their work. post master's midwifery graduate certificate programs, National Association of Certified Professional Midwives, Lower rates of labor induction/augmentation, Significant reduction of third and fourth-degree perineal tears, A more hands-on approach and closer relationship with their provider, Fewer technological and invasive interventions, Less invasive medical interventions required, Reduced use of pharmacological pain management interventions, Nursing students enrolled in a BSN program complete in about four years, Do not require experience in nursing or labor and delivery before admission, Offer an accelerated entry to the nurse midwifery program, Pharmacology for advanced practice nurses, Care during pregnancy, labor, birth, and postpartum, to include newborn care, Submitting proof of licensure as an RN or NP, Completion of a graduate program accredited by the Accreditation Commission for Midwifery Education (, Verification by the director of the NM program confirming all program requirements were met, along with the date of completion, Attestation by the director of the NM program that the applicant performs at a safe, competent beginner level, Encouraging preventive health screenings/tests, Educating on women's health issues such as sexuality, responsible sexual behaviors, and menopause, Recognizing and treating gynecological disorders such as infertility, sexually transmitted diseases and infection, as well as urogynecological disorders, Educating on available contraception, allowing patients to make informed choices, Educating, treating, or referring for infertility, Educating/counseling on unexpected pregnancies, Educating, counseling, and treating the various concerns surrounding menopause, Educating on environment, health habits, and nutrition in relation to pregnancy health, Screening for domestic violence, substance abuse, and high-risk behaviors during pregnancy, Screening/testing for potential congenital disabilities with the consent of the mother, Monitoring fetal development, and recognizing deviations from the normal progress of gestation, Monitoring the mother and fetus during labor, and recognizing deviations from normal labor, Managing complications during labor, including emergencies, Administering pharmacological and non-pharmacological interventions for pain, Performing episiotomies (first and second degree) if needed, Assisting mother with uterine massage after birth. Those interested in the field of midwifery should enjoy working with women from various backgrounds, enjoy educating patients and promoting preventive and holistic health. A Doctor of Nursing Practice (DNP) is a post-graduate degree and is another option, but is not required for entry-level nurse midwifery. Otherwise, nurses can submit certification obtained through the AMCB. Additionally, the rate of midwife-assisted births has risen every year since 1989. University of California, Santa Barbara. This page was last edited on 7 February 2020, at 23:09. Occasional high-stress situations. In order to work as a nurse midwife in the U.S., you must complete an accredited CNM program and then pass the national qualifying exam from the American Midwifery Certification Board ( AMCB).CNM programs are graduate level programs that are only open to licensed RNs who already hold a bachelor’s degree (preferably in nursing).CNM programs grant a master’s or graduate degree. CNMs provide care of women across their lifespan, including pregnancy and the postpartum period, and well woman care and birth control. General advanced-practice courses are completed in the first part of the program. They should be skilled in building trusting relationships and should be able to remain unbiased, work well under pressure, and be able to provide support during emotionally charged events. PLEASE NOTE: The contents of this website are for informational purposes only. These nurses are advanced-practice registered nurses (APRNs) who specialize in women's reproductive health and childbirth. In the United States, fewer than 1% of nurse midwives are men. Additionally, since there can be a lot of overlap between Women's Health Nurse Practitioner (WHNP) curriculum and midwifery, many programs offer dual certification for each. They must work hard to educate patients on common women's health issues and monitor them through the life span which can include births, but also end-of-life care. Those interested in the field of midwifery should enjoy working with women from various backgrounds, enjoy educating patients and promoting preventive and holistic health. For example, some institutions: Due to the considerable variability in program requirements, students are encouraged to visit the website to see which institution would best fit their needs. Nurse midwives are advanced-practice registered nurses who have completed a minimum of a Master's of Science in Nursing (MSN) degree. Both types have pros and cons depending on students' needs, therefore researching individual schools is encouraged. Certified nurse-midwife is one of the most fulfilling nursing specializations to consider pursuing. This leads to close caregiver/patient relationships that are valued both by the midwife as well as the patient. CNMs function as primary healthcare providers for women and most often provide medical care for relatively healthy women, whose health and births are considered uncomplicated and not "high risk," as well as their neonates. Home births can isolate mothers from quick emergency care, so nurse midwives that assist in home births need to have a plan in place to safely deliver newborns in the home-based setting. They need to be able to work well under pressure and think and act quickly while maintaining safety. CNMs practice in hospitals and private practice medical clinics and may also deliver babies in birthing centers and attend at-home births. , http://www.pacode.com/secure/data/049/chapter18/s18.4.html, https://en.wikipedia.org/w/index.php?title=Certified_Nurse‐Midwife&oldid=939671174, Articles with incomplete citations from August 2016, Creative Commons Attribution-ShareAlike License. Some work with academic institutions as professors. Nurse midwives are sometimes faced with busy, stressful shifts that can include emergencies. The training needed to become a nurse midwife is incorporated in the advanced degree program. The American Midwifery Certification Board (AMCB) outlines the requirements for testing/certification such as: Applicants can attempt the exam four times, but all attempts must be within 24 months of program completion. CNMs may work closely or in collaboration with an obstetrician & gynecologist, who provides consultation and/or assistance to patients who develop complications or have complex medical histories or disease(s). Nurse midwives must interact closely with women and families. They approach patient care with a holistic view - not only focusing on the physical needs of the patient, but the mental and psychosocial needs as well. They should be skilled in building trusting relationships and should be able to remain unbiased, work well under pressure, and be able to provide support during emotionally charged events. The Certified Nurse-Midwife is responsible for the comprehensive care of women in their reproductive years and beyond, and functions as a member of the multidisciplinary health team; Education. Nurse midwives have a wide variety of responsibilities and duties in the field of women's health. Certified nurse midwives also must register with their state's Board of Nursing. Prospective nurse midwives can acquire the Certified Nurse Midwife (CNM) credential through the American Midwifery Certification Board (AMCB). All candidates must apply to take the CNM examination by completing either the Application for Testing and Subsequent Certification as a Nurse-Midwife or the online application through the AMCB Portal Page. CNMs provide health care and wellness care to women, which may include family planning, gynecological checkups, and prenatal care. In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as a nurse midwife and credentialing as a Certified Nurse-Midwife. They also have a reference list in which prospective students can review the various requirements for the different midwifery programs and explore available options. All trademarks are the property of their respective trademark holders. Requirements for midwifery programs vary from institution to institution. Many of the principles and practices they’ve mastered experience as an RN are applied to nurse midwifery and the required coursework to become a certified nurse midwife. With babies being born every minute, and with many parents-to-be exploring alternative birthing scenarios which don't always involve a traditional hospital environment, the employment outlook for CNMs in particular remains positive. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. keep up to date on latest knowledge as pertains to their field. CNMs are able to provide medical care to women from puberty through menopause, including care for their newborn (neonatology), antepartum, intrapartum, postpartum and nonsurgical gynecological care. The American College of Nurse-Midwives lists the forty schools that are accredited by the Accreditation Commission for Midwifery Education and describes which degrees are available (MSN, DNP, etc.). Certified Nurse-Midwives are exceptionally recognized by the International Confederation of Midwives as a type of midwife in the U.S.., The American College of Nurse-Midwives accredits midwifery education programs and serves as the national specialty society for the nation's CNMs and Certified Midwives (CMs). Some states offer certification simply by applying, if the graduate program meets the state's educational standards. Becoming a Certified Nurse Midwife is not an easy task, but with the right guidance you can figure out your best path. Learn more about midwifery schools and post master's midwifery graduate certificate programs. The length of time it takes to complete an MSN program depends on the nurse's starting point: Both online programs and classroom programs are available to accommodate students. To advance to an MSN, a student must first complete an accredited nursing program and obtain a Bachelor's of Science in Nursing (BSN) degree. Medical errors can cause harm or even the death of patients. They must always practice safely and use personal protective equipment when providing patient care during a high-risk procedure. pass the American Midwifery Certification Board exam. Growth is projected to occur due to health care legislation leading to a higher number of health care consumers, a nationwide physician shortage, and a stronger push for preventive health maintenance. Can a Registered Nurse Dispense Medications? Carrying malpractice insurance is highly recommended for health care providers, especially advanced practitioners. Nurses are encouraged to check their state Board of Nursing to identify specific requirements. Responsibilities include: Nurse midwifery can be an enriching, yet challenging career. Although their approach is somewhat different, CNMs in many ways offer similar care to … CNMs in most states are required to. The field is expected to grow 31% by 2024—much faster than average. A nurse midwife is both a nurse (usually a registered nurse) and a midwife, having completed nursing and midwifery education leading to practice as a nurse midwife and sometimes credentialed in the specialty.Nurse midwives provide care of women across the lifespan, including during pregnancy and the postpartum period, and well woman care and birth control.  They are able to prescribe medications, treatments, medical devices, therapeutic and diagnostic measures. Certified Nurse-Midwives (CNMs) do more than just deliver babies. If you are someone with a keen enthusiasm for women’s gynecological health, prenatal and postnatal care, becoming a nurse midwife is a topmost opportunity. Facilitating the transition from fetus to newborn, including: Establishing and maintaining newborn respirations, Stabilizing the temperature of the newborn, Recognizing deviations from the normal newborn period, and managing complications, Evaluation and treatment of the newborn to include, Ongoing assessment for well newborns up to twenty-eight days of life, Educating caregivers on normal newborn care. As with any profession in health care, nurse midwives are exposed to bloodborne pathogens, infectious diseases, and other possible contaminates. They need to be up to date on standards of care and practice, technology, and safe practices. Remaining aware of legalities/scope of practice concerns. Certification is valid for five years, and the AMCB offers re-certification options. Applying to Take the Certified Nurse Midwife (CNM) Examination. A certified nurse midwife, sometimes referred to as a CNM or simply a nurse midwife, is an advanced-practice registered nurse (post-baccalaureate) who specializes in women's reproductive health and childbirth. Certified Nurse Midwife Responsibilities & Duties, Helpful Organizations, Societies, & Agencies, Post-Master’s Certificate Nurse Practitioner, Advanced Practice Registered Nurse (APRN). According to the American College of Nurse-Midwives (ACNM), the benefits of Certified Nurse Midwife (CNM) assisted births include: Additionally, women cared for by CNMs were more likely to receive: From a financial standpoint, the use of CNMs in obstetric and gynecological care can reduce health care costs. Use the drop down menu below to jump to a specific section. Nurse midwives differ from physicians primarily because they are first and foremost nurses. The curriculum for nurse midwifery can vary depending on the student's starting point and educational institution, but should include courses and clinical practice rotations focusing on: Schools that offer DNP programs also include courses in education, leadership, and advocacy. A registered nurse has a wide range of experience in the health care setting, experience that can lay the foundation for a career as a certified nurse midwife. CNMs provide care of women across their lifespan, including pregnancy and the postpartum period, and well woman care and birth control. CNMs provide health care for sexual health, as they also see women for routine exams and are able to initiate all types of contraception.