About NARM


NARM supports a health care system where every family in North America has access to skilled and responsible midwives. The individualized attention provided by the CPM in practice is of critical importance to her role as guardian of normal birth, and to the value of her compassionate maternity care. NARM sets standards for Competency-based credentialing is based on documentation of comprehensive training and testing of knowledge and skills that are relevant to real-life job conditions, as determined by psychometric research within the profession. The credential has been evaluated by independent researchers at Ohio State University and was determined to be a credential that exemplifies the established standards for educational testing as determined by the American Educational Research Association and the National Council of Measurement in Education. In 2002, the CPM credential was accredited by the National Commission on Certifying Agencies (NCCA) and is evaluated yearly for adherence to the national standards.competency-based certification that allow a midwife to support a woman’s right to choose her birth attendants and place of birth and to involve those she identifies as her family in the birth experience. 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.

As numerous studies have affirmed the safety of planned, midwife-attended birth at home, in hospitals, and in freestanding birth centers, NARM recognizes the potential for improved outcomes that include lower costs and fewer interventions to childbearing mothers and their babies when attended by Certified Professional Midwives.

As the CPM emerges as a sought after professional maternity care provider in out of hospital settings, NARM is dedicated to advancing the profession by supporting advocacy efforts for legal recognition at the state and federal level. NARM dedicates a significant percentage of its annual budget for development of advocacy training, offering workshops, participation in legislative, public health, and midwifery conferences, creating promotional materials, and serving on advisory committees for state and federal level initiatives to support the CPM.

CPM Profile

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.

How To Become A CPM

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 Evalution 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.

Experienced Midwives can:

  • Complete a Portfolio Evaluation Process Application under the Experienced Midwife category. Applications are evaluated on a case by case basis.
  • Complete an Application for Certification under the category of Licensed Midwife in an Approved State.
  • Complete a Portfolio Evaluation Process Application under the Internationally Educated Midwife category. (for all internationally trained midwives, except UK, who qualify in the next category, below)
  • Complete an Application for Certification Examination under the categories of certified as a CNM/CM or Legally Recognized in the UK.


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

Related Organizations

Contact Us:

NARM Phone and
Fax Number

For all Departments

NARM General Information

Debbie Pulley
5257 Rosestone Dr.
Lilburn, GA 30047

NARM Applications and Testing Department

PO Box 420
Summertown, TN 38483

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