State Data Report Card Citations

  1. American Association of Birth Centers (AABC). Birth Centers with Certified Professional Midwife (CPM) Staff. Internal data shared with the National Association of Certified Professional Midwives, 2024.

  2. Centers for Disease Control and Prevention. 2021 Breastfeeding Rates by State: Any and Exclusive Breastfeeding. 14 Sept. 2023, https://www.cdc.gov/breastfeeding-data/modules/2021-rates-any-exclusive-bf-state.htm. Accessed 17 July 2025.

  3. Centers for Disease Control and Prevention. State Map of Cesarean Delivery Rates: National Center for Health Statistics. 6 Feb. 2024, https://www.cdc.gov/nchs/pressroom/sosmap/cesarean_births/cesareans.htm. Accessed 17 July 2025.

  4. Centers for Disease Control and Prevention. State Map of Preterm Birth Rates: National Center for Health Statistics. 6 Feb. 2024, https://www.cdc.gov/nchs/pressroom/sosmap/preterm_births/preterm.htm. Accessed 17 July 2025.

  5. Cheyney, Melissa, et al. "Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009." Journal of Midwifery & Women's Health, vol. 59, no. 1, Jan.–Feb. 2014, pp. 17–27. Wiley Online Library, https://doi.org/10.1111/jmwh.12172. (While this data is documented as a total of all midwives who contributed, the article also notes that more than 85.2% of the data came from CPMs.)

  6. Families USA. People First Care: Strengthening Hospital Accountability for Equitable Labor and Delivery Care. Jan. 2023, https://familiesusa.org/wp-content/uploads/2023/01/People-First-Care_Labor-and-Delivery.pdf.

  7. March of Dimes. Nowhere to Go: Maternity Care Deserts Across the U.S. 2024. March of Dimes, https://www.marchofdimes.org/peristats/assets/s3/reports/2024-Maternity-Care-Report.pdf. Data cited includes analysis of national findings and individual state profiles accessed via https://www.marchofdimes.org/peristats/reports.

  8. Midwifery Education Accreditation Council (MEAC). MEAC Accredited Schools. https://www.meacschools.org/meac-schools/. Accessed 17 July 2025.

  9. National Association of Certified Professional Midwives. Analysis of Midwifery Statutes Across States. 2025. Unpublished internal dataset; includes member-reported information where statutory data was unavailable.

  10. National Association of Certified Professional Midwives. Chapter and Partner Engagement Data. Internal analysis, 2024.

  11. National Association of Certified Professional Midwives. Medicaid Reimbursement Availability for Licensed NARM-Evaluated Direct Entry Midwives. Internal dataset based on self-reported information from NACPM members, 2025.

  12. National Association of Certified Professional Midwives. Medicaid Reimbursement for NARM-Tested Midwives. Compiled from state Medicaid fee schedules and member-reported data; estimated at 80% of physician rate where other sources were unavailable, 2025.

  13. National Association of Certified Professional Midwives. Physician Medicaid Reimbursement for CPT Code 59400 (Routine Vaginal Delivery): State-by-State Analysis. Internal dataset compiled from publicly available Medicaid fee schedules; national average used where state-level data was unavailable, 2025.

  14. National Association of Certified Professional Midwives. State Midwifery License Data: Number of Licensed Midwives, Q1 2024. Unpublished internal dataset compiled from individual state licensing board databases, 2024.

  15. North American Registry of Midwives. 2022 NARM Annual Report. 2022, https://narm.org/pdffiles/2022NARMAnnualReport.pdf.

  16. The Big Push for Midwives. Licensure for CPMs: State Chart. Sept. 2024. The Big Push for Midwives Campaign, https://pushformidwives.org.

  17. Vedam, Saraswathi, et al. “Mapping Integration of Midwives Across the United States: Impact on Access, Equity, and Outcomes.” PLOS ONE, vol. 13, no. 2, 2018, e0192523, https://doi.org/10.1371/journal.pone.0192523.