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Certified midwives have graduate degrees but no nursing license. And certified professional midwives rarely have advanced medical training or abilities and learn mostly through apprenticeships with more experienced midwives. Certified nurse-midwives are registered nurses with graduate degrees and mushroom chocolate bar medical training.



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mushroom'All midwives — whatever their title or professional designation and regardless of where they practice — should meet the ICM standards. Patients in every state should be guaranteed care that meets these important minimum standards.'

They are not licensed doctors and have a limited scope of practice.  Midwives are specialized health professionals who care for the mother and baby throughout the pregnancy, during the birth and for several weeks postpartum.

Home births accounted for 1.4 percent - 51,640 - of the 3.6million births in the United States in 2021, an increase of 12 percent from the prior year and the highest level ever since at least 1990, data from the Centers for Disease Control and Prevention showed.

Of those, five — including Nevada, where Ms Yeager gave birth — are actively considering legislation that would require CPMs to be licensed and five are drafting licensure legislation.  In the US, 13 states do not regulate certified professional midwife practices.

Soon after she moved to Nevada, where no license is required to provide midwifery care, so she slipped through the legal cracks. The ruling put Ms Collins on probation, meaning she could not practice without a license, but it did not prohibit her from crossing state lines to perform her services.

A separate study found the neonatal death rate of doctor-performed hospital births was 5.9 per 10,000 deliveries.  A 2020 analysis of infant death records found neonatal mortality was 13.66 per 10,000 live deliveries for all planned midwife-supervised home births.

There are three types of midwives: certified nurse-midwives; certified midwives; and certified professional midwives. The practice of midwifery tends to take a more holistic view, supporting natural approaches to pregnancy and birth.

While Ms Yeager, then 28, had undergone care throughout her pregnancy with the midwife Christy Collins, she was unaware that the supposed birthing expert was in fact practicing midwifery without a license.

After having a hard time finding an obstetrician she felt comfortable with and on the advice of a friend, Ms Yeager considered hiring a midwife. When she found Ms Collins, she decided to move forward with her as the sole practitioner for the duration of her pregnancy and a home birth.