Baby's first checkup

Licensed Midwives

Scope of Practice

Licensed Midwives are direct-entry midwives. 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 issues outside of their area of competency. Licensed Midwives have authority to purchase and use oxygen as well as eye ointment for the newborn. 

Education

Their education in Texas is based on the current Core Competencies and Standards of Practice of the Midwives Alliance of North America (MANA) and the Texas Midwifery Basic Information and Instructor Manual, which is created and approved by the Texas Department of Health. There are currently three direct-entry midwifery programs approved by the Texas Midwifery Board:

1. The Association of Texas Midwives Midwifery Program, Tyler, TX

2. Maternidad la Luz, El Paso, TX

3. Medical Training Institute of America Midwifery Program, Dallas, TX

The Midwifery Board also has continuing education requirements for Licensed Midwives.

Regulation

Licensed Midwives in Texas are regulated by The Texas MidwiferyBoard under the Texas Department of Health (now the Department ofState Health Services) Professional Licensing and Certification Division. There are approximately 150 Licensed Midwives in Texas.

Certified Nurse Midwives  

Scope of Practice

CNMs 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 issues outside of their area of competency. CNMs may have prescriptive authority delegated by a collaborating physician if the CNM meets the requirements of the Board Nurse Examiners.

Education

CNMs 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).

There are two nurse midwifery educational programs in Texas:

1. Parkland School of Nurse Midwifery, Dallas, TX (affiliated with UT Southwestern  Medical Center

2. The U.T. Collaborative Nurse Midwifery Education Program, U.T.M.B., Galveston TX 

Regulation

Certified Nurse-Midwives are regulated by the Board Nurse Examiners. CNMs are licensed as registered nurses authorized to practice as a category of advanced practice nurse (APN).