Choosing a Certified Nurse Midwife doesn’t mean you have to labor without pain relief. As part of working with you on developing your personalized birth plan, your provider will discuss all of the options with you, including epidurals and other medications. Certified Nurse Midwives are trained to support unmedicated births for those who want it, but they provide medicated assisted births to make sure families have access to current pain relief methods. The focus is on supporting your birth preferences—whether that’s a traditional approach, a medicated birth, or something in between.