Alabama’s Old Guard Pressed to Provide More (Sweet Home) Birth Options in “The Heart of Dixie”


Certified Professional Midwives (CPMs) are NOT Legally Authorized to Practice in Alabama

Mothers, Families, and Midwives are Actively Working on CPM Legislation

Alabama Midwives Association

This organization is working to license CPMs, and they are actively pursuing CPM licensure in Alabama.

In 1975, the Alabama Legislature granted licensure to only Certified Nurse-Midwives (CNMs). Independent midwives could continue to practice with a valid permit issued by the Department of Public Health. Over the next few years, the Department ceased to renew permits and informed midwives that they would have to stop practicing. Various midwives have continued to practice since that time; some serve their communities at home births, while others travel across state lines to provide care in a safer legal setting.


Some Alabama midwives have met the standards of certification set by the North American Registry of Midwives to receive the national Certified Professional Midwife (CPM) credential. There are other skilled and experienced midwives in Alabama who choose not to become certified. ALMA recognizes that ultimately it is the right and the responsibility of parents to educate themselves, to interview prospective maternity providers, to choose their birth setting, and to hire the provider whom they feel is most appropriate for their individual circumstances.

ALMA seeks legalization for nationally-credentialed midwives attending out of hospital births. ALMA supports efforts to lobby the legislature to pass decriminalization and licensing laws that would allow midwives to provide evidence-based care in a setting of transparency and accountability. For more information, ALMA provides a history of independent midwifery practice in Alabama and discussion of the current legal environment which impacts maternity choices available to citizens in our state in the document titled The History and Legalities of Midwifery in Alabama.



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