Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period, in addition to the sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession. A professional in midwifery is known as a midwife.
In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives' essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as a nurse midwife and credentialing as a Certified Nurse-Midwife. CNMs provide care of women across their lifespan, including pregnancy and the postpartum period, and well woman care and birth control. Certified Nurse-Midwives are recognized by the International Confederation of Midwives as a type of midwife in the U.S.
The Frontier Nursing Service (FNS) provides healthcare services to rural, underserved populations since 1925, and educates nurse-midwives since 1939.
Mary Carson Breckinridge was an American nurse midwife and the founder of the Frontier Nursing Service (FNS), which provided comprehensive family medical care to the mountain people of rural Kentucky. FNS served remote and impoverished areas off the road and rail system but accessible by horseback. She modeled her services on European practices and sought to professionalize American nurse-midwives to practice autonomously in homes and decentralized clinics. Although Breckinridge's work demonstrated efficacy by dramatically reducing infant and maternal mortality in Appalachia, at a comparatively low cost, her model of nurse-midwifery never took root in the United States.
Bonnie Urquhart Gruenberg is an American photographer, author, artist, and certified nurse-midwife. She was raised in Connecticut and earned degrees in nursing at Southern Vermont College and the University of Pennsylvania. She worked as an urban emergency medical technician/paramedic in Connecticut from 1988 to 2000. Her published works cluster within two primary topics: wild horses and midwifery/childbearing. She is the author of Birth Emergency Skills Training and the creator of its associated workshops. She is also the creator of the Atlantic Wild Horse Trail, a virtual route that links the feral horse herds of the Atlantic coast into a chain of vacation spots and day-trip destinations.
Ruth Watson Lubic, CNM, EdD, FAAN, FACNM, is an American nurse-midwife and applied anthropologist who pioneered the role of nurse-midwives as primary care providers for women, particularly in maternity care. Lubic is considered to be one of the leaders of the nurse-midwifery movement in the United States.
In the United States, certified nurse midwives (CNMs) are advanced practice registered nurses in nurse midwifery, the nursing care of women during pregnancy and the postpartum period. CNMs are considered as midwives.
Midwives in the United States assist childbearing women during pregnancy, labor and birth, and the postpartum period. Some midwives also provide primary care for women including well-woman exams, health promotion, and disease prevention, family planning options, and care for common gynecological concerns. Before the turn of the 20th century, traditional midwives were informally trained and helped deliver almost all births. Today, midwives are professionals who must undergo formal training. Midwives in the United States formed the Midwifery Education, Regulation, and Association task force to establish a framework for midwifery.
Mary Francis Hill Coley was an American lay midwife who ran a successful business providing a range of birth services and who starred in a critically acclaimed documentary film used to train midwives and doctors. Her competence projected an image of black midwives as the face of an internationally esteemed medical profession, while working within the context of deep social and economic inequality in health care provided to African Americans. Her life story and work exist in the context of Southern granny midwives who served birthing women outside of hospitals.
A direct-entry midwife is a midwife who has become credentialed without first becoming a nurse. There are direct-entry midwifery programs that prepare students to become Certified Nurse Midwives (CNMs) or Certified Professional Midwives (CPMs). Certified Professional Midwives are known for being "more natural and less intervention oriented." In other words, these midwives typically work outside of the hospital setting in homes and birth centers and do not employ methods for childbirth that physicians in hospitals commonly use such as caesarean section, forceps and other types of equipment and drugs.
A midwife is a health professional who cares for mothers and newborns around childbirth, a specialization known as midwifery.
A nurse midwife is both a nurse and a midwife, having completed nursing and midwifery education leading to practice as a nurse midwife and sometimes credentialed in the specialty. Nurse midwives provide care of women across the lifespan, including during pregnancy and the postpartum period, and well woman care and birth control.
Victoria Joyce Ely was an American nurse who served in World War I in the Army Nurse Corps and then provided nursing services in the Florida Panhandle in affiliation with the American Red Cross. To address the high infant and maternal death rates in Florida in the 1920s, she lectured and worked at the state health office. Due to her work, training improved for birth attendants and death rates dropped. After 15 years in the state's service, she opened a rural health clinic in Ruskin, Florida, providing both basic nursing services and midwife care. The facility was renamed the Joyce Ely Health Center in her honor in 1954. In 1983, she was inducted into Florida Public Health Association's Hall of Memory and in 2002 was inducted into the Florida Women's Hall of Fame.
Eunice Katherine Macdonald "Kitty" Ernst was an American nurse midwife and leader in the nurse-midwife movement in the United States.
Mamie Odessa Hale was a leader in public health and a midwife consultant who worked in Arkansas for the Department of Health from 1945 to 1950. During this time, Hale's objective was to educate and train 'granny midwives.' Her efforts were in place to address the public health disparity between black and white women that was currently evident.
The American College of Nurse-Midwives (ACNM) is a professional association in the United States, formed in 1955, that represents certified nurse-midwives (CNMs) and certified midwives (CMs). Dating back to 1929, ACNM strives to be a leading example for excellence in midwifery education and practice in the United States and has a special interest in promoting global health in developing countries. "Members are primary care providers for women throughout the lifespan, with a special emphasis on pregnancy, childbirth, and gynecologic and reproductive health. ACNM reviews research, administers and promotes continuing education programs, and works with organizations, state and federal agencies, and members of Congress to advance the well-being of women and infants through the practice of midwifery."
Elizabeth Sager Sharp CNM, DrPH, FAAN, FACNM, was an American nurse and midwife who specialized in maternal and newborn health. In 1999, she received the American College of Nurse-Midwives' Hattie Hemschemeyer Award.
Brooke A. Flinders is an American nurse midwife and academic administrator who is the incoming president of Frontier Nursing University.
Joan K. Slager is an American nurse midwife and academic administrator serving the dean of nursing at Frontier Nursing University since 2018.
Jessica Brumley is an American nurse midwife who is an associate professor of obstetrics and gynecology and director of the division of midwifery at the University of South Florida College of Medicine.
