Skip to main content

US Midwifery ERA (US MERA)

  • Pin It

  • Pin It

US MERA 2014

The United States Midwifery Education, Regulation and Association (US MERA) Workgroup has been using a facilitated process to establish common ground in maternity care and midwifery. The US MERA Workgroup includes representatives from: MANA, NACPM, NARM, MEAC, ACNM, ACME and ACMB. (See sidebar.) The Workgroup met for our second annual face-to-face meeting April 10-13, 2014 and reached historic common ground together.

Click here to read "2014 US MERA Meeting: A Summary Report."

The meeting culminated with:



  1. Reaffirming our mutual goals of increasing a professional midwifery workforce in the US, providing access to high quality maternity care, and continuing our commitment to normal physiologic birth.


  2. Consensus statements on actionable goals that the seven organizations responsible for the three US midwifery credentials (CPM, CNM, CM) have agreed to implement.  



The new consensus statements meet a growing need to change the birth culture in the United States and empower midwives as agents of this change. This is a challenge and an opportunity requiring communication, compromise, collaboration and commitment to achieve.

A new milestone

Three key areas took center stage at US MERA last week: barriers to CPM licensing and practice; accreditation of midwifery education processes and programs; and innovative midwifery education models that prepare midwives for entry-level practice while incorporating cost containment. NARM and MEAC are committed to working together to provide a more accessible, less expensive option of Direct Assessment within a MEAC accredited program, building on the innovations of the PEP pathway. This will expand options to meet the needs of a growing midwifery workforce.

We were able to each shift our perspectives to acknowledge the concerns raised in the areas of midwifery education and regulation, compromise our positions while retaining our core values, and capitalize on the strengths and diversity of the US midwifery profession, while also coming into greater alignment with the ICM global standards. This is indeed a milestone! MANA stands with all midwives and feels this is significant forward movement for the midwifery profession, and our shared goal of having a midwife for every mother in the US.

Click here to read the 2014 US MERA Meeting: A Summary Report.

US MERA 2013

An historic joint meeting of seven organizations directly responsible for education, regulation and professional associations for the three U.S. midwifery credentials—CPM, CNM and CM—was held April 19-21, 2013 at the Airlie Conference Center in Warrington, Virginia.  Named the United States Midwifery Education, Regulation and Association (US MERA) work group, the  objectives were to: 1) strengthen the foundation for organizations responsible for midwifery education, regulation and associations to work collaboratively to advance the midwifery profession in the U.S., and 2) grow together as leaders creating the future of midwifery in the U.S.

The following identified meeting goals were met
  • Describe a history that reflects the ongoing efforts to move professional midwifery forward in the U.S., including identification of challenges and accomplishments
  • Engage in a dialog that creates a deeper understanding of current strengths and challenges for U.S. midwifery
  • Develop knowledge and trust to support successful ongoing communication
  • Identify opportunities for future collaboration
  • Conduct a collaborative analysis of the International Confederation of Midwives (ICM) three pillars—Education, Regulation, and Association (ERA)—as they apply to U.S. midwifery
US MERA member organizations 

Member organizations included, American College of Nurse-Midwives (ACNM), Accreditation Council for Midwifery Education (ACME), American Midwifery Certification Board (AMCB), Midwives Alliance of North America (MANA), Midwifery Education Accreditation Council (MEAC), North American Registry of Midwives (NARM), and National Association of Certified Professional Midwives (NACPM.)

Statement of Purpose

By consensus US MERA participants recommended establishment of the US MERA Work Group as an ongoing entity with the following purpose:

“The purpose of US MERA is to create a shared vision for U.S. midwifery within a global context, generate an action plan for collaboration to strengthen and promote the profession of midwifery in the United States, thereby engendering a positive impact on U.S. maternity care that will improve the health of women and infants.”   

The seven organization of US MERA will release their statements of common ground sometime in late spring 2013. Look for them here. 

An historic joint meeting of seven organizations directly responsible for education, regulation and professional associations for the three U.S. midwifery credentials—CPM, CNM and CM—was held April 19-21, 2013 at the Airlie Conference Center in Warrington, Virginia.  Named the United States Midwifery Education, Regulation and Association (US MERA) work group, the  objectives were to: 1) strengthen the foundation for organizations responsible for midwifery education, regulation and associations to work collaboratively to advance the midwifery profession in the U.S., and 2) grow together as leaders creating the future of midwifery in the U.S.

The following identified meeting goals were met
  • Describe a history that reflects the ongoing efforts to move professional midwifery forward in the U.S., including identification of challenges and accomplishments
  • Engage in a dialog that creates a deeper understanding of current strengths and challenges for U.S. midwifery
  • Develop knowledge and trust to support successful ongoing communication
  • Identify opportunities for future collaboration
  • Conduct a collaborative analysis of the International Confederation of Midwives (ICM) three pillars—Education, Regulation, and Association (ERA)—as they apply to U.S. midwifery
US MERA member organizations 

Member organizations included, American College of Nurse-Midwives (ACNM), Accreditation Council for Midwifery Education (ACME), American Midwifery Certification Board (AMCB), Midwives Alliance of North America (MANA), Midwifery Education Accreditation Council (MEAC), North American Registry of Midwives (NARM), and National Association of Certified Professional Midwives (NACPM.)

Statement of Purpose

By consensus US MERA participants recommended establishment of the US MERA Work Group as an ongoing entity with the following purpose:

“The purpose of US MERA is to create a shared vision for U.S. midwifery within a global context, generate an action plan for collaboration to strengthen and promote the profession of midwifery in the United States, thereby engendering a positive impact on U.S. maternity care that will improve the health of women and infants.”   

The seven organization of US MERA will release their statements of common ground sometime in late spring 2013. Look for them here.