To be eligible for approval by the department as a basic midwifery
education course, a course must:
(1) have a course administrator and site in Texas
(2) be offered only by an individual or organization
meeting the requirements for course approval established by this section;
(3) include a didactic component which must:
(A) be based upon and completely cover the current
Core Competencies and Standards of Practice of MANA and the current
Texas Midwifery Basic Information Manual;
(B) prepare the student to apply for certification
by NARM; and
(C) include a minimum of 250 hours course work;
(4) be supervised and conducted by a course administrator
who must:
(A) be responsible for all aspects of the course;
(B) have two years of experience in the independent
practice of midwifery, nurse-midwifery, or obstetrics;
(C) have been primary care giver for at least 75 births
including provision of prenatal, intrapartum, and postpartum care;
and
(D) be at least one of the following:
(i) a licensed midwife;
(ii) a Certified Professional Midwife (CPM);
(iii) American College of Nurse Midwives (ACNM) certified;
or
(iv) a physician licensed in Texas and 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 administrator;
(6) provide clinical experience of at least two years
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) Phase 1. Document attendance at 10 births in any
setting, in any capacity (observer, doula, family member, friend,
beginning student).
(i) The births may be verified by any witness who was
present at the birth.
(ii) The births may not include the person's own birth.
(B) Phase 2. Document completion of the following activities,
as an assistant under direct supervision:
(i) 20 births;
(ii) 25 prenatal exams, including 3 initial exams;
(iii) 20 newborn exams; and
(iv) 10 postpartum exams.
(C) Phase 3. Document completion of the following activities,
as a primary under direct supervision:
(i) 20 births, including:
(I) five births for which the student provides a continuity
of care consisting of a minimum of:
(-a-) five prenatal exams spanning at least two trimesters;
(-b-) the birth, including the placenta;
(-c-) the newborn exam (within 12 hours of the birth);
and
(-d-) at least two postpartum exams (between 24 hours
and 6 weeks following the birth); and
(II) 10 births that include at least one prenatal exam;
(ii) 75 prenatal exams, including 20 initial exams;
(iii) 20 newborn exams; and
(iv) 40 postpartum exams;
(7) include preceptors who are approved by the course
administrator;
(8) allow student enrollment only to individuals who
possess:
(A) a high school diploma or the equivalent; and
(B) current CPR certification.
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