How To Find a Midwife, For Home Birth Moms

Apr 29 2013 - 12:10pm
How to find a midwife for home births

Pregnant women who want to arrange a home birth often wonder how to find a midwife to help them with the entire labor and delivery process. Now that the American Academy of Pediatrics (AAP) has issued its first guidelines for how to safely prepare and care for newborns born at home, the question about midwives becomes especially important.

What pregnant women should know about midwives

A midwife is an individual who has been trained to provide care and support of pregnant women mainly during labor and delivery, but also during pregnancy and post delivery. Such care and support can include performing gynecological examinations, helping with prenatal care, guiding new mothers with breastfeeding and newborn tasks, in addition to assisting with labor and the birth itself.

Not all midwives have the same amount or type of training, and each state has different regulations regarding certification of midwives. Therefore, it’s important for pregnant women and their partners to inquire about the requirements in their state. Here are the four different types of midwives.

  • Certified nurse midwives (CNMs). These individuals are trained as both nurses and midwives and have at least a bachelor’s degree. Before CNMs can practice, they must pass a national certification examination from the American College of Nurse-Midwives (ACNM) and be granted a state license.
  • Certified midwives (CMs) have a college education and are certified by the ACNM. Only some states license certified midwives.
  • Certified professional midwives (CPMs) are certified by another organization--the North American Registry of Midwives (NARM)—and not all states certify CPMs.
  • Direct-entry midwives (DEMs) are the lowest level of midwife in the category. DEMs may or may not have a college degree. Some receive their training via apprenticeship, self-study, instructional programs, or workshops. Midwives in this group typically attend births in homes or birthing centers. Not all states recognize DEMs.

Among the new guidelines issued by the AAP, there are provisions related to midwives, stating that women who have a planned home birth should be attended only by midwives who have been certified by the American Midwifery Certification Board. Women should be sure the midwife they choose fits this requirement.

Women also should question any prospective midwife about her position concerning the use of pain medication, induced labor, cesarean sections, and other medical interventions. It is important for pregnant women and their midwife to agree on the course of action regarding these issues.

To find a suitable midwife, women can ask their obstetrician for a referral. They also can refer to the American College of Nurse-Midwives or the North American Registry of Midwives, as well as other organizations, for information and help in locating a midwife in their area.

In addition to recommendations regarding the use of midwives, the AAP guidelines also address a long list of other factors, including but not limited to the following. Women can discuss these issues with their midwife candidate as well.