As I mentioned above, a CNM also can do Women's Health that does not involve pregnancy. The CNMs in my clinic also do routine gyn. It's more about finding a job that allows you to do both. There's really nothing to be gained by getting both certifications, in my opinion. If you want to have a general practice that includes non-gyn health care for women, you might want to look a both an FNP and a CNM certification. Then you could conceivably ( pun intended!) work part time as an FNP in one type of practice (which will most likely involve caring for men and women) and also work part-time as a CNM in another. Keep in mind however, that any CNM position will involve being on call for attending births, which might make it challenging to hold another position.