Cyndi is nationally certified through the American College of Nurse Midwives. Although most CNMs work in hospital settings, Cyndi’s experience has been exclusively in out-of-hospital settings.Each family will also have an experienced birth assistant at the birth. A birth assistant is someone who has the skills of a doula; but additionally has the skills to assist the midwife in cases of emergency. A physician will be available for care in the hospital should the need arise.