Additional Program Information

The ATM Midwifery Training Program (ATMMTP) 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 Dept. of Licensing and Regulation (TDLR) approved program, the ATMMTP curriculum also includes the laws and rules that apply to Texas Licensed Midwives.  The ATMMTP requires all students 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, each module has a private email group for its class members to facilitate study help when needed.  A student Facebook page helps provide peer support and interaction from students at all levels of education and clinical training.  Each module may have its own forum(s) and chats. All help provide the support normally obtained in a classroom setting.


Every ATMMTP module ends with a two or three day mandatory workshop.  The 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,  discussion, and clinical simulations, with demonstration and hands-on practice of skills. Students are challenged to practice critical and clinical thinking 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.

Workshops are normally only held twice per year and in a specific location.  You may download a calendar with workshop dates here, with the current city in which it is held.  Which workshop a student attends will depend on the start day of the module. You will need to review the program schedule for your class start date to determine in which month a workshop will fall for your class start date.

Click her for the Workshop and Program Schedules page.

Note that all workshop dates are tentative. While we strive to adhere to the schedule, the dates are subject to change!

See pictures from recent workshops - click here!

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.

Click here to download the current Required Textbooks

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

16 weeks

INTRODUCTION TO MIDWIFERY -- Module I (coursework)

  • History and Profession of Midwifery
  • The Midwifery Model of Care and Informed Decision-Making
  • Heart and Hands -- An overview of midwifery care and skills
  • Introduction to Medical Terminology
  • General Nutrition and Fitness
  • Vital Signs -- accuracy and assessment
  • Laws, rules, and standards governing midwifery in Texas
  • Basic skills practice assignment (vital signs)
  • Anatomy and Physiology 1
  • Introduction to Anatomy and Physiology, including terminology
  • The chemistry of life
  • Cells, cellular reproduction
  • Histology
  • Integumentary System

Included with the first module:

  • Independent Study assignments to complete throughout the program, including
  • Physical Assessment
  • Introduction to the Newborn at Birth
  • Pharmacology & Alternative Modalities Project
  • Community Resources Project



  • 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

21 weeks

ANATOMY AND PHYSIOLOGY FOR MIDWIVES 2 -- Module II (includes general and reproductive A & P; on-line class/coursework)

  • 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


  • 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

19-20 weeks


  • Vocabulary
  • Reproduction and pregnancy
  • The female pelvis & pelvimetry
  • The health and obstetrical history; pre-existing risk factors
  • Cultural issues affecting pregnancy and birth
  • Maternal health history and physical assessment (Physical Assessment ISP due)
  • Prenatal care 1
  • Prenatal fetal assessment 1
  • Exercise during Pregnancy
  • Prenatal nutrition and counseling
  • Common discomforts of pregnancy
  • Basic diagnostic testing


  • 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; Pap smears)
  • Exam

Module IV

18 weeks


  • Physiology of labor and birth
  • Fetal skull and fetal positions
  • The Bishop's Score
  • 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
  • Cultural Competency Health Practitioner Assessment
  • The Newborn at Birth ISP due
  • Professional Ethics in Midwifery Practice



  • Principles of writing practice guidelines
  • The Newborn at Birth
  • 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

20 weeks


  • Prenatal Care 2 - Advanced and Special Situations
  • Psychosocial Aspects and Issues in Pregnancy
  • Diagnostic Testing 2
  • Infections during the Childbearing Period
  • Prenatal Fetal Assessment 2
  • Danger Signs during Pregnancy
  • Antepartum Complications



  • Prenatal Care -- Special Situations
  • Psychosocial Aspects and Issues in Pregnancy
  • Social Determinants of Health
  • Fetal Assessment 2
  • Infections during the Childbearing Period
  • Cultural issues and disparities in birth outcomes
  • Complications of Pregnancy
  • Diagnostic Testing 2
  • Ongoing Risk Assessment
  • Exam

Module VI

20 weeks


  • 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 labor & birth
  • Transports
  • Vaginal birth after cesarean
  • Fetal assessment 2
  • Skills: simulations of emergency situations
  • Exam

Module VII

20 weeks


  • Required reading
  • Vocabulary
  • The postpartum period
  • Complications of the postpartum period
  • The newborn period
  • Newborn complications
  • Breastfeeding & bottle-feeding
  • Family planning
  • Pre-conception and well-woman care
  • Pap smears
  • Applying the Midwifery Model of Care


  • Immediate postnatal care: monitoring, complications
  • Postpartum period: exams, postpartum depression, unexpected outcomes
  • Newborn period: normal & abnormal, newborn exams & assessments
  • Breastfeeding & bottle-feeding
  • Family planning
  • Well-woman care
  • Skills: Newborn exam, newborn screening
  • Basic Business Skills
  • Community Resources Project due
  • Exam

Module VIII

10-12 weeks (this module may be taken at any time following completion of module 3.)

ADVANCED SKILLS (coursework)

  • Suturing
  • Introduction to Pharmacology for Midwives
  • Medication administration
  • Intravenous (IV) Therapy
  • Exam (must be passed before skills workshop)

ADVANCED SKILLS (skills workshop)

  • Standard precautions and needle safety
  • Medication administration
  • Starting an IV
  • Suturing

Due 14 weeks prior to graduation:

  • Pharmacology and alternative modalities ISP due
  • Complete set of practice guidelines due


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 Licensing and Regulation 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.

Contact Details

Association of Texas Midwives

P.O.Box 887 Elmendorf, TX 78112

Tel: 432-664-8815



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"To advance the quality and accessibility of midwifery in Texas."

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