the certification. Once certified, the CPM can apply for state licensure in 27 states where it is recognized. CPMs do not have an educational degree requirement, but some hold advanced degrees.

The Need for Long-Term Research

Some concern was expressed about the lack of research on long-term outcomes. Most studies do not examine outcomes that occur after discharge from care. Thus, it is not clear how interventions impact long-term health for either the women or her child. Sakala replied that, although long-term research is expensive, ignorance is even more expensive. “I don’t think we can afford not to look at these questions,” she said.

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