Safeguarding modern midwifery

About the Author

Uniting clinical expertise and legal perspective to reveal how midwifery is interpreted—and often misinterpreted—across courts and hospitals.

Martha E Merrill-Hall portrait
Martha E Merrill-Hall JD MS CNM

Martha has led CNM practice across private, Indian Health Service, hospitalist, and critical access settings while litigating personal injury and professional malpractice cases.

Today she researches verdict trends, policy shifts, and licensure actions from the Rocky Mountains—equipping midwives, patients, and counsel with grounded legal insight.

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Why midwives & counsel read

Dual license perspective

Decades of private, IHS, hospitalist, and critical access CNM practice pair with JD work representing both plaintiffs and defendants in professional malpractice.

  • Pro bono defense of advanced practice providers facing board actions.
  • Expert witness experience in midwifery negligence claims.

Where I've practiced

Licensed across Colorado, Montana, Nebraska, Iowa, New Mexico, California, and beyond—spanning CNM hospitalist teams, Indian Health Service care, and cardiology/critical care nursing roots in Vermont and Maine.

Today I research verdicts, legal seminars, and policy shifts from the Rocky Mountains.

What Martha hopes readers gain

  • Historical context for how CNMs/CMs secured hospital privileges and where culture still lags clinical reality.
  • Plain-language breakdowns of licensure boundaries, malpractice myths, and courtroom expectations.
  • Validation for midwives, attorneys, and patients who need equitable framing of the profession’s contributions.
  • Strategies to translate courtroom narratives back into safe bedside practice.

June 27, 2024

Graduate Level Midwifery Education

Updated January 12, 2026

Educational Achievements of Certified Nurse Midwives and Certified Midwives

Along with other misconceptions regarding nurse-midwifery practice is the idea that CNMs/CMs are inadequately educated when compared with physicians. Historically, with the advent of obstetrical physicians, and with the medicalization of normal women experiencing normal childbirth, anything short of a traditional medical school education has been considered inferior.  As previously mentioned, certified nurse-midwifery education has never proposed to confer skills specific to a medical model of care, although there is expected overlap between models for certain aspects of care.

Different Educational Paths      

Midwives with various designations follow different educational paths. CNMs are educated in two disciplines: nursing and midwifery.  They earn graduate and doctoral degrees, complete a specific midwifery education program accredited by the Accreditation Commission of Midwifery Education (ACME), and pass a national certification examination administered by the American Midwifery Certification Board (AMCB) to receive the professional designation of CNM.

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Certified Midwives         

Certified Midwives (CM) are educated in the discipline of midwifery.  They hold graduate degrees, meet health and science education requirements, complete a midwifery education program accredited by ACME, and pass the same national certification examination as CNMs to receive the professional designation of CM.

CMs are not required to have a background in nursing and enter the profession of midwifery without undergraduate nursing degrees, yet they function in the same capacity and possess the same post-baccalaureate midwifery education, competencies, and skills as a CNM. The only significant difference between a CM and a CNM is that nurse-midwives enter midwifery from a nursing background, with its traditions, clinical skills, biases, and problematic relationships with medicine. CMs enter the profession of midwifery free from the influences and baggage of traditional nursing.

Graduate Level Degrees In Midwifery         

The ACNM, ACME and AMCB consider a graduate-level degree as the basic foundation for nurse-midwifery practice.  All students must achieve the Core Competencies for Basic Midwifery Practice, whether this is accomplished at a master’s or doctoral level.  Nurse-Midwifery in America became legalised and accepted as a healthcare profession, in large part, due to its association with nursing.  Most midwifery education programs are associated with schools of nursing.  Following is a partial list of colleges and universities that currently have post-baccalaureate midwifery education programs. 1

1 1. Baylor University, 2. Baystate Medical Centre, 3. Bethel University, 4.California State University, 5. Fullerton Case Western Reserve University, 6.Columbia University, 6. East Carolina University, 7. Emory University, 8. Fairfield University, 9. Frontier Nursing University, 10. Georgetown University,11. Georgia College and State University, 12. Keiser University, 13. Marquette University, 14.Midwifery Institute at Jefferson College of Health Professions, 15.New York University, 16, Ohio State University, 17. Oregon Health Sciences University, 18. Rutgers College of Biomedical Health Sciences, 19. Seattle University, 20. Shenandoah University, 21. State University of New York (SUNY), Stony Brook University, 22. Texas Tech University, 23. University of California at San Francisco, 24. University of Cincinnati, 25. University of Colorado, 26. University of Illinois, 27. University of Kansas,28. University of Michigan, 29. University of Minnesota, 30. University of New Mexico, 31. University of Pennsylvania, 32. University of Pittsburgh,33. University of Utah,34. University of Washington, 35. Vanderbilt University, 36. Wayne State University, 37. Yale University.

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