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 Certified Midwife (CM) is a new credential from the ACNM that does not require a nursing degree but is otherwise similar to the CNM credential. As of 2007, the CM is legally recognized in three states: NY, MA, and NJ, but does not meet existing direct entry midwife licensing requirements in any other states.