i'm in North carolina.Non-CNM's are illegal, however, depending on what exactly your knowledgeable helper/midwife/traditional attendant does & if she/he has any kind of state licenses (i.e, RN, PA) there are ways for those kinds of helpers to do things legally & some things that they might do would be called illegal/practice of medicine. There are ways to attend births w/out doing anything construed as illegal & one of those ways is to have someone there to do assesments & the father/partner of Mom catch his/her own baby. I go inot great detail about this during every consult that i have w/ potential clients. Plus, they read about it in my informed Papers/Document as well. CNM's are legal as long as they have a formal signed agreement with a back-up doctor that is own file with the state board of nursing & that the back-up doc's hospital is w/in 1/2 hour of the CNM's clients. There are two CNM's that I know of in NC who are doing it legally & one CNM who is not, according to the NC Board of nursing protocols. She protects herself by dropping off any transfers at the hospital door & leaves them there at the hospital door. They can not mention her name or she would be in big trouble, nor can they take in any chart that the CNM might have on the mom. from, karen of BirthTender in the foothills of the NC Mtns.