Entry Level Applicants

Life as a CPM

A Certified Professional Midwife (CPM) is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the Midwives Model of Care. The CPM is the only midwifery credential that requires knowledge about and experience in out-of-hospital settings.

Most CPMs own or work in private home or birth center based practices throughout the United States, Canada, and Mexico. Providing continuous care for women throughout their childbearing cycle, CPMs generally carry a relatively low client load (averaging 3-6 births per month) which allows for more personalized and comprehensive care than typical obstetrical practices. The scope of practice of the CPM is derived from the NARM Job Analysis, state laws and regulations, and individual practice guidelines developed by each midwife according to her skills and knowledge.

Based on the MANA Core Competencies, the guiding principles of the practice of CPMs are to work with women to promote a healthy pregnancy, and provide education to help her make informed decisions about her own care. In partnership with their clients they carefully monitor the progress of the pregnancy, labor, birth, and postpartum period and recommend appropriate management if complications arise, collaborating with other healthcare providers when necessary. The key elements of this education, monitoring, and decision making process are based on Evidence-Based Practice refers to a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables midwives and their clients to address healthcare questions with an evaluative and qualitative approach. Evidence based decisions flow from a process that includes the assessment of current and past research, clinical guidelines, and other information resources in order to determine the best course of care.Evidenced-Based Practice and Informed Consent refers to the rights of healthcare consumers to be fully informed about testing or treatment options so that they can then make an educated “choice” among those options.Informed Consent.

.

How to Become a CPM — Entry Level

The Certified Professional Midwife was developed to provide competency-based certification for midwives who are primarily apprentice-trained in out of hospital birth. The CPM credential allows multiple routes of entry to the profession in order to encourage innovation in education, adaptability to evolving best practices of the profession, diversity in the pool of credentialed midwives and broad accessibility to the profession.The competency-based model for certification assures well-educated, skilled and competent providers.

Aspiring Midwives can:

  • Apprentice with a qualified midwife, completing an Entry-Level Portfolio Evaluation Process (PEP).
  • Attend a midwifery program or school.
  • If the school is accredited by MEAC, graduation qualifies you for the NARM written exam. (See Equivalency Applicant page for more information)
  • If the school or program is not MEAC accredited, you must complete the Entry-Level Portfolio Evaluation Program.

NARM’s Portfolio Evaluation Process (PEP) is an educational evaluation process that includes verification of knowledge and skills by qualified preceptors. Completion of this process qualifies applicants to sit for the NARM skills and written examinations.

Candidates applying for certification through NARM’s Portfolio Evaluation Process (PEP) will undergo a 2-phase process:

PHASE 1: Verification of Experience and Skills.

  • Fulfill the General Education Requirements (described in of the Candidate Information Booklet).
  • Document the fulfillment of these requirements on the appropriate NARM application forms.
  • Provide verification from the preceptor(s) that you have achieved proficiency on each area listed on the Skills, Knowledge and Abilities Essential for Competent Practice Verification Form.
  • Provide an affidavit from the preceptor(s) asserting that you have developed and utilize:
    • Practice guidelines;
    • An informed consent document;
    • An emergency care form.
  • Provide three professional letters of reference.
  • Pass the NARM Skills Assessment given by a NARM Qualified Evaluator (QE) or submit completed Second Verification of Skills form.

Upon fulfillment of the above requirements you will be sent a Letter of Completion of NARM’s Portfolio Evaluation Process, which will qualify you to sit for the NARM Written Exam.

PHASE 2: Application for Certification Written Examination.

  • Submit the CPM Application Form (400) and your Letter of Completion of NARM’s PEP Program.

Upon approval of your application materials, you will be scheduled for the NARM Written Examination.
After you pass the NARM Written Examination, you will receive your Certified Professional Midwife (CPM) Certificate.

Recertification is required every three years.

State Info:

Certified Professional Midwives are regulated on a state by state basis. To find out the specific information for the states that regulate CPMs, please refer to the charts linked here:
Legal Status of Direct Entry Midwifery
Direct Entry Midwifery State Laws and Regulations

See all State information here:

Contact Us:

NARM General Information

Debbie Pulley
5257 Rosestone Dr.
Lilburn, GA 30047
770-381-9051 or 888-842-4784 info@narm.org

Accountability Department

Shannon Anton
PO Box 128
Bristol, VT 05443
accountability@narm.org

NARM Applications

Sharon Wells
PO Box 420
Summertown, TN 38483
931-964-4234 or 888-426-1280
applications@narm.org

CPM News

cpmnews@narm.org

Testing Department

Ida Darragh
PO Box 7703
Little Rock, AR 72217
501-296-9769 or 888-353-7089
testing@narm.org

Follow Us:

Click the icons for our updates on Facebook and Twitter.

Facebook Twitter