A shared commitment to quality of care


It all started when…

In 2006 several midwives in southern Maine formed a collective (Southern Maine Midwives Collective) to explore practice issues, barriers to safe practice, and steps forward to assure the safety and availability of out-of-hospital birth options in Maine. This collective of midwives met regularly over the year.  The group identified lack of legal access to life saving medications, lack of access to routine testing options, and lack of professional collaboration as primary concerns.  The collective concluded that these concerns would be best addressed through legislative efforts to license CPMs in Maine.  As a result in December 2006 the group incorporated as the Maine Association of Certified Professional Midwives (MACPM) with the following statement of purpose:

“The purpose of the Maine Association of Certified Professional Midwives (MACPM) is to advance the practice and art of midwifery; to educate the public on the merits of midwifery; and to create and maintain a law governing the practice of midwifery in the state of Maine.”

MACPM set to work immediately writing proposed legislation, seeking bill sponsors, and raising money and awareness.  Through these efforts in 2008 the legislature passed, and then Governor Baldacci signed into law, a bill that allows CPMs to acquire and administer five substances: oxygen, injectable vitamin K, erythromycin eye ointment, lidocaine for suturing, and oxytocin to manage hemorrhage. The law did not license or regulate midwifery, but does make available and regulate a CPM’s use of these medications.

It had long been the desire of MACPM to join the National Association of Certified Professional Midwives as an official state chapter, and in 2010 NACPM made state chapter hood a possibility.  MACPM was among the first state organizations to embark on the process, and in 2016 MACPM became the Maine state chapter of NACPM. NACPM is a professional association committed to significantly increasing access to quality maternity care by supporting the work and practice of Certified Professional Midwives. NACPM’s purpose is to contribute to a new era in maternity care by inspiring and engaging CPMs to be an organized force for change.

In 2016 MACPM coordinated successful passage of a state law to license CPMs. The legislation is scheduled to take affect in 202 and will require licensure of CPMs in Maine. Currently work is underway by the Board of Complementary Healthcare Providers to draft rules and regulations to govern the law. MACPM continues to be engaged in the process to enact the law.



  • Advocates for CPMs to the public, to state and federal legislators and to health care policy makers

  • Addresses barriers to practice for CPMs including reimbursement and advocacy for a path to licensure for CPMs in all 50 states

  • Secures a “seat at the table” for CPMs in the larger maternity care world by representing CPMs in national coalitions and to other national organizations

  • Participates on behalf of CPMs in key national collaborations to improve maternity care

  • Provides clinical practice resources and support to CPMs