PURPOSE:
This abstract proposes a unifying vision for midwifery that aligns the missions of ACNM and NACPM while respecting the unique contributions of each credential. Collaboration strengthens the midwifery voice in healthcare policy, expands access to midwifery-led care, and promotes equity in maternal health. By fostering mutual respect, shared standards, and integrated pathways for education, certification, and practice, the midwifery community is working to overcome longstanding divisions and collectively advocate for systemic change.

DISCUSSION:
The midwifery profession in the United States has long been divided between two primary organizations: the American College of Nurse-Midwives (ACNM) and the National Association of Certified Professional Midwives (NACPM). These organizations represent different pathways to midwifery—Certified Nurse-Midwives (CNMs), who are trained in nursing and midwifery, Certified Midwives (CMs) and Certified Professional Midwives (CPMs), who are trained exclusively in midwifery. Despite these differences, both groups share a common goal: to provide safe, evidence-based, person-centered care and to improve maternal and newborn outcomes in the U.S., particularly in underserved communities.

EVIDENCE WHERE RELEVANT:
There are three nationally recognized credentials for midwives in the United States representing a total of 18,000 of underutilized healthcare providers.:

KEY MESSAGE:
A united midwifery profession can better address disparities in maternal health outcomes, particularly for Black, Indigenous, and rural communities, by leveraging the strengths and community reach of both CNMs, CMs and CPMs. Uniting ACNM and NACPM is not about erasing differences, but about building a stronger, more inclusive future. Through strategic collaboration, shared leadership, and a commitment to health equity, the midwifery profession can transform perinatal care in the U.S. and ensure that all families have access to compassionate, skilled birth care providers. Newborn 2