The Role of a Certified Nurse Midwife in Pregnancy
If you are pregnant or planning to become pregnant, you may hear about Certified Nurse Midwives, also called CNMs. Many women wonder what midwives do and how they help during pregnancy and childbirth. Understanding their role can help you feel more confident and supported during this important time.
What Is a Certified Nurse Midwife?
A CNM is a health care provider who is trained both as a nurse and as a midwife. They complete graduate-level education and must pass a national board certification exam. CNMs are licensed to practice in every state and are considered advanced practice nurses, similar to nurse practitioners.
CNMs specialize in caring for women, especially during pregnancy, childbirth, and postpartum recovery. They are highly trained professionals who focus on both medical care and emotional support.
What Care Do CNMs Provide?
CNMs provide care for women at many stages of life. Their services include:
- Care during pregnancy
- Support during labor and delivery
- Care after childbirth (postpartum care)
- Care for newborn babies
- Annual women’s health exams
- Birth control counseling and management
- Treatment of minor health concerns
CNMs focus on caring for the whole person—not just physical health, but emotional and mental well-being too.
What to Expect During Your Pregnancy
CNMs work closely with obstetricians (OB doctors). They consult with them whenever needed, especially if there are concerns or higher-risk situations. This team approach helps ensure you and your baby receive safe and complete care.
- During labor and delivery, a CNM may:
- Monitor your labor progress
- Help manage labor induction
- Provide comfort and guidance
- Deliver your baby
Midwives are trained to do many of the same things obstetricians do, except for performing surgeries, such as C-sections, and managing certain high-risk situations.
Supporting Your Birth Plan and Your Choices
One common myth is that midwives only support natural, unmedicated births. This is not true.
Certified Nurse Midwives support your choices. Their goal is to help you have the birth experience that feels right for you, while keeping you and your baby safe.
Whether you choose:
- An unmedicated birth
- Pain relief, such as an epidural
- Labor induction
- Or a different birth plan
Your CNM will explain your options, discuss the risks and benefits, and help you make informed decisions. They respect your wishes and advocate for you throughout the entire process.
A Trusted Partner in Your Pregnancy Journey
Pregnancy and childbirth are life-changing experiences. Having a Certified Nurse Midwife as part of your care team means you have a skilled professional who is dedicated to your health and your baby’s health.
They work alongside obstetricians to provide safe, personalized care while honoring your choices and your birth plan.
With a Certified Nurse Midwife, you are never alone—you have a trusted partner guiding and supporting you through one of life’s most meaningful moments.
Jennifer Cameron is a Certified Nurse Midwife at MyMichigan Health in Midland.
