United States Model Midwifery Legislation and Regulation: Development of a Consensus Document

Area of Science:

• Maternal Health
• Health Policy
• Healthcare Regulation

Background:

• State-level midwifery regulations in the US exhibit significant variation, leading to consumer confusion and service limitations.
• The International Confederation of Midwives (ICM) established global standards for midwifery in 2011.
• US organizations for midwifery education, regulation, and professional associations (US MERA) collaborated on common objectives.

Purpose of the Study:

• To create a consensus document outlining principles for model US midwifery legislation and regulation.
• To address the inconsistencies in current state-based midwifery regulations.
• To inform policy and improve access to midwifery services.

Main Methods:

• A modified Delphi study was conducted by US MERA.
• Fifty-one expert panelists from maternal-child health professions and consumer groups participated.
• The study involved several iterative rounds to achieve consensus.

Main Results:

• A consensus document with guiding principles for US midwifery regulation was established.
• Key areas covered include regulatory authority, education, and qualifications.
• Standards of practice, conduct, complaints, and third-party payment are also addressed.

Conclusions:

• Standardized midwifery regulation can enhance equity, informed choice, and safety.
• Widespread recognition and licensure of midwives will improve access to quality care.
• This initiative aims to establish quality midwifery care as a right for all birthing families.