What Kind of Training Do Midwives Have?

There are several different types of midwives, each with its own training requirements:

Certified nurse-midwives (CNMs) are trained as both nurses and midwives. They have at least a bachelor's degree (and most also have a master's degree), and they must pass a national certification exam from the American College of Nurse-Midwives (ACNM) and receive a state license to practice.

Certified midwives (CMs) are college-educated and certified by the ACNM. Because this is a relatively new specialty, not every state licenses CMs.

Certified professional midwives (CPMs) are trained midwives who are certified by the North American Registry of Midwives (NARM). Not all states certify CPMs.

Direct-entry midwives (DEMs) may have a college degree, or they may have trained through an apprenticeship, or learned their trade through self-study, workshops, or other instructional programs. Most attend births in homes or birth centers. Not all states recognize DEMs.