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Mrs. Smith was licensed to practice midwifery by the state in the late 1940s, after Alabama began to regulate lay midwives. [18] At the time, becoming a registered midwife in Smith's home of Greene County, Alabama required either a state-run month-long lay midwifery training course or a nurse-midwifery education that could take several years. [18]
A midwife (pl.: midwives) is a health professional who cares for mothers and newborns around childbirth, a specialisation known as midwifery.. The education and training for a midwife concentrates extensively on the care of women throughout their lifespan; concentrating on being experts in what is normal and identifying conditions that need further evaluation.
As of March 2009, the American College of Nurse-Midwives represents over 11,000 Certified Nurse-Midwives (CNMs) and Certified Midwives (CMs) in all 50 states and most US territories. [4] In 2005, Certified Nurse-Midwives attended more than 10% of vaginal births in the United States. [4] In terms of gender, only 2% of CNMs are men. [5]
Certified nurse midwives are advanced-practice registered nurses and have completed an accredited graduate education program and passed a national certification exam.
There are five different types of midwives. There is a certified nurse-midwife who must obtain a high level of education, either bachelors or masters in midwifery, after becoming a nurse. Nurse-midwives can serve in most birthing centers, hospitals, and can have a private home birth practice. Then there is a Certified Professional Midwife.
A direct-entry midwife is a midwife who has become credentialed without first becoming a nurse. There are direct-entry midwifery programs that prepare students to become Certified Nurse Midwives (CNMs) or Certified Professional Midwives (CPMs). [1] [2] Certified Professional Midwives are known for being "more natural and less intervention ...
The midwife palpates the woman's abdomen to establish the lie, presentation and position of the fetus and later, the engagement. A pelvic exam may be done to see if the mother's cervix is dilating. [11] The midwife and the mother discuss birthing options and write a birth care plan. [citation needed]
US Navy CNM checks on a mother. 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.