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RULE §115.20Basic Midwifery Education

(a) The department shall consider for approval only courses which have a course supervisor/administrator and site in Texas.

(b) Mandatory basic midwifery education shall:

  (1) be offered to ensure that only trained individuals practice midwifery in Texas;

  (2) be offered by any individual or organization meeting the requirements for course approval established by this subsection;

  (3) include a didactic component which shall:

    (A) be based upon and completely cover the most current Core Competencies and Standards of Practice of the Midwives Alliance of North America (MANA) and the current Texas Midwifery Basic Information Manual;

    (B) prepare the student to apply for certification by North American Registry of Midwives (NARM); and

    (C) include a minimum of 250 hours course work.

  (4) be supervised and conducted by a course supervisor/administrator who shall:

    (A) be responsible for all aspects of the course; and

    (B) have two years of experience in the independent practice of midwifery, nurse-midwifery or obstetrics; and

    (C) have been primary care giver for at least 75 births including provision of prenatal, intrapartum, and postpartum care; and

    (D) have met initial licensure requirements; or

    (E) be a Certified Professional Midwife (CPM); or

    (F) be American College of Nurse Midwives (ACNM) certified; or

    (G) be a licensed physician in Texas actively engaged in the practice of obstetrics.

  (5) include didactic curriculum instructors who:

    (A) have training and credentials for the course material they will teach; and

    (B) are approved by the course supervisor/administrator.

  (6) provide clinical experience/preceptorship of at least one year but no more than five years and equivalent to 1,350 clinical contact hours which prepares the student to become certified by NARM, including successful completion of at least the following activities:

    (A) serving as an active participant in attending 20 births;

    (B) serving as the primary midwife, under supervision, in attending 20 additional births, at least 10 of which shall be out-of-hospital births. A minimum of 3 of the 20 births attended as primary midwife under supervision must be with women for whom the student has provided primary care during at least 4 prenatal visits, birth, newborn exam and one postpartum exam;

    (C) serving as the primary midwife, under supervision, in performing:

      (i) 75 prenatal exams, including at least 20 initial history and physical exams;

      (ii) 20 newborn exams; and

      (iii) 40 postpartum exams.

  (7) include preceptors who are approved by the course supervisor/administrator and shall be:

    (A) licensed midwives;

    (B) certified professional midwives;

    (C) certified nurse midwives; or

    (D) physicians licensed in the United States and actively engaged in the practice of obstetrics.

(c) Individuals enrolled as students in an approved midwifery course must possess:

  (1) a high school diploma or the equivalent; and

  (2) a current Cardiopulmonary Resuscitation (CPR) certificate for health care providers from the American Heart Association; an equivalent CPR certificate for the professional rescuer from the Red Cross; equivalent certification for healthcare and professional rescuer from the National Safety Council; or equivalent certification issued by any provider of CPR certification for health care providers currently accepted by the Department of State Health Services' Office of EMS/Trauma Systems Coordination.

Source Note: The provisions of this §115.20 adopted to be effective October 1, 2016, 41 TexReg 4477

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