Midwifery Programs in Texas

Midwifery School in Texas - TX

Millions of American women have turned to nurse midwives to support and guide their labor process, ultimately ending with the delivery of a newborn child. As advanced health care providers, nurse midwives have comprehensive training that equips them to provide a range of care services and are often qualified to prescribe medication.

They may practice across a spectrum of health care organizations, from hospitals to private practices, birthing centers to OBGYN offices. Depending on the situation, they may collaborate with physicians, including obstetricians, to provide in-depth care to pregnant women.

Texas has established a scope of practice for individuals practicing "midwifery," including the following elements:

  1. Directing a normal delivery
  2. Providing support, care and guidance to women during a normal pregnancy, including labor and post-birth period
  3. Guiding normal newborn care (birth to six first weeks after delivery)

In the state, midwives are called "Direct Entry Midwives" or "License Midwives" and must meet a series of requirements prior to being able to legally practice in Texas under the Texas Midwifery Act.

Nurse midwifery education in Texas

Individuals considering a career in midwifery in Texas must follow the guidelines set forth by the Texas Department of State Health Services to qualify to practice in the state. Midwifery schools in Texas must meet the following educational principles:

  1. Must include at least 250 hours (minimum) of course work
  2. Be based upon, cover, and teach the Core Competencies and Standards of Practice from the Midwives Alliance of North America as well as the current Texas Midwifery Basic Information

Midwifery schools in Texas must also be approved by the Texas Midwifery Board. One approved program offered by the Association of Texas Midwives can typically be completed in as little as 34 months. Curriculum covers eight core areas of study, including Introduction to Midwifery, Anatomy and Physiology for Midwives, Advanced Skills and more.

In addition to academic-focused, classroom-based courses, students in midwives programs must also gain clinical experience, completing at least 1,350 clinical hours of practice with a licensed preceptor. Additional educational requirements also include meeting a minimum attendance and participation in live births, as well as serving as a primary midwife for a range of births and exams: 75 prenatal examinations, 20 initial history exams, 20 newborn exams and 40 postpartum exams.

Prospective students should review all requirements and regulations set forth by the Texas Midwifery Board and the Texas Department of State Health before enrolling in any training program

Texas licensing and certification requirements for midwives

Texas has strict rules and regulations regarding both the licensing and practice of midwives in the state. Prospective first-time applicants may earn a license through one three methods:

1. Complete and pass a midwifery course (can be either on-campus or via distance learning) that has been approved by the Texas Midwifery Board as well as complete and pass a comprehensive written exam administered by the state.

2. Successfully finish a midwifery course that is accredited by the Midwifery Education Accreditation Council, take and pass a comprehensive, state-approved written examination, and pass a continuing education class currently listed in the Texas Midwifery Basic Information and Instructor Manual.

3. Earn certification from the North American Registry of Midwives to become a Certified Professional Midwife, as well as take and complete successfully a continuing education class currently listed in the Texas Midwifery Basic Information and Instructor Manual.

Additional licensing steps are required. Be sure to review all requirements from the Texas Department of State Health Services. Licenses must be renewed every two years and additional steps for license renewal may be required.

Salary and employment projections for nurse midwives in Texas

Data from the Bureau of Labor Statistics (BLS.gv) reveals that -- nationally speaking -- nurse midwives are well-compensated professionals, earning a national average salary of more than $92,000 in 2013. However, in the state of Texas, nurse midwives outpaced the national average, with a 2013 average salary of $97,970 in 2013, according to the BLS.

Between 2012 and 2022, the Texas Workforce Commission projects employment openings for nurse midwives should increase by 30.4 percent between 2012 and 2022.


Bureau of Labor Statistics, May 2013 National Occupational and Wage Estimates, http://www.bls.gov/oes/current/oes291161.htm

Bureau of Labor Statistics, May 2013 State Occupational and Wage Estimates - Texas, http://www.bls.gov/oes/current/oes_tx.htm

Projections Central, State Employment Projections - Texas, http://projectionscentral.com/Projections/LongTerm

Texas Department of State Health Services, Midwives Licensing Requirements, https://www.dshs.state.tx.us/midwife/mw_apply.shtm

Association of Texas Midwives, http://www.texasmidwives.com/

Association of Texas Midwives, Education Requirements, http://www.texasmidwives.com/education/course.asp

Texas Department of State Health Services, Midwife Schools, https://www.dshs.state.tx.us/midwife/mw_schools.shtm

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