A Certified Nurse Midwife (CNM) is a Registered Nurse who has graduated with a master's degree, from a nurse-midwifery educational program accredited by the Accredited Commission Midwifery Education. A CNM has passed a national certification exam to receive professional designation of Certified Nurse Midwife (CNM). After passing a national exam, she is then certified by the American Midwifery Certification Board. A CNM is also licensed by the State Board of Nursing to perform all duties of a CNM within the scope of the state's laws. Ongoing educational maintenance activities are required to renew certification credentialing. Most CNMs practice in hospitals. However, some CNMs attend home births to provide quality, safe childbirth services for women who desire more natural birth experiences, without unnecessary interventions. Home birth is becoming a more acceptable option for low risk women, especially when attended by CNMs. Some benefits of hiring a CNM for your home birth include: having a knowledgeable healthcare professional with strong assessment and childbirth skills, a CNM has attended many hospital births and has experience in managing common obstetrical complications, technical skills such as collecting blood samples and other lab work, administering medications and starting intravenous lines (IV) if needed for hydration or medication administration, fetal heart monitoring experience to assure well being of fetus during labor and identifying abnormalities. Nurse Midwives are certified in neonatal resuscitative program (NRP) and Basic CPR. Home birth can also be more a more affordable option, as many insurance plans cover maternity/child birth services under the care of a nurse-midwife.