CABC Releases Updated Alongside Midwifery Unit Indicators
The Commission for the Accreditation of Birth Centers (CABC) is pleased to announce the release of an updated edition of the Alongside Midwifery Unit (AMU) Indicators, effective October 16, 2026.
The revised Indicators reflect CABC’s ongoing commitment to maintaining accreditation standards that are evidence-based, clear, and relevant to contemporary alongside midwifery unit practice. Updates in this edition include correction of typographical errors, removal of redundant language, clarification of existing requirements, and revisions to align with current evidence-based care.
Among the notable changes are updates to standards related to water immersion during labor and birth, clarification of postpartum and newborn discharge vital sign requirements, and additional guidance regarding personnel file review during accreditation site visits.
Supporting Safe, High-Quality AMU Care
The AMU Indicators serve as the foundation for accreditation of alongside midwifery units, helping organizations demonstrate compliance with nationally recognized standards for quality, safety, and continuous improvement.
Highlights of the 2026 Update
- Revised language related to water immersion during labor and water birth policies and procedures
- Clarification of required postpartum vital signs prior to discharge
- Clarification of required newborn vital signs prior to discharge
- Added guidance regarding personnel file reviews for hospital-based AMUs whose records are maintained by Human Resources departments
- Additional editorial revisions, clarifications, and formatting improvements throughout the document
Availability
The updated AMU Indicators are available now on the CABC Website. Accredited AMUs are encouraged to review the revised edition and evaluate whether any policy, procedure, or documentation updates are needed within their organizations.