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.

More information about the NARM accountability process can be found in the Candidate Information Booklet or in the NARM Complaint Review Process.

A CPM or CPM applicant who has been named in a written complaint to NARM is required to participate in Complaint Review and/or Grievance Mechanism. Failure or refusal to participate in the accountability processes will result in revocation of the credential or denial of the CPM application.

Oversight . . . .

In addition to recertification, NARM utilizes three levels of oversight and review of CPM practice—

Community Peer Review

Community Peer Review is routine, confidential, professional, non-punitive, and educational. All NARM Certified Professional Midwives (CPMs) and CPM applicants are encouraged to attend local, routine Community Peer Review.


Complaint Review addresses a complaint against a Certified Professional Midwife (CPM) to NARM. This initiates a formal process that must include the participation of the midwife and the client. Recommendations derived as a result of this process are non-binding.


Grievance Mechanism addresses a second or subsequent complaint against a CPM (or CPM applicant). Any recommendations derived as a result of this process are binding and may include probation, suspension, or revocation of a CPM credential, or suspension or denial of a NARM application.

Learn . . . .

How to File a Complaint with NARM

If you, as a client, received care from a CPM or CPM applicant and believe you did not receive competent care, or if you, as a witness, have concerns about care received and have the client’s permission, you may file a complaint with NARM.