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ATMMTP Program Content
Additional program information
The ATM Midwifery Training Program curriculum is based on the Midwives Alliance of North America Core Competencies for Basic Midwifery Practice, MANA Standards and Qualifications for the Art and Practice of Midwifery, NARM written and skill test specifications, and the Midwives Model of Care™. As a Texas Midwifery Board approved program, the ATMMTP curriculum also includes the laws and rules that apply to Texas Licensed Midwives. All students are required to document a minimum of 500 hours of academic study. Most students will require significantly more time than 500 hours to complete all assignments. All time spent reading textbooks, research, completion of coursework and projects, and classroom time count towards the minimum 500 hours. Clinical training does not count towards academic education hours.
An experienced midwife will be available to communicate with each individual student, providing guidance through the program when needed. In addition, all students are enrolled in an ATM sponsored email study group comprised of midwifery students at various levels of training and skill, providing peer support and interaction normally obtained in a classroom setting.
Workshops are taught by a team of experienced instructor-midwives who use a variety of teaching methods to help reinforce learning and help the student begin to integrate and apply theory with clinical practice. Module content is reviewed using lecture, audio/visual aids, and discussion, with demonstration and hands-on practice of skills. At the end of each workshop the student must pass a comprehensive exam over the material covered in the module before advancing to the next study module.
Required Textbooks
The textbooks required for completion of academic coursework include the most current and evidence-based midwifery textbooks, and will provide the student with a thorough understanding of midwifery care and the tasks and skills expected of a competent midwife. These books are generally available through the publishers and may be ordered on-line, or through bookstores and libraries. A list of recommended reading, which will broaden and enhance the student's learning experience, is included with the list of required texts. The Required Textbooks and Reading list identifies each required text by the module in which you will first need it. Students should order the required textbooks well in advance of need.
Program Description
A brief outline of the curriculum for each of the eight (8) modules follows. The number of weeks shown is the approximate time you can expect to spend completing each module. Actual time can vary slightly depending on your program schedule and week the workshop is scheduled.
Module I
Note: Students begin module 1 as soon as enrollment is processed so actual time will vary.
Minimum time for completion 14 weeks
INTRODUCTION TO MIDWIFERY -- Module I (coursework)
- History of midwifery
- The Midwifery Model of Care vs. the medical model of care
- Heart and Hands -- An overview of midwifery care and skills
- General Nutrition and Fitness
- Vital Signs -- accuracy and assessment
- Universal (standard) precautions and infection control
- Laws, rules, and standards governing midwifery in Texas
- Basic skills practice assignment (vital signs)
Included with the first module:
- Independent Study assignments to complete throughout the program, including
- Physical Assessment
- Medical Terminology
- Introduction to the Newborn at Birth
- Pharmacology & Alternative Modalities
- Community Resources Project
INTRODUCTION TO MIDWIFERY (classroom)
- Standard (universal) precautions and infection prevention
- Review of general nutrition and fitness
- Introduction to Midwifery: Review of Heart and Hands
- Basic skills -- review and practice
- Review of the Texas Midwifery Basic Information and Instructor Manual, Midwifery Act, and Midwifery Rules
- Exam
Module II
24 weeks
ANATOMY AND PHYSIOLOGY FOR MIDWIVES -- Module II (29 lessons, includes general and reproductive A & P; on-line class/coursework)
- Introduction to Anatomy and Physiology, including terminology, cells, and tissues
- Human anatomy and physiology of all organs and body systems, including normal changes due to pregnancy
- Overview of human genetics
- Human reproduction: human reproductive cycles, fertilization
- Embryonic development and fetal growth
- The placenta and fetal membranes
- Fetal circulation and the transition to neonatal life
- Physiology of parturition
ANATOMY AND PHYSIOLOGY FOR MIDWIVES (workshop)
- Review of Anatomical Terminology and Body Cavities
- Review of Cellular Anatomy and Histology
- Review of Body Systems
- Review of Genetics, Mitosis and Meiosis
- Review of the Reproductive Cycles and Fertilization
- Review of Embryology, Fetal and Placental Development
- Review of Fetal Circulation and Transitioning to Neonatal Life
- Exam
Module III
16 weeks
ANTEPARTUM I MODULE (coursework)
- Vocabulary
- Hormones of pregnancy -- review
- The female pelvis & pelvimetry
- Pregnancy and the unborn baby
- The health and obstetrical history; pre-existing risk factors
- Maternal physical assessment
- Prenatal care 1
- Prenatal fetal assessment 1
- Exercise during Pregnancy
- Prenatal nutrition and counseling
- Common discomforts of pregnancy
- Basic diagnostic testing
ANTEPARTUM I WORKSHOP (classroom)
- Pregnancy
- Prenatal care
- The health history
- Nutrition and exercise in pregnancy
- Routine fetal assessment
- Basic diagnostic testing
- Skills (initial physical exam and obstetrical exam; venipuncture)
- Exam
Module IV
16 weeks
INTRAPARTUM I STUDY MODULE (coursework)
- Vocabulary
- Physiology of labor and birth
- Fetal skull and fetal positions
- First stage of labor
- Normal second stage of labor
- Intrapartal maternal assessment
- Intrapartal fetal assessment
- Comfort measures and techniques for labor
- Waterbirth and hydrotherapy
- Third stage of labor
- Fourth stage of labor and the immediate postpartum
- Birth equipment and supplies
INTRAPARTUM I WORKSHOP (classroom)
- Writing Protocols
- Fetal skull & fetal positions
- Mechanisms of labor
- Signs of labor
- Initial labor assessment
- Stages of labor
- Maternal and fetal assessment
- Labor support & comfort measures
- Waterbirth
- Setting up for birth - equipment & supplies
- Charting
- Skills (Estimating blood loss, vaginal exams, urinary catheterization, placental inspection)
- Exam
Module V
14 weeks
ANTEPARTUM II MODULE (coursework)
- Review of embryology; teratogens
- Genetic risk factors and counseling
- Antepartum complications
- Risk Assessment
- Prenatal Care 2 -- Special Situations
- Prenatal Fetal Assessment 2
- Advanced diagnostic testing
ANTEPARTUM II WORKSHOP (classroom)
- Prenatal Care -- Special Situations
- Fetal assessment 2
- Complications of pregnancy
- Advanced Diagnostic Testing
- Application of risk assessment
- Exam
Module VI
16 weeks
COMPLICATIONS of the INTRAPARTUM MODULE (coursework)
- Complications of 1st and 2nd stage labor
- Fetal Assessment 2
- Vaginal Birth After Cesarean
- Complications of 3rd and 4th stage, and the immediate postpartum
- Complications of Labor and Birth project
- Case studies
COMPLICATIONS of the INTRAPARTUM WORKSHOP (classroom)
- Complications of labor & birth
- Transports
- Vaginal birth after cesarean
- Fetal assessment 2
- Skills
- Exam
Module VII
16 weeks
THE POSTPARTUM PERIOD & THE NEWBORN (coursework)
- Required reading
- Vocabulary
- The postpartum period
- Complications of the postpartum period
- The newborn period
- Newborn complications
- Breastfeeding & bottle-feeding
- Family planning, well-woman care, & STDs
- Pap smears
THE POSTPARTUM PERIOD & THE NEWBORN PERIOD WORKSHOP (classroom)
- Immediate postnatal care: monitoring, complications
- Postpartum period: exams, postpartum depression, unexpected outcomes
- Newborn period: normal & abnormal, newborn exams & assessments
- Breastfeeding & bottle-feeding
- Family planning
- Sexually transmitted diseases
- Well-woman care
- Obtaining a PAP Smear
- Skills: Newborn exam, newborn screening
- Community Resources Project due
- Exam
Module VIII
12 weeks
ADVANCED SKILLS (coursework)
- Application of the Midwifery Model of Care
- Pharmacology and Midwifery
- Medication administration
- IVs
- Suturing
- Introduction to cultural influences
ADVANCED SKILLS (classroom)
- Pharmacology Project turned in for review
- Starting an IV
- Suturing
- Selected skills
- Business Skills
- Graduation and applying for the Texas License
- Protocols turned in for review
Program Completion
Upon successful completion of all ATM Midwifery Training Program requirements, including clinical training, a graduation certificate will be awarded. A copy of the certificate is submitted to the Texas Department of State Health Services Midwifery Program toward fulfillment of the educational requirements of the licensing process required to practice midwifery in Texas. The graduate is then eligible to take the state-administered NARM exam as a Texas Agency Candidate.
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