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Pathway finder / Midwives / USA

Midwives · USA · checked 19 October 2026

Work as a midwife in the USA

There is no direct recognition for midwives educated abroad. To become a Certified Nurse-Midwife or Certified Midwife you need a graduate degree from a US programme accredited by ACME, then the AMCB exam and a state licence. A separate credential, the Certified Professional Midwife, is open through a portfolio route but recognised only in some states.

  • 3 steps
  • Fees vary – see the steps
  • Every fee linked to its source
Illustration: USA at dusk with a route leading to a hospital
YOU 123 US
Your degreeLicence in the USA
Official fees
Variessee the steps below
Steps
3from degree to licence
Language
English
Planning time
About 2–3 years (graduate programme)
Our estimate, not official

Where did you qualify?

Outside the EU and English-speaking countriesEU, EEA or SwitzerlandUK, Ireland, USA, Canada, Australia or New Zealand

Same route. The NARM portfolio route to the CPM credential is an alternative in some states.

Step by step

Each fee links to the page we took it from.

  1. 1

    Graduate programme accredited by ACME

    university tuition

    Most midwives educated abroad need at least some additional coursework; the AMCB requires a graduate degree from an ACME-accredited programme. Source

  2. 2

    AMCB certification exam

    set by AMCB

    Leads to the CNM (with a US nursing licence) or CM credential. Source

  3. 3

    State licence

    set by each state

    Apply to the licensing agency of the state where you want to practise. Source

Not included: courses, translations, travel, visas and living costs.

Stories from people who took this route

No story here yet. Took this route yourself? Share your story – it helps the next person more than any brochure.

Choose where to live

Compare the USA's 51 states side by side: immigrant population, people from your country, recorded crime and, where official data exists, hate crime. Official figures only, no scores.

Compare regions of the USA →

Settling in the USA

Renting a home, using your driving licence and the paperwork of your first months – three short guides, every rule linked to the official page.

Renting a home →Driving licence →Everyday life →

Agencies that help with this route

No agency listed for this route yet.

Recruiter, school or consultant for midwives in the USA? List your agency.

Sources

  1. ACNM: midwives educated abroad
  2. AMCB: rationale for requirements (PDF)

Last checked 19 October 2026. Fees and rules change – always confirm with the regulator before you pay. PassPeers is independent and not affiliated with any regulator or exam provider.

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