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The Big Push for Midwives Launches on Jan. 24 "Pushday"
The Big Push for Midwives is a nationally coordinated campaign to advocate for regulation and licensure of Certified Professional Midwives (CPMs)
in all 50 states, the District of Columbia, and Puerto Rico, and to push back against the attempts of the American Medical Association
Scope of Practice Partnership to deny American families access to legal midwifery care.
State-by-State Status of Legislation to License Certified Professional Midwives (CPMs)
Our goals are to fully integrate the Midwives Model of Care into the health care systems of our states, to
highlight the importance of family healthcare choices and to defend the ability of CPMs to provide legal
and safe prenatal, birth and postpartum care to families in every state. Childbirth activists from the
campaign’s participating states are pooling their collective resources and experience to coordinate and
optimize advocacy efforts during 2008.

The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.
The Midwives Model of Care:
- Monitors the physical, psychological, and social well-being of the mother throughout the childbearing cycle
- Provides the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
- Minimizes technological interventions
- Identifies and refers women who require obstetrical attention
The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
The mission of The Big Push for Midwives is to build winning, state-of-the-art advocacy campaign efforts
in every participating state through a continuing partnership with policy makers, professional staff and
supporters. The Big Push for Midwives serves as an integral part of the efforts towards successful
regulation and licensure of CPMs through public education and advocacy in states from Maine to Nevada.
The Big Push for Midwives works with national and local partners and engages with policy makers and
allies in each state to employ state-specific strategies to advocate for CPM legislation in all regions
of the country. We provide access to important tools, such as advocacy training, research and communication
services, media relations, as well as online fundraising.
We are unique in that we don’t dictate the message. In each state we work with local midwives, consumers
and advocates who know their districts well to develop effective messaging operations and to encourage
them to work for the regulation and licensure of CPMs using locally appropriate messages.
The Big Push for Midwives Campaign was born from the National Birth Policy Coalition, which has
coalesced around the following organizing statement:
"Increasing access to the Midwives Model of Care in all settings is essential to the health and
well-being of childbearing women and their babies. The National Birth Policy Coalition supports
legislative initiatives that promote the autonomous practice of Certified Professional Midwives
and Certified Nurse-Midwives, and that ensure the availability of safe, evidence-based care during
pregnancy, labor, birth and postpartum."
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