Home Birth Midwives (LM) vs. Hospital-Based Midwives (CNM): What’s the Difference?
Midwives are experts in supporting pregnancy and birth, but their training and practice settings can vary. Here’s a quick breakdown:
Licensed Midwives (LMs) specialize in out-of-hospital births, often working in homes or birth centers. Their care is personalized, relationship-focused, and geared toward healthy, low-risk pregnancies. They’re skilled in natural birth techniques and are trained to recognize when a hospital transfer is needed for safety. LMs often provide longer prenatal visits and in-depth postpartum care. If transfer to a hospital is necessary, the Licensed Midwives are not able to serve as a healthcare provider in a hospital setting, they act as emotional support.
Certified Nurse-Midwives (CNMs) are registered nurses with advanced training in midwifery, often practicing in hospitals or clinics. While they also support natural birth, their hospital-based practice means they often work within a system that may include routine medical interventions. CNMs are licensed to prescribe medications and collaborate closely with obstetricians for high-risk situations. If a cesarean is neccessary, your midwife can assist in the surgery.
Both LMs and CNMs provide compassionate, evidence-based care, but the choice between them often depends on your birth preferences and desired setting.