Gina Dacosta-Rivera joins the board as a CPM representative. Gina has been a CPM for over three years. She trained as an apprentice in Puerto Rico and then completed her education at Maternidad La Luz in El Paso. Gina has a Bachelor’s degree in Humanities and a Master’s degree in Italian Studies, and she attends …Read more »
Information for CPMs
Certified Professional Midwives (CPMs) are a fast-growing segment of the midwifery profession in the United States today. Certified Professional Midwives are trained and credentialed to offer expert care, education, counseling and support to women for pregnancy, birth and the postpartum period. They have particular expertise in out-of-hospital settings. CPMs practice as autonomous health professionals working within a network of relationships with other maternity care professionals who can provide consultation and collaboration when needed.
Beginning in 2016, students in MEAC accredited programs who seek CPM certification will have to attend at least ten births in the US or Canada. Due to difficulties in the supervision and oversight of clinical sites, applicants through the PEP program were required to obtain all required clinicals in the US or Canada beginning in …Read more »
Requirements for NARM Recertification
- Each CPM must complete the Recertification Application and attach all pertinent documentation. A CPM, no matter what route of entry they came through for initial certification, will be considered expired if she/he is more than 90 days past recertification deadline without declaring inactive status.
- A total of 30 CEUs over three years are required for recertification, including five mandatory CEUs in Peer Review and 25 CEUs in a variety of other categories. In lieu of the 25 CEUs, applicants may re-take the NARM Written Examination. To request a re-testing form, contact email@example.com.
- Maintain CPR and neonatal resuscitation certification. (CPR and/or neonatal resuscitation may not be used as part of your CEU totals.)
NARM only accepts certification for CPR and neonatal resuscitation from courses that include a hands-on skills component. Online only courses are not accepted. Approved CPR courses include the American Heart Association and the Red Cross. Neonatal resuscitation courses must be approved by the American Academy of Pediatrics, the Canadian Paediatric Society, or pre-approved by NARM. Courses must be approved for use in the US or Canada.
All applicants and CPMs are required to complete a workshop, module, or course on Cultural Competency for certification and recertification. Approved Courses/Modules are:
- A course on cultural competency within a midwifery education program accredited by MEAC or a specific state approved midwifery education program
- A course on cultural competency within a state approved medical/health education program
- A cultural competency course offered as a workshop accredited for CEUs by MEAC
There are several online sites that provide Cultural Competency modules for health care providers and offer CEUs. A Google search should bring up quite a few options. Please note that Cultural Competency modules are not required to have CEUs attached, but if they do you may also use them in Category 1. If there are no CEUs provided the course/module must be health care related and presented through an institution or other recognized source. A certificate of completion may be submitted as proof of participation. Some options include:
- Mercy in Action: Cultural Competency and Respect in the Provision of Maternity Care
- The online module offered by the US Department of Health & Human Services – Office of Minority Health. Culturally Competent Nursing Care: A Cornerstone of Caring
- The online module offered by the March of Dimes (book purchase required)
Use of the Title, “Certified Professional Midwife”
Midwives may not refer to themselves, or knowingly permit anyone else to refer to them, as a CPM, Certified Professional Midwife, or NARM certified or accredited unless they have formally received the CPM credential and their status is active. Midwives who are in the process of applying for the credential, or who have allowed the credential to expire, or taken inactive status, or had their credential revoked, may not refer to themselves as a CPM or a Certified Professional Midwife, or as certified by NARM. Midwives whose CPM certification has expired may not refer to themselves as a Retired CPM unless they have been granted the status of CPM-Retired by NARM.
Midwives in the process of applying for certification may not refer to themselves in any context as a CPM candidate or applicant because there is no such status granted by NARM. Regardless of enrollment in an educational program, a student may not use the title Student CPM. Being a candidate, applicant, or student does not verify meeting the certification requirements until the certificate is granted. If NARM becomes aware that a midwife who is not a CPM has printed or published material referring to herself in the above capacity or has misled the public through any means, a warning letter will be sent with instructions to remove the misinformation from any materials. If the correction is not made, notice will be sent to NARM’s legal counsel for further action.
Acceptable language for students or apprentices can be “…is in training to become a CPM”, and for those with expired certification: “…previously certified as a CPM”, as a description of previous or intended certification, but not as a title.
In validating the apprenticeship model as a valuable form of education and training for midwifery, NARM appreciates the many variations in the preceptor/student relationship. NARM has developed materials to help guide preceptors and students through the process of validating knowledge and skills as part of the certification process. The Portfolio Evaluation Process (PEP) is a …Read more »
Professional standards of accountability support midwives to remain active lifelong learners, confirming the ideals of competent practice. Accountability provides reassurance to women who choose CPMs as their care providers and to states who utilize the CPM for legal recognition. The process validates continued competency and professional conduct. In addition to recertification, NARM utilizes three levels of oversight and review of CPM practice: Community Peer Review, Complaint Review, and the Grievance Mechanism
NARM is committed to supporting the success of CPMs. As autonomous practitioners, CPMs must also be innovative business owners. While the care provided by CPMs is individualized to each woman she serves, NARM recognizes that the professionalization of midwifery can be supported by practitioners working together to develop standards for practice, charting, continuing education, marketing materials, and most importantly: a healthy midwifery community. NARM encourages CPMs to join their local, state, and national professional organizations and to share resources and knowledge that can improve quality of care and support sustainable careers for independent midwives.
A few facts about Midwives.
Midwives are the key to increasing access to effective maternity care:
- The American Public Health Association and the World Health Organization recommends midwives as the primary maternity care providers for the majority of women
- The Millbank Report [add drop down citation for Millbank Report] on evidence-based maternity care recognizes the CPM as the benchmark for low intervention and good outcomes
- Nations with the lowest infant mortality employ midwives as the primary maternity care providers for the majority of women
- Mounting evidence supports the value and cost-savings potential of midwifery care, according to a report issued by the Washington Department of Health in 2010
- Birth centers and planned home births have been shown to be safe for low-risk women, with demonstrated potential to significantly reduce costs to the system
- CPMs are currently legally recognized in 26 states and own approximately half of the birth centers in the U.S.