Safeguarding modern midwifery

About the Site

Centered on CNM/CM best practice and the liability exposures inherent in contemporary clinical work.

About the Author

Why midwives & counsel read

These articles translate CNM/CM standards, legal doctrine, and hospital culture into actionable guidance so clinicians and counsel can navigate modern liability without sacrificing care.

Legal risks in everyday practice

Responsible CNM/CM care and informed legal strategy demand clarity on designations, standards, and how hospital expectations shift from unit to unit.

We outline how negative assumptions, corporate metrics, and knowledge gaps erode public trust and distort courtroom narratives.

Hospital systems & representation

Content focuses on CNM/CM hospital work—where role creep, policy churn, and inconsistent onboarding create hidden exposure.

Attorneys and administrators get primers that distinguish licensure pathways, scope boundaries, and why those differences matter in discovery.

Who this serves

  • CNMs/CMs reconciling bedside realities with evolving standards of care.
  • Hospital leaders repairing cultures of care and aligning policy with safe practice.
  • Attorneys, risk teams, and patients who need a grounded view of each midwifery designation.

August 10, 2024

Legal Standard of Care, Part 2

Updated January 12, 2026

Legislation and Standard of Care

            Another example of legislative language describing standard of care can be defined as thedegree of care and skill of the average CNM, taking into account the medical/midwifery knowledge available to her based on customary practices of the average CNM. It is obvious that statutory legal terms exist to be argued about in court.  A CNM provider will never hear this language in any graduate school midwifery classroom or labor and delivery unit.  Certified Nurse-Midwives do not acquire knowledge of the science, skills, ethics, and competencies of midwifery based on legislative standards. “Available knowledge” for a CNM/CM will be based on her education from an accredited midwifery education program.

       An additional example of statutory language and one of my favorites:

“That degree of care or competence that a reasonably competent midwifery professional practicing in the same field as the defendant and in the same area as the defendant would do under the circumstances that defendant was facing with respect to the care and treatment of the patient”. Whew.

     Based on this legislative language, establishing whether the applicable legal requirements are met in court will require the testimony of exceedingly focused and good-humored expert witnesses, retained by both plaintiff(s) and defendant(s). The prospective experts selected for this challenging task will be required to argue whether a defendant care provider complied with, or breached, the standard.

http://www.midwivesontrial.com