Licensed in all 50 states, CNMs are helping a growing number of babies into the world. Obstetricians may also provide consultations for certain complications of pregnancy. Exact arrangements vary from practice to practice. Some midwives work as adjuncts to physician or hospital practices. Others own independent practices and are relatively autonomous.
Some unique values underlie midwifery education and practice.
First, CNMs view birth as a healthy and normal process. While complications can occur, pregnancy and birth are not diseases. CNMs are trained to focus on these healthy processes while keeping guard against possible medical problems. Another value is family and woman centered care. Appointments are longer than average in order to facilitate personal rapport and communication.