Legislative Constraints

As Certified Nurse-Midwives and Certified Midwives, many of us in hospital practice have been present for our patients who have spontaneously miscarried or the pregnancy failed weeks before a significantly pre-term fetus could possibly survive outside of its mother's womb.

Professional associations with other healthcare providers, such as physicians, are varied among States in regard to mandatory written collaborative agreements. The legislative requirements among CNMs/CMs are somewhat different from State-to-State.  This affects whether CNMs can provide reproductive care to the full extent of their education, training, and scope of practice.