Direct entry midwives are licensed and practice in homes and birth centers. The law that permits direct entry midwives to practice was extended in April 1999, granting CDM licenses (Certified Direct-entry Midwife) and uses the NARM exam as part of the credential process. There are some restrictions to the care that direct entry midwives can provide, for instance, a CDM cannot assist a woman with a prior C-Section.
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