Transforming Maternity Care to a
Midwife-led System

State recognition for the Certified Professional Midwife (CPM) credential is an important step to achieving a system of maternity care based on the midwifery model. 
33 states currently recognize CPMs, but Massachusetts is not yet one of them.

 
 
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Blueprint for Advancing High-Value Maternity Care Through Physiologic Childbearing

The Blueprint, published by the National Partnership for Women & Families provides a detailed guide to achieving the systemic transformation we need to fix the broken maternity care system in the U.S. 

Priority Recommendation 5c: Grow the Midwifery Workforce
Strategies listed for this recommendation include: state recognition of Certified Professional Midwives (CPMs) and Medicaid reimbursement for midwifery care at 100% the rate of physicians for the same service.

 
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Massachusetts Ranks 32/50 for maternity care integration

An important 2018 study linked an integrated maternity care system to better maternal and child health outcomes:
• fewer infant deaths
• fewer C-sections
• more breastfeeding
• fewer unnecessary interventions
• thriving babies (higher birth weight and fewer preemies)
In this study, Massachusetts ranked 32 out of 50 states due to the lack of integration of certified professional midwives into the health care system.

 
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The Home Birth Summit Common Ground Statement on Licensure and Regulation

"It is our goal that all health professionals who provide maternity care in home and birth center settings have a license that is based on nationalcertification that includes defined competenciesstandards for education and practice."

"We believe that guidelines should allow for in- dependent practice, facilitate communication across providers and care settings, encourage professional responsibility and accountability, and include mechanisms for risk assessment."