The North American Registry of Midwives (NARM) recognizes its responsibility to protect the health and safety of clients and the integrity and value of the CPM credential. This is accomplished through a confidential formal Accountability Review Process conducted by staff and peer case reviewers. While recognizing that each Certified Professional Midwife (CPM) practices according to their own conscience, practice guidelines, and skill level to offer individualized care to each client, the NARM Accountability Program functions to ensure competency and safe practice by those holding the CPM credential.

A credential may be revoked or suspended for several reasons, including but not limited to falsification of Application information; failure to participate in or cooperate with the Accountability Review Process; infractions of NARM’s Non-Disclosure Policy; and substantiated accusations of impaired practice. If, after thorough review of all pertinent records, the Accountability Review Committee determines a CPM acted dishonestly, violated the core principles of informed consent, engaged in conduct that compromised their ability to perform professional duties or conduct not consistent with professional midwifery standards, or that negligent or fraudulent actions compromised the well-being of a client or client’s fetus or baby, the CPM credential may be revoked or suspended.

Due to the confidentiality protections surrounding our Accountability Process, NARM can only confirm that a credential has been revoked or suspended; no information will be released regarding the details surrounding an individual CPM’s revocation or suspension.

Revoked or suspended midwives may no longer refer to themselves as a NARM CPM, Certified Professional Midwife, or CPM and are advised to honestly and responsibly inform current and prospective clients that their CPM credential has been revoked or suspended.

Revocation of a CPM Credential resulting from an Accountability Case Review or Appeal is permanent. No pathway to recertification will be provided.

Suspension of a CPM Credential resulting from an Accountability Case Review or Appeal will be lifted upon completion of all Accountability Review Committee imposed sanctions and corrective actions.