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If you are passionate about providing complete care during pregnancy, childbirth, and postpartum, consider becoming a certified nurse midwife (CNM). To provide readers with all the information to decide if this career is right for them, we've compiled a guide with details about the role, duties, income, education, and advantages of becoming a CNM. CNM Job Description CNMs possess specialized knowledge and nursing skills to manage all aspects of women's reproductive health throughout their lifespan, including pregnancy, childbirth, and postpartum care. They are trained at the graduate level and are recognized as advanced practice registered nurses (APRNs), making them independent healthcare providers in many states. CNMs provide comprehensive care to individuals of all gender identities and sexual orientations. They are proficient in addressing a wide range of sexual health and reproductive health needs, including gynecological care, family planning services, and primary care related to women's health needs. -
Frontier Nursing University posted a resource article in Essential Nursing Resources: Clinical Guides & Tools
Advanced practice registered nurses (APRNs), such as nurse practitioners and nurse-midwives, play a vital role in expanding access to healthcare. Becoming an APRN is a natural step for nurses looking to grow in their profession with leadership opportunities and specialized training. Nurses have many options available to them when pursuing advanced degrees like a Master of Science in Nursing (MSN), Post-Graduate Certificate (PGC), or Doctor of Nursing Practice (DNP). Nurses who want a broad scope, flexibility and variety may consider a number of different nurse practitioner specialties, while others may feel called to focused specialties like nurse-midwifery. It is important to understand the distinct role and focus of each path to make an informed decision. According to the American Association of Nurse Practitioners (AANP), nurse practitioners evaluate patients, diagnose, write prescriptions and bring a comprehensive perspective to health care in nearly 1 billion patient visits each year, providing high-quality care across a wide range of specialties. The NP profession is trending to be the fastest-growing profession over the next decade due to 102 million people now living in primary care shortage areas, according to the AANP. The need for nurse-midwives is also growing. Nurse-midwives are primary health care providers to women of all ages throughout their lives. With more than 3.7 million live births each year, the United States has approximately four midwives employed per 1,000 live births according to the American College of Nurse-Midwives. An estimated 22,000 midwives are needed to meet the World Health Organization's minimum goal of six midwives per 1,000 live births. Three popular specialties that play a key role in addressing these provider gaps and expanding access to care include Family Nurse Practitioner (FNP), Women's Health Care Nurse Practitioner (WHNP) and Certified Nurse-Midwife (CNM). Family Nurse Practitioner An FNP is an advanced practice nurse who manages the healthcare of individuals and their families by providing preventive and primary care, promoting health and wellbeing, and helping patients manage chronic conditions. FNPs conduct routine checkups and assessments, order and interpret tests, make diagnoses, prescribe medications, and initiate and manage treatment plans for their patients. The FNP curriculum prepares clinicians for a broad scope of practice as they will be managing the healthcare of individuals and families across the lifespan. FNP programs often blend core courses on population-focused primary care, pathophysiology and pharmacology with leadership training. Women's Health Care Nurse Practitioner A WHNP is an advanced practice nurse who specializes in continuing and comprehensive health care for women throughout their lives as well as providing sexual and reproductive healthcare to people of all genders. WHNPs provide well-woman care, reproductive and gynecological care, and prenatal and postpartum care. Additionally, WHNPs focus on health promotion and disease prevention. WHNPs learn a diverse set of clinical, diagnostic, and therapeutic skills that prepare them to provide expert care to women in a variety of healthcare settings, including primary care, reproductive health, and maternal health. This broad skill set ensures that WHNP graduates are versatile and adaptable in the ever-evolving field of sexual and reproductive healthcare. Certified Nurse-Midwife Certified nurse-midwives are APRNs focused on gynecologic and family planning services, as well as preconception, pregnancy, childbirth, postpartum and newborn care. They also provide primary care such as conducting annual exams, writing prescriptions, and offering basic nutrition counseling. Certified Nurse-Midwives are educated in both midwifery and nursing. What to Consider When Selecting an APRN Program Nurses who have completed a Bachelor of Science in Nursing can typically complete an advanced nursing degree in two to three years. Nurses looking to fit a master's or doctoral degree into already busy schedules may benefit from part-time, hybrid or distance education programs. Some schools also offer support in finding preceptors and clinical sites, which can be one of the most challenging requirements of an APRN program. Ultimately, the choice between FNP, WHNP and CNM depends on your unique values, interests and career goals. While all three specialties combine didactic and clinical learning, they differ in focus, curriculum, program length, clinical training and certification requirements. Exploring your passions and researching which program best fits your lifestyle will help ensure you're on the right path. Request information about nurse-midwifery, family nurse practitioner, and women's health care nurse practitioner programs. Learn More About Frontier Nursing University The mission of Frontier Nursing University is to provide accessible nurse-midwifery and nurse practitioner education that integrates the principles of diversity, equity, and inclusion. We transform healthcare by preparing innovative, ethical, compassionate, and entrepreneurial leaders to work with all people with an emphasis on rural and underserved communities. FNU offers graduate Nurse-Midwifery and Nurse-Practitioner distance education programs that can be pursued full- or part-time, with the student's home community serving as the classroom. Degrees and options offered include Doctor of Nursing Practice (DNP), Master of Science in Nursing (MSN), or Post-Graduate Certificates. Frontier has been named a "Great College to Work For" by the Great Colleges to Work For® program for each of the past three years (2021-2023). To learn more about FNU and the programs and degrees offered, please visit Frontier.edu. -
So...you've decided to advance your education and obtain a masters degree in nursing (MSN) or a terminal doctoral degree. Which route will you travel? What is your ultimate goal? Where do you see your nursing career in 5 years, 10 years, 20 years? In this article, we will explore the four options for advanced practice careers. Nurse Practitioner (NP) According to the American Association of Nurse Practitioners, NPs are: "...clinicians that blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management, NPs bring a comprehensive perspective to health care." NPs fulfill many roles both in the hospital, in private practices, nursing homes, correctional institutions, home care and in management positions. NPs are sought after for their clinical expertise and ability to provide cost-effective medical care in our ever-changing world of nursing. They perform their duties professionally and compassionately. Outcomes from NP care are economical and have been proven to be on par with professional medical standards. Today, many NPs function as the primary gatekeeper to US medical care. Many patients have an NP as a primary care provider. The Advanced Practice forum has many threads and articles about NP practice, duties and responsibilities. We also have a Student NP forum where students can discuss issues about schools, classes, obtaining preceptors and the new-grad job market. Certified Registered Nurse Anesthetist (CRNA) Nurse anesthetists have been providing anesthesia care for more than 150 years. The certification CRNA was developed in 1956. From the American Association of Nurse Anesthetists: "CRNAs are anesthesia professionals who safely administer approximately 43 million anesthetics to patients each year in the United States, according to the American Association of Nurse Anesthetists (AANA) 2016 Practice Profile Survey." In the CRNA forum, discussions range from new grad job offers to practice pearls to how to develop an independent practice. We also have a very active student CRNA forum where members discuss shadowing experiences, interviews with schools, and the life of a SRNA. Frequent discussions focus on how to blend the student role with the practicing CRNA role. The military has long used CRNAs in field hospitals on battlefields on the front lines. CRNAs first provided care to wounded in the Civil War. Nowadays, the military continues to utilize CRNAs in active duty environments as well as the Veterans Administration facilities. Cost-containment is another aspect of nursing care where CRNAs excel. They provide high-quality anesthesia care in an efficient manner with reduced expenses to patients and insurance companies. This makes this career choice very lucrative. Clinical Nurse Specialist (CNS) The National Association of Clinical Nurse Specialists says that CNS's are expert clinicians who care for a specific population. In most states they are recognized as APRNs and able to examine, diagnose, and treat patients as well as to bill for this care. They function in a wide variety of settings including hospital, clinics, nursing homes, home care, and hospices. There are a myriad of roles for the CNS and depending on the facility, the CNS might be a change agent, educator, manager, or provide bedside APRN care. Certified Nurse Midwives (CNM) The American College of Nurse Midwives is the organization devoted to supporting and providing cutting-edge information to CNMs. For many women in the US, CNM care is the routine for their pregnancy. These nurses care for the pregnant woman and child during pregnancy and labor. They have a much lower rate of operative births. And the rate of labor interventions is often less also with CNM care.
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Certified nurse-midwives (CNM) are educated in the two disciplines of nursing and midwifery. They provide primary healthcare to women of childbearing age including: prenatal care, labor and delivery care, care after birth, gynecological exams, newborn care, assistance with family planning decisions, preconception care, menopausal management and counseling in health maintenance and disease prevention. CNMs attend a very small percentage of births in the United States. The CNM dates back to the early 1920's when Mary Breckinridge started a program in Kentucky using nurses from other countries. As the need for licensed professional nurses grew, programs started growing and now all CNM must be educated as RN's, complete a Nurse-Midwifery program, and become certified as nurse-midwives. Programs must adhere to the standards of midwifery practice in the United States as set forth by the American College of Nurse-Midwives (ACNM). The CNM works closely with Obstetricians and Gynecologists (OB-GYN physicians). They take on what is considered "low-risk" pregnancies. Should the midwife recognize the gravida is high-risk, he/she will consult and refer immediately to the OB-GYN. The majority of CNM work in hospitals and in poor, rural townships/cities. They also are employed in birthing centers and Health Departments. The role of the CNM has greatly enhanced the quality of healthcare for women in the past 40 years in areas where OB-GYNs are not available. Scope of Practice Physical Assessment Prescription privileges Education Referrals and consultations General health of women and the newborn General uncomplicated lady partsl birth of the gravida and immediate care of the newborn Regulation of the CNM The state Board of Nursing (BON) licenses the RN Only graduates of an accredited midwifery program are eligible to sit for certification as CNM CNM Education For the past several years, there has been much discussion about the education process for the APRN. Most APRN programs have moved to the Doctor of Nursing Practice (DNP) as the minimum entry into practice for Nurse Practitioners (NP) and the DNP or Doctor of Nurse Anesthesia Practice (DNAP) for Certified Nurse Anesthetists (CRNA). The Clinical Nurse Specialist (CNS) seems to follow along the same lines. According to the 2020 FAQ from the American College of Nurse-Midwives (ACNM): Educational Programs (not all-inclusive) Georgetown University School of Nursing and Health Studies - (MS, BSN to DNP) Texas Tech University Health Sciences Center School of Nursing - (MSN, Post Graduate Certificate) Baylor University College of Nursing - (Doctor of Nursing Practice-DNP) California State University, Fullerton School of Nursing - (MSN/Post-Master's Certificate) University of Colorado, Anschutz Medical Campus, College of Nursing - (MS, Post-Graduate Certificate, DNP ) Emory University Nell Hodgson Woodruff School of Nursing - (DNP, BSN-MSN, MSN or MSN/MPH, Post Graduate Certificate) Vanderbilt University School of Nursing - (MSN, Post Graduate Certificate) Differences between CNM and Lay Midwife The difference between the two is their training. Lay midwives are not nurses, rather, they're those who have had direct training in midwifery through self-study and the majority, apprenticeship. Some lay midwives later decide to enter into a Masters Nursing Program and combine Nurse-Midwifery with the program. A licensed midwife is sanctioned by her/his state after she/he passes a test administered by the state's medical board licensing division. Licensing requirements differ among states; some, like Oregon, do not require licensing at all. Lay midwives in eight states - Indiana, Iowa, Kentucky, Maryland, Missouri, North Carolina, Virginia, and Wyoming - and in the District of Columbia legally are not able to become licensed midwives. So while you may be able to have a legal homebirth in those states, a lay midwife could risk arrest by attending. Liability Insurance for the CNM Many Insurance companies will not cover the CNM. The following is one company that provides competitive premiums for the CNM and Midwifery Student. Contemporary Insurance Services Salary (2020) According to salary.com, the average annual salary in the U.S. is $110,963 with a range between $102,034 and $125,739. According to Glassdoor, the national average salary for a CNM in the U.S. is $106,576.
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I am looking into a career as a CNM. I am an RN with experience in med/surg, operating room and now as an nurse educator for the operating room. My desire to explore this career field comes from my personal experiences. I have four pregnancy, first was stillborn with IUGR and HELLP syndrome. Second was IUGR and induction at 36 weeks followed by a 5 week postpartum multiple DVTs. Third pregnancy was a 9 week miscarriage and then finally the fourth was induction at 38 weeks with gestational hypertension (during pregnancy I was on aspirin, lovenox and heparin shots daily). I believe in the medical interventions when necessary but want to be a part of women's journey to becoming a mother. I am nervous that my history of high-risk pregnancies and medical interventions would be conflicting with most CNM views? Is it possible to be a CNM and still believe in the hospital births and interventions?
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Hello! I am getting ready to apply for a CNM program next year and am also planning to apply for Nursecorps/HRSA scholarship. I am very called to possibly working for IHS after graduation. Looking to talk to folks who have gone this route, esp as a new grad. TIA!
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I've been a PCU/Step-down nurse for almost 4 years and I've always been interested in Midwifery. I applied late to Frontier's Spring 2023 class and was rejected. I'm looking into applying to University of Cincinnati CNM, Bethel University's CNM or trying Frontier again. The only issue is that my overall GPA is 2.8. My BSN GPA is a 3.0. Hopefully someone has some encouraging news that they have been accepted with a lower GPA. There really isn't much help on this issue online.
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According to the World Health Organization (WHO), nurses and midwives represent more than 50 percent of the current shortage of healthcare workers. In fact, WHO estimates that an additional nine million nurses and midwives will be needed globally by the year 20301. In the U.S., gaps in care are often prevalent in rural communities, especially when it comes to access to services provided by certified nurse-midwives (CNMs). According to a 2017 research article published in Health Affairs, 50 percent of rural counties have no hospital-based obstetrical services. Further, rural residents have a nine percent greater probability of severe maternal morbidity and mortality compared with urban residents2. According to a 2020 study from The Lancet Global Health, utilizing more midwife services could result in 280,000 fewer deaths in mothers, nearly two million fewer deaths in newborns, and more than two million fewer stillbirths per year by 20353. In addition, a 2018 study found that women who gave birth at hospitals with more midwife-attended births had lower odds of giving birth by cesarean and lower odds of episiotomy4. In the U.S., midwife services are utilized in only eight percent of births, according to a 2019 article from Scientific American. Comparatively, midwives attend over two-thirds of births in the U.K. and other countries5. According to the 2022 America's Health Rankings annual report, at 5.4 deaths per 1,000 live births, the U.S. ranked No. 33 out of the 38 Organization for Economic Co-operation and Development (OECD) countries measured by the study. The average rate of infant mortality among OECD countries was 4.1 deaths per 1,000 live births6. As our national healthcare system reckons with a shortage of nurses and midwives and as rural and underserved populations find themselves at greater risk of maternal morbidity and mortality, it is imperative to prepare a new generation of CNMs and women's healthcare nurse practitioners (WHCNPs) who are prepared to provide culturally-concordant primary preventive care. Though many may think of the delivery room when they hear the word "midwife,” a CNM's scope of care is much more far-ranging, providing a wide spectrum of reproductive, sexual, and primary women's health services. A CNM's focus is on gynecologic and family planning services, as well as preconception, pregnancy, childbirth, postpartum and newborn care. They also provide primary care, such as conducting annual exams, writing prescriptions, and offering basic nutrition counseling. CNMs are able to work in all birth settings, including hospitals, homes, and birth centers, and can prescribe medications in all 50 states. While they are experts on how to cope with labor pain both naturally and using medications when needed. they also work with anesthesia providers to give access to epidurals. CNM's collaborate with obstetricians to ensure that if there is a complication, there is ready access to obstetrical services. Women who have health conditions that may put them at risk for complications often work with both nurse-midwives and OBGYNs for a highly effective plan of care. Training nine million new nurses and midwives is a tall order, but passionate healthcare professionals from around the world are advancing their scope of capabilities. Those interested in becoming a CNM must first complete nursing school, earn a master's degree or post-graduate certificate from an accredited nurse-midwifery program, pass the national midwifery certification board exam, and hold state licensure. For practicing nurses who want to provide further healthcare services for women but are not enticed by the birthing element inherent in the work of CNMs, pursuing a master's degree or post-graduate certificate to become a WHCNP may be appealing. A WHCNP is an advanced practice nurse that specializes in continuing and comprehensive health care for women throughout their lives. WHCNPs provide well-woman care, reproductive and gynecological care, and prenatal and postpartum care. Additionally, WHCNPs focus on health promotion, disease prevention, health education, and helping patients make smart lifestyle choices. CNMs and WHCNPs also have the option to obtain a clinical doctorate. The Doctor of Nursing Practice (DNP) is the highest degree for clinical nursing practice, allowing nurses to advance their skills and develop as leaders, researchers, and innovators to improve health outcomes. For busy nurses balancing careers and active personal lives, a distance education program can be an excellent option for pursuing a degree or certification, particularly for those in diverse, rural, and underserved communities. With flexible online formats, nurses can choose their pace of study, complete clinical rotations in their home communities, and expand their professional networks. To learn more about certified nurse-midwives, visit the American College of Nurse-Midwives (ACNM). To learn more about women's health care nurse practitioners, visit Nurse Practitioners in Women's Health (NPWH). References/Resources 1 Nursing and midwifery: World Health Organization 2 Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–15: Health Affairs 3 Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: a Lives Saved Tool modelling study: The Lancet 4 Relationship Between Hospital-Level Percentage of Midwife-Attended Births and Obstetric Procedure Utilization: National Library of Medicine 5 The U.S. Needs More Midwives for Better Maternity Care: SCIENTIFIC AMERICAN 6 Annual Report 2022: America's Health Rankings-The United Health Foundation
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Hopefully, someone can help me with this situation :). I want to get my DNP in either FNP/CNM or WHNP/CNM. Well the end goal is to have my DNP with the specialties of FNP/CNM or WHNP/CNM. The issue I have is a lot of the programs I researched are asking for an overall GPA of 3.0. For my GPA my cumulative GPA across all classes is 2.7. This GPA is the sum of my bachelor's in psychology, attending 2 nursing schools and some other classes in different colleges. While doing this research, I've noticed that I might have to pursue a masters degree in either of specialties then pursue my doctorate in another specialty. Which will require more time than expected. I would love advice as to how to go about this in the smartest way as possible along with which one is best FNP/CNM or WHNP/CNM. Thank you in advance!
