A Certified Nurse-Midwife (CNM) is a woman's primary health care provider throughout her life. CNMs specialise on gynaecology and family planning, as well as preconception, pregnancy, labour, postpartum, and infant care. They also provide general care, such as yearly check ups, prescription writing, and basic dietary advice. The American College of Nurse-Midwives recognizes certified nurse-midwives as advanced practice registered nurses (APRNs). To become a CNM, registered nurses must complete a master's or higher-level nurse-midwifery education programme certified by the Accreditation Commission for Midwifery Education (ACME) and pass the American Midwifery Certification Board's national Certified Nurse-Midwife Examination. All CNMs must be licensed by the state. Midwives attended 313,846 births in the United States in 2012, a large increase over the previous year despite a decline in total births. Furthermore, while these professionals may work independently, more than half of CMs/CNMs work for commercial practices or hospitals, and Medicaid funding for midwifery is mandated in all 50 states.

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