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The Different Types of Midwives & Finding the Best Fit for You

If you’re interested in hiring a midwife to deliver your baby, it helps to do some research.

Why’s That? Because midwives have varying levels of training and experience. In this article, we’ll take a closer look at three specific types of midwives: Certified Nurse Midwives, Certified Midwives, and Traditional Midwives. The first two types of midwives have the most training, whereas the third type doesn’t have a training requirement at all.

Get Wise(r) About These 3 Common Types of Midwives Below:

1. Certified Nurse Midwives (CNM): The Highest Level of Certification.

  • Certified nurse midwives graduated from college, obtained a nursing degree, and completed midwifery training.
  • CNMs deliver babies in hospitals, birthing centers, and in their patients’ homes. They do not perform C-sections.
  • All states recognize and license CNMs and allow them to prescribe medications.
  • CNMs are required to have malpractice insurance and some of them accept health insurance.

2. Certified Midwives (CMs): The Middle of the Road in Terms of Certification.

  • Certified midwives don’t have a nursing degree, but they do have an undergraduate degree and a midwifery certification through the American Midwifery Certification Board (AMCB). You can verify that your midwife is certified through the AMCB here
  • CMs offer prenatal care, home deliveries, and postpartum care.
  • Only some states provide CMs with an official license and allow them to prescribe medications. 
  • Certified Midwives don’t usually accept health insurance or have malpractice insurance.

3. Traditional Midwives (“Lay Midwives”): No Certification Necessary

  • Lay midwives have no “formal” training.
  • They learn their trade from other midwives (or on their own) and draw knowledge from the traditions that have gone before them. 
  • As you can imagine, “lay midwives” can be a mixed bag. There are some really great ones and some woefully inexperienced ones, too. If you decide to go this route, research your options carefully.

The Bottom Line & A Parting PediaTip

If you’re interested in hiring a midwife to deliver your baby, do your homework. Pick someone who knows what they’re doing and who has a close affiliation with a hospital in case you’re doing a home birth and things get squirrely.

Bonus Info:

  • One of the first steps in picking a midwife is deciding whether you want to give birth in a hospital, a birthing center, or in the comfort of your own home. Get Wise(r) about the different Delivery Location Options here.
  • In addition, Get Wise about the Top 10 Interview Questions to Ask Midwives.


1. American College of Nurse-Midwives. Accessed February 2021. “Comparison of Certified Nurse-Midwives, Certified Midwives, Certified Professional Midwives Clarifying the Distinctions Among Professional Midwifery Credentials in the U.S.” https://www.midwife.org/acnm/files/ccLibraryFiles/FILENAME/000000006807/FINAL-ComparisonChart-Oct2017.pdf

2. American College of Nurse-Midwives. May 2019. “Essential Facts about Midwives.” https://www.midwife.org/acnm/files/cclibraryfiles/filename/000000007531/EssentialFactsAboutMidwives-UPDATED.pdf [Accessed February 2021]

3. RegisteredNursing.org. January 2021. “What Is the Difference Between a Certified Midwife (CM), Certified Nurse Midwife (CNM) and Certified Professional Midwife (CPM)?” https://www.registerednursing.org/nurse-midwife/#answers_list [Accessed February 2021]

4. American Midwifery Certification Board. “Verify a Midwife.”
https://ams.amcbmidwife.org/amcbssa/f?p=AMCBSSA:17800 [Accessed February 2021]

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Dr. Blair Farr is a board-certified doctor and Mom of two. Her goal is to use her personal & professional experiences to help others find more support, peace, and joy on their own pregnancy & parenting journeys.