EXPANSION OF MIDWIFERY PRACTICE AND SKILLS BEYOND BASIC CORE COMPETENCIES
In order to be eligible to take
the examination given by the American Midwifery Certification Board, Inc.
(AMCB), formerly known as the American College of Nurse-Midwives Certification
Council, Inc. (ACC), candidates must
demonstrate scientific knowledge and clinical skills as outlined in the
American College of Nurse-Midwives (ACNM)
Core Competencies for Basic Midwifery Practice. As science and technology
advance, creating changes in health care delivery, certified nurse-midwives and
certified midwives will be required
to possess knowledge and skills beyond the basic level of midwifery practice as
defined by ACNM Core Competencies.
Specialization in particular areas may further define an individual's practice.
In order to assure that new technical skills remain
within the scope and safety of midwifery practice, ACNM requires that the incorporation of these skills be accomplished in
accordance with the current Standards for the Practice of Midwifery. Specifically,
Standard VIII outlines a process for incorporating new procedures into practice
which includes written documentation.
Standard VIII, Expanded Midwifery Practices, consists of those procedures or
components of practice, such as first assisting, use of vacuum extractor, and performing
circumcision that may be acquired beyond basic
Additionally, the Standards direct the midwife to consider
relevant statutes and regulations that might constrain the midwife from
incorporation of a particular procedure. State laws and regulations that may define the scope of practice of
a midwife, when they exist, should be reviewed prior to expanding practice. Some state laws explicitly
reference ACNM Standards, thereby permitting advanced practice procedures consistent with the guidelines.
as used throughout this document refers to the education and practice of
certified nurse-midwives (CNMs) and
certified midwives (CM’ s) who have been certified by the American College of
Nurse-Midwives (ACNM) or the American Midwifery Certification Board, Inc.
(AMCB), formerly the American College of Nurse-Midwives Certification Council,
Source: Board of Directors
Approved by ACNM Board of Directors, July 27, 1992
Revised: August 1997