Texas Midwives: The Two Types of Midwives in Texas

Are you interested in midwifery school? See the Texas Midwifery School website.

Click here for a copy of the midwife chart .

There are two types of midwives who may legally practice in the state of Texas:  Licensed Midwives (LM) and Certified Nurse Midwives (CNM).  You may notice a third credential when researching midwifery. The Certified Professional Midwife (CPM), is a national credential and sets the education standard for Licensed Midwives in this country. 

Unlicensed midwifery is illegal in Texas. You can go to TDLR.gov  or Board of Nurse Examiners to see if your midwife has a license.

Scope of Practice

Licensed Midwives may independently manage women's health care services relating to pregnancy, childbirth, and the postpartum period. They also provide normal newborn care for up to six weeks of age. A licensed midwife with appropriate training and experience may also provide family planning and routine well-woman care according to her individual protocols. They consult, collaborate, or refer to other health professionals for patient care when issues arise that are out of the scope of practice of a Licensed Midwife. Licensed Midwives have authority to purchase and use oxygen as well as eye ointment for the newborn.

Certified Nurse Midwives independently manage women's health care services relating to pregnancy, childbirth, the postpartum period, family planning, and routine gynecological needs. They may also provide normal newborn care and primary health care for women. They consult, collaborate, or refer to other health professionals for patient care when issues arise that are out of the scope of practice of a Certified Nurse Midwife. CNMs may have prescriptive authority delegated by a collaborating physician if the CNM meets the requirements of the Board of Nurse Examiners.

Education and Regulation

Licensed Midwives have met all the education requirements set forth by the State of Texas. Their education is based on Midwives Alliance of North America Standards of Practice, MANA Core Competencies, The North American Registry of Midwives test and skill specifications and the rules and requirements set forth by the Midwives Advisory Board at the Texas Department of Licensing and Regulation. All Licensed Midwives must also be certified in CPR and NRP and participate in Continuing Education. Licensed Midwives are regulated by TDLR

The ATM Midwifery Training Programs is a Texas licensed midwifery school.

For more information on the ATM Midwifery Training Program visit the Education page.

Certified Nurse Midwives are registered nurses that have completed a graduate-level program in nurse-midwifery. CNM educational programs are accredited by the American College of Nurse-Midwives (ACNM) and recognized by the U.S. Department of Education. These programs must also meet the standards of the Board of Nurse Examiners for the State of Texas (BNE). CNMs are regulated by the BNE.

Practice Settings

Licensed Midwives work in the Community Birth setting, in client's homes or in Licensed Birth Centers.

Certified Nurse Midwives in both the Medical System as well as the Community Birth setting and this includes a wide variety of settings such as clinics, hospitals, medical offices, and their own private practices. The majority of CNM assisted births are in hospitals but they also deliver in birth centers and homes.

Medicaid Reimbursement

In Texas, Medicaid recognizes CNMs as primary care providers for women. Medicaid reimburses CNMs at 85% of the rate paid to a physician for the same service. Licensed Midwives are reimbursed if they work at a licensed Birth Center.

Professional Organizations

Texas:
Consortium of Texas Certified Nurse Midwives (CTCNM)
4000 Sunflower Lane
Belton, TX 75613
gale@infohwy.com

National:
American College of Nurse Midwives (ACNM)
8403 Colesville Rd, Suite 1550
Silver Spring, MD 20910
Phone 240-485-1800 Fax: 240-485-1818
www.midwife.org

Texas:
Association of Texas Midwives
P.O.Box 887
Elmendorf, TX 78112
Phone: 432-664-8815
www.texasmidwives.com

National/International:
The North American Registry of Midwives (NARM)
5257 Rosestone Dr.
Lilburn, GA 30047
Phone: 1-888-842-4784
www.narm.org

 

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Goal Statement

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

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The Association of Texas Midwives recognizes the negative impacts of bullying and harassment upon the practice and profession of midwifery in Texas. We do not tolerate violence, manipulation or coercion of any kind by any source.