A national 'Big Push for Midwives' Campaign is due to be launched in the USA in January 2008. The campaign will advocate for regulation and licensure of Certified Professional Midwives (CPMs) in all 50 states and the District of Columbia.
Currently, Certified Nurse-Midwives (CNMs), who work predominantly in hospital settings, are licensed and legal in all 50 states. Certified Professional Midwives (CPMs), who specialise in out-of-hospital delivery, are licensed and legal in fewer than half of the states. CPMs are specifically trained to provide out-of-hospital maternity care for healthy women experiencing normal pregnancies ans they offer a family-centred model of care, which is associated with reducing the incidence of caesarean section, birth injury and trauma, as well as significantly lowering the cost of maternity care.