According to Merriam Webster, midwifery is described as the art, process of producing, bringing about, bringing forth or act of assisting in childbirth. Midwives play an active role in the mother's pre- and post-natal care and many actually deliver children into the world just as any obstetrician would do.
Certified nurse-midwives are trained in both midwifery and nursing. They work primarily in hospitals and are considered "advanced practice nurses." A bachelor's degree in nursing is generally required to enter into a certified nurse-midwife program. After completion of the program, you will have obtained a master of science in nursing degree with a specialization in midwifery. According to Citizens for Midwifery, a nurse-midwife can be licensed in all states. They must have a practicing agreement with a doctor for consultation and supervision. Without such an agreement, licensing can potentially be revoked.
Direct entry midwives are not required to be nurses. Several routes of education may be considered, such as apprenticeships, formal classes or programs and workshops. A college degree is not necessary. Although some midwives are required to be accredited by a state or national organization, direct entry midwives aren't. However, certification is a plus and demonstrates to your clients that you're serious about your profession. Legal status may differ from state to state but 21 states required certification in 2010. These midwives typically practice outside of institutions and aren't mandated to have a practice agreement with a doctor. Direct entry midwives usually practice and work in birthing centers and in-home.