How many LMs vs CPMs in each state?
Sources: CPM data from NARM Annual Report December 2022, LM data from State License Look Ups Q1 2024
Certified Professional Midwives (CPMs) face a high attrition rate due to low reimbursement rates, lack of respect during hospital transfers, and the demanding, unsupported on-call lifestyle often required of independent practices. These challenges contribute to burnout and financial instability, leading many qualified CPMs—particularly in states with maternity care deserts—to leave the profession or choose not to practice as licensed midwives. This results in a critical loss of skilled providers in communities that need them most. To address this issue, workforce development efforts must focus on reducing barriers and increasing support for Licensed Midwives (LMs) through improved reimbursement rates, better integration with healthcare systems, and sustainable practice models. These changes are essential to encourage experienced CPMs to return to community midwifery work, ultimately expanding access to safe, culturally responsive maternity care.