Professional Development

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.


US MERA is comprised of the seven organizations responsible for midwifery education, regulation, and association in the United States – the North American Registry of Midwives (NARM), Midwifery Education Accreditation Council (MEAC), Midwives Alliance of North America (MANA), National Association of Certified Professional Midwives (NACPM), Accreditation Commission for Midwifery Education (ACME), American Midwifery Certification Board (AMCB), and the American College of Nurse-Midwives (ACNM).

US MERA has worked collaboratively with a common purpose of expanding access to high-quality maternity care and normal physiologic birth in all birth settings. The work has been shaped by the International Confederation of Midwives’ (ICM) Global Standards for Education, Regulation, and Association, and the ICM’s Definition of a Midwife.

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

Contact Us:

NARM General Information

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

Accountability Department

Shannon Anton
PO Box 128
Bristol, VT 05443

NARM Applications

Applications Team
PO Box 420
Summertown, TN 38483
888-426-1280 or 931-964-4234

CPM News

Testing Department

Ida Darragh
PO Box 7703
Little Rock, AR 72217
888-353-7089 or 501-296-9769

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