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. 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. Potential occupational hazards. CNMs provide health care for sexual health, as they also see women for routine exams and are able to initiate all types of contraception. Nurse midwives are advanced-practice registered nurses who have completed a minimum of a Master's of Science in Nursing (MSN) degree. This can vary depending on state/city of residence, type of employer, and degree held. 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. University of California, Santa Barbara. Certified Nurse Midwife Responsibilities & Duties, Helpful Organizations, Societies, & Agencies, Post-Master’s Certificate Nurse Practitioner, Advanced Practice Registered Nurse (APRN). Requirements for midwifery programs vary from institution to institution. Those interested in the field of midwifery should enjoy working with women from various backgrounds, enjoy educating patients and promoting preventive and holistic health. As with any profession in health care, nurse midwives are exposed to bloodborne pathogens, infectious diseases, and other possible contaminates. Nurse midwives have a wide variety of responsibilities and duties in the field of women's health. The training needed to become a nurse midwife is incorporated in the advanced degree program. 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. As with many advanced nursing degrees, choosing your path depends on your current level of education. 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. 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. Responsibilities include: Nurse midwifery can be an enriching, yet challenging career. A typical work setting for nurse midwives includes: According to Payscale, nurse midwives earn a median salary of $90,672 annually. The ACNM lists the core competencies in detail that all nurse midwives should demonstrate. 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. 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. Use the drop down menu below to jump to a specific section. While this percentage may not seem like much, certified nurse midwives accounted for more than 90% of midwife-assisted births. [4] They are able to prescribe medications, treatments, medical devices, therapeutic and diagnostic measures. Certified Nurse-Midwives are exceptionally recognized by the International Confederation of Midwives as a type of midwife in the U.S..[1][2], 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). Nurse midwives are sometimes faced with busy, stressful shifts that can include emergencies. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. 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. 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. Nurses, especially advanced-practice nurses, must be careful and accurate in their work. 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. 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). pass the American Midwifery Certification Board exam. 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. These nurses are advanced-practice registered nurses (APRNs) who specialize in women's reproductive health and childbirth. 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.). keep up to date on latest knowledge as pertains to their field. This leads to close caregiver/patient relationships that are valued both by the midwife as well as the patient. After that, the successful completion of the NCLEX-RN is needed for licensure. Can a Registered Nurse Supervise a Medical Assistant? Becoming a Certified Nurse Midwife is not an easy task, but with the right guidance you can figure out your best path. A certified nurse-midwife or CNM is a health professional who provides care and practices in a variety of settings. The field is expected to grow 31% by 2024—much faster than average. 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. Certified Nurse Midwives (CNMs), sometimes referred to as simply nurse midwives, do so much more than just delivering babies. Both types have pros and cons depending on students' needs, therefore researching individual schools is encouraged. What Is the Difference Between a Certified Midwife (CM), Certified Nurse Midwife (CNM) and Certified Professional Midwife (CPM)? The most common pathway programs to becoming a Certified Nurse Midwife is the MSN, or Master of Science in Nursing. All trademarks are the property of their respective trademark holders. 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