HAWAI'I AFFILIATE OF THE AMERICAN COLLEGE OF NURSE-MIDWIVES
Mahalo for this detail from BACKYARD - oil painting by Eve Furchgott www.blueheron1.com
HAWAI'I AFFILIATE OF THE AMERICAN COLLEGE OF NURSE-MIDWIVES
Mahalo for this detail from BACKYARD - oil painting by Eve Furchgott www.blueheron1.com
Mahalo for visiting the home of HAA, the Hawai’i Affiliate of the American College of Nurse-Midwives (CNMs) and Certified Midwives (CMs). It is a resource to strengthen communities, for the CNMs and CMs who work in Hawai'i and for the families we serve. Our directory shines a light on where midwives can be found. Our announcement page has information on upcoming meetings, conferences, local publications, and job postings. And, our education page provides resources from the American College of Nurse-Midwives (ACNM).
HAA'S PURPOSE IS MULTI-FACETED & EVERY MIDWIFE HAS THEIR OWN UNIQUE CONTRIBUTION.
In 2011, a group of certified nurse midwives began the process of organizing a Hawai’i state ACNM affiliate. The national ACNM Board of Directors approved this affiliation, and bylaws were approved by the original members to establish the non-profit 501(c) (6) on May 11, 2021. In 2019, certified midwives joined HAA, as Hawai'i became the 10th state to license CMs, a certification equivalent to CNMs in the practice of midwifery as defined by ACNM. As of March 2023, HAA is in its third Executive Board cycle.
The acronym “HAA” was chosen, as the Hawai'ian word “Ha''means “the breath of life.” The first breath is deep and usually harder to inhale than ongoing breathing; therefore we equated our first breath as an organization to “Ha.”
Reflective of national goals for CNMs and CMs, and the families they serve, initiatives of HAA include, but are not limited to community building: supporting students, working, and retired midwives; education: professional and public; advocacy: addressing barriers to practice, expansion of access to birth choices and full spectrum reproductive healthcare, elimination of gender bias, ending racial discrimination, and addressing the impact to families who historically have experienced discrimination. As an organization, HAA is committed to equitable, ethical, accessible, and quality healthcare for all. HAA serves the community through hosting networking events, public relations campaigns, and other local initiatives.
Midwifery as practiced by certified nurse-midwives (CNMs) and certified midwives (CMs) encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care.
Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide care for all individuals who seek midwifery care, inclusive of all gender identities and sexual orientations.
Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. They conduct physical examinations; independently prescribe medications including but not limited to controlled substances, treatment of substance use disorder, and expedited partner therapy; admit, manage, and discharge patients; order and interpret laboratory and diagnostic tests; and order medical devices, durable medical equipment, and home health services.
Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.
These services are provided in partnership with individuals and families in diverse settings such as ambulatory care clinics, private offices, telehealth and other methods of remote care delivery, community and public health systems, homes, hospitals, and birth centers.
Annette Manant, HAA President:
CNMs and CMs are educated in graduate-level midwifery programs accredited by the Accreditation Commission for Midwifery Education.
CNMs and CMs pass a national certification exam administered by the American Midwifery Certification Board (AMCB) to receive the professional designation of CNM (if they have an active registered nurse [RN] credential at the time of the certification exam) or CM.
CNMs and CMs must demonstrate that they meet the Core Competencies for Basic Midwifery Practice of the American College of Nurse-Midwives (ACNM) upon completion of their midwifery education programs and must practice in accordance with ACNM Standards for the Practice of Midwifery. ACNM competencies and standards are consistent with or exceed the global competencies and standards for the practice of midwifery as defined by the International Confederation of Midwives.
In the state of Hawai`i, licensed Certified Professional Midwives (CPM) also practice. To maintain the designation of CNM or CM, midwives must be recertified every 5 years through AMCB and must meet specific continuing education requirements. (Definition of Midwifery and Scope of Practice of Certified Nurse-Midwives and Certified Midwives, Updated: Dec. 2021)
To better understand differences between the CNM, CM, & CPM credentials, follow the link below for a comparison chart which describes distinctions of education, scope of practice, certification, licensure, and professional associations
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