In 2006 several midwives in southern Maine formed a collective (Southern Maine Midwives Collective) to explore practice issues, barriers to safe practice, and steps forward to assure the safety and availability of out-of-hospital birth options in Maine. This collective of midwives met regularly over the year. The group identified lack of legal access to life saving medications, lack of access to routine testing options, and lack of professional collaboration as primary concerns. The collective concluded that these concerns would be best addressed through legislative efforts to license CPMs in Maine. As a result in December 2006 the group incorporated as the Maine Association of Certified Professional Midwives (MACPM) with the following statement of purpose:
“The purpose of the Maine Association of Certified Professional Midwives (MACPM) is to advance the practice and art of midwifery; to educate the public on the merits of midwifery; and to create and maintain a law governing the practice of midwifery in the state of Maine.”
MACPM set to work immediately writing proposed legislation, seeking bill sponsors, and raising money and awareness. Through these efforts in 2008 the legislature passed, and then Governor Baldacci signed into law a bill that allows CPMs to acquire and administer five substances: oxygen, injectable vitamin K, erythromycin eye ointment, lidocaine for suturing, and oxytocin to manage hemorrhage. The law did not license or regulate midwifery, but does regulate a CPMs use of these medications.
It had long been the desire of MACPM to join the National Association of Certified Professional Midwives as an official state chapter, and in 2010 NACPM made state chapter hood a possibility. MACPM was among the first state chapters of NACPM and continues to be an active and lively chapter with a membership that has grown to 20+ CPMs and several students.