Types of Midwives
In the United States there are two major umbrellas to the field of midwifery.

Certified Nurse Midwives and Direct Entry Midwives

A Direct-Entry Midwife (DEM) is an independent practitioner educated in the discipline of midwifery through apprenticeship, self-study, a midwifery school, or a college/university-based program distinct from the discipline of nursing.

Depending on the state you will see their licensure or credentials as Licensed Professional Midwife, Certified Professional Midwife, Certified Midwife, Licensed Midwife, Registered Midwife.

Typically: Direct Entry Midwives provide care out-of-hospital, home and community births.


A Certified Nurse Midwife is educated in the disciple of Nursing and Midwifery. CNMs are nurses who have completed a graduate-level nurse-midwife program and passed a certification exam from the American Midwifery Certification Board.  They provide not only pregnancy, birth and normal newborn care but also reproductive through end of life well woman care.

Typically: CNMs provide care within the hospitals, often under the authority of an obstetrics practice.

Finally, there is a lesser-discussed,, but no less important, Midwife.  A Traditional Midwife practices without official credentialing and may choose not to for religious, philosophical or cultural reasons.  A Traditional Midwife may also be called a Community Midwife and feels accountable to the community and the clients served and that a birthing person has the right to choose who attends her.

Tomorrow, I’ll be sharing more information on midwifery across the 50 states, so you can narrow down you choices 

Which type of midwife do you use for your care?
Stefanie Melo, Holistic Life and Faith Coach
I’m Stefanie and I am here for you, mama. 

I had expectations of feeling purpose and fulfillment in motherhood. Instead, I experienced trauma, anxiety, depression, isolation and a crisis of faith. 
Feeling like I couldn't be the mom I wanted to be to my five children, I began a journey of deconstructing and challenging everything I thought I believed. It was scary and messy. It felt like heresy! It also led to a deeper faith in Jesus, more peace, and a wholeness I didn't know was possible. 

Today, I am based in Arizona where I Montessori homeschool my 5 children ages 2-10 with my husband, Hernando. I am alligned with my calling as a feminist Jesus lover and a holistic coach to help mamas who are at any point in their evolving journey of faith to reclaim a little more sparkle! 
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