05/23/2025
This year our new midwifery bill passed, the first big upgrade since our initial licensure in 2015! Did you know that Maryland didn't even recognize certified professional midwives (CPMs) as providers until ten years ago? Before then midwives just like me were operating illegally, even after passing their exams, holding a national credential, and attending hundreds of births during their apprenticeships.
Legalization of the CPM credential in Maryland has brought increased access and awareness to home birth midwifery, but not without cost. Although we midwives no longer risk going to jail when caring for clients that seek low-intervention, out-of-hospital birth experiences, our scope is now limited. Many of the skills that we are trained and certified nationally to provide, we may not offer to our Maryland families under our current law.
This new bill improves upon some compromises from when we first sought licensure. LDEMs will now care for clients without BMI restrictions, which has previously been a huge barrier to care in an otherwise low-risk population. We are able to provide nutritional guidance and supplemental treatment for anemia, which is almost always successful without needing to refer to higher level care. We also have new language that recognizes LDEMs as independent providers, more practical requirements for contact with pediatricians, and we removed the extensive data collection that no other maternal healthcare provider is required to provide.
Essentially, Maryland is still getting used to us home birth midwives. We are continually educating the people around us, including our licensing body, about what we do and how we do it. It's hard for others to understand how maternity care works outside of the system. Truth be told, midwives still aren't providing care to our fullest capabilities under Maryland law. We remain restricted. There are families out there that deserve our care. Next year we will be at it again!
For now, let's celebrate these big wins! The amazing did it again, capturing the signing ceremony with Gov. Wes Moore, and my reaction after he assertively whispered in my ear "This is a VERY good bill." 😂🤌🎉🥂