For Midwives

Midwifery Care, Labor Support, and Equity During COVID-19 Pandemic

Responding to COVID-19: ACNM has maintained a list of resources and guidelines for midwives, maternity care workers, and policy makers during the pandemic. Follow the link for more information.

Access to continuous labor support by a partner chosen by the person in labor is critical, especially during a pandemic. The Affiliate has responded to concerns of pregnant parents, doulas, and healthcare workers regarding the balance between safety for everyone and adequate labor support. We believe that doulas should not be considered visitors and that people should be supported by a person of their choosing in labor for optimal outcome. See our letter here. This is an open letter and can be shared with hospitals and policy makers.

Access to healthcare and issues of equity in healthcare are even more apparent during the pandemic. The NAACP published the Ten Equity Implications of Coronavirus Pandemic in the US and civil rights advocacy, monitoring, and enforcement. A toolkit and strategy guide was has been produced from the National Inclusive Excellence Leadership Academy to assist organizations with addressing and improving diversity, equity, and inclusion.

HHS has produced a toolkit for Healthcare Decision-Makers in responding to COVID-19 Workforce concerns. The Affiliate has been participating in workforce, telehealth, and healthcare committee calls through the Virginia Dept of Health and the Office of Health and Human Resrouces. 



Legislative Updates for 2020

Current Legislation affecting Midwifery-Led care in Virginia

For a PDF of 2020 bills which the Affiliate supported and opposed, click here.

For questions related to current and up-coming legislation, contact Katie Page, CNM, VA ACNM President, 434-94-6937
Nichole Wardlaw, CNM, Affiliate Legislative Chair, 843-860-6971 or Julianne Condrey, Affiliate Legislative Liaison


Communicating with Legislators: How to’s

  • Click here for a great video on Midwifery Advocacy. It was made by the lobbyist for our sisters in the Virginia Midwives Alliance and has helpful information for ALL Virginia Midwives!
  • Contact your national legislators to co-sponsor and support legisĀ­lation!

Resources to Advocate for Midwifery-Led Care

  • ACNM Advocacy Links
  • Cost of Having a Baby Report provides compelling financial evidence for the need to support midwifery-led care as a significant catalyst of economic stewardship of health care spending.
  • March of Dimes (Preterm Birth report card)
  • AWHONN Perinatal Quality Measures Process The actions of nurses have a significant impact on patient outcomes; therefore, a vital component of improving health care is to measure the quality of nursing care. This resource links to Women's Health and Perinatal Nursing Care Quality (NCQ) measures by The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN).
  • Nursing Quality Measurement (AWHONN) Link to PDF download of AWHONN's position statement on nurse-sensitive quality. These are currently the recommended perinatal quality indicators proposed for adoption by the National Quality Forum Perinatal Measures.
  • Quality Patient Care in Labor and Delivery: A Call to Action Link to the PDF white paper developed by SMFM, ACOG, ACOOG, AAFP, ACNM, AAP, and AWHONN supporting normal physiologic birth and patient-centered care.
  • Transforming Communication and Safety Culture in Intrapartum Care: A Multi-Organization Blueprint Link to PDF download from the Journal of Midwifery and Women's Health.
  • Link to website developed by the Council on Patient Safety in Women's Health Care, who's mission is to continually improve patient safety in women’s health care through multidisciplinary collaboration that drives culture change.
  • Click to view additional resources available in the Framework for Quality Improvement Resource Toolbox, or search our resource library by clicking here.



VA Affiliate Regions


Tools You Can Use

What is Discover Midwives?

Brought to you by the midwives of ACNM, Discover Midwives (formerly, Our Moment of Truth) is an initiative to improve women’s health and maternity care in the United States by re-introducing midwives and midwifery care as important options that should be the norm for women’s health care services.

Resources from Discover Midwives can be shared freely with family, friends, and colleagues to help those you care about discover their full range of options and help us create a new understanding of midwifery care in the United States.

The American College of Nurse-Midwives Healthy Birth Initiative™ has created several tools to support and promote the value of healthy, spontaneous labor and birth. They are:

For women: Normal, Healthy Childbirth for Women & Families: What You Need to Know is a free handout that explains what parents and their babies can expect from a normal, healthy birth and what they can do to maximize their chances of having a healthy, physiologic birth while minimizing their chances of experiencing unnecessary medical interventions during childbirth. Available in both ENGLISH and SPANISH language versions.

For maternity care providers:, which stands for Tools for Optimizing the Outcomes of Labor Safely, is an interactive online toolkit that presents the evidence and offers targeted resources, protocols, and other materials to assist clinicians and health care systems in implementing best practices that promote physiologic birth. Click to download a handy 2 page PDF handout that can be shared with others to introduce them to the website and its resources.

For hospital policymakers, payers and other organizations: Birth Matters is a handout for quality administrators that explains how implementing an evidence-based strategy focused on physiologic birth increases the well-being of families and prevents rare, adverse outcomes for hospital systems.