With major depression, there is a profound sadness or a sense of despair. The symptoms of major depression are defined as lasting at least two weeks, but usually they go on much longer. Other types of depression may have more subtle symptoms.
The American Midwifery Certification Board (AMCB) is the national certifying body for candidates in nurse-midwifery and midwifery who have received their graduate level education in programs accredited by the Accreditation Commission for Midwifery Education (ACME).
The American College of Nurse-Midwives does offer a Certified Midwife (CM) designation for Lay Midwives who graduate from a midwifery school accredited by the ACNM, and pass a certification exam. The CM designation is for lay midwives who want to show that they practice midwifery at an accredited standard.