A nurse-midwife is a licensed healthcare professional who specializes in women’s reproductive health and childbirth. In addition to attending births, they perform annual exams, give counseling, and write prescriptions. The American College of Nurse-Midwives (ACNM); a professional organization representing certified midwives (CMs) and certified nurse-midwives (CNMs); reports that 53.3% of CMs/CNMs identify reproductive care as their main responsibility, while 33.1% report that its primary healthcare. While some believe midwives work typically on home births, 94.9% of all CM/CNM-attended births occurred in hospitals and only 2.5% in homes. In 2012, midwives attended 313,846 births in the U.S., a significant increase over the previous year despite a decrease in overall births. Furthermore, while these professionals may operate independently, over 50% of CMs/CNMs list private practices or hospitals as their employers and in all 50 states, Medicaid reimbursement for midwifery is mandatory.