Study to Become a Midwife
Our Austin based midwifery school is devoted to presenting a dynamic curriculum meant to assist students in the mastery of midwifery skills. Our approach blends class time, clinic skills and an apprenticeship designed to maximize the transition of theory into practice.
Our next session begins December 5th!
Class and Skills Development
Students will spend 500 hours in classroom and an additional 300 hours in skills lab. Students can expect to spend 2 hours outside of class for every hour spent in class. Students begin by attending class one day per week. Class is a blend of skills and academic learning that is both teacher lead as well as video led. Our students are taught the basics right away, usually the first week of class - blood draw, vital signs, urinalysis - and they put those skills to work! The classroom portion of the program can be completed in 22 - 24 months. Clinical skills may take an additional 6 - 36 months.
Clinical hours – direct client care including births, prenatals, postpartum – will be a minimum of 1200 hours. During the first year of clinic, students can expect to choose 24 hour shifts. Clinic hours are completed at Beautiful Beginning Birth Center until the student has demonstrated mastery of the basics of midwifery at which time they are invited to study with our Preceptor-Midwives.
During the first year of study, students chose a clinical call schedule. This can be one or two days a week or it can be as many as five days per week. This flexibility allows students to work in addition to attend school.
During the second year of study, students are expected to be on-call 24/7 in preparation for the rigors of a midwifery practice.
Once a student has mastered the basics, they begin a formal apprenticeship with one or more midwives. It is our belief that a student should attend births and clinic appointments with several midwives throughout her study. This diversity in experiences allows a student to formulate her own philosophy of midwifery and how she would like to practice.
After a minimum of 100 prenatals and 30 births, a student is considered an Advanced Midwifery Student and will select a midwife to work with exclusively. This one-on-one mentorship allows the Preceptor-Midwife to thoroughly assess a student's strengths and weaknesses and to guide her to becoming a successful midwife.
Each student is assigned an Academic Advisor when they enroll in the school. The student and advisor meet quarterly and students are encouraged to consult with their advisor for academic support, to debrief after a difficult birth, or for any questions that may arise during their training. This person is meant to be a source of encouragement and support to the student.
Prerequisite (12 weeks) – Introduction to Midwifery and the Medical Field
Successful completion of this course enables a student full enrollment in the midwifery school.
HIPAA, OSHA/Universal Precautions, Sanitation
CPR, NRP, Vitals
Legality and Governing Agencies
Midwifery Model of Care, MANA, NARM
Anatomy & Physiology
Medical terminology, charting, Protocols
Research & Statistics
Fertility, Embryology, Nutrition
Fertility Cycle, Family Planning
Physical Exam, Labs
Nutrition, Supplements, Herbs
Obstetric History Taking, Physical Exam and Labs
Early pregnancy – signs and symptoms, dating, viability
Normal changes in pregnancy, what to expect
Assessing maternal and fetal well being
Palpation of fetal lie, position and presentation
Exercise and nutrition
Protocols, Consulting Physician, Collaborative Care
Ectopic, molar pregnancy
Toxemia, TORCH, CMV, GDM, STIs
Post term vs post dates
Malpresentation, unstable lie
Labs & Pharmacology
Legal requirements for labs – HIV, HBsAG, RPR
OB panel, Glucose screening, GBS, Genetic screening
Medications – Drug Class
Normal physiology of labor and birth
Membrane status, vital signs, contraction pattern
Maternal and fetal well-being assessment
Fetal heart tone assessment
Comfort measures, pain management
Hand maneuvers for delivery
Third Stage – Delivery of Placenta
Legality of transports
Abruption, excessive bleeding, retained placenta
Fetal distress, meconium, CPD
VBAC, multiple gestation, breech
Hemorrhage, Shock, Pharmacologic agents
Postpartum & Newborn
EBL, Placental Inspection, Encapsultation
Perineal assessment and repair
APGAR, normal vitals and behavior
Physiologic and anatomic changes in circulatory and respiratory systems
Newborn Exam and Documentation
Complications - Respiratory distress, meconium, indications for transport
Testing – CCHD, NBS, Newborn Hearing Screening
Diastasis, Pelvic Floor, Exercise, Nutrition
Return to fertility, Family Planning
Breastfeeding & Well Woman Care
Breastfeeding taught by an IBCLC
Anatomy of the Breast
Physiology of Breastfeeding
Delayed lactogensis – medications at birth
Over- and low- supply
Milk extraction and storage
Tongue and lip tie, Problems with latch
Mastitis, Plugged ducts, Blebs, Engorgement
History taking, physical exam, pap, labs
Breast exam, family planning
The Business of Midwifery
State Regulations regarding Midwifery
NARM, MANA, MEAC
Billing, Peer Review, Continuing Education
Setting up accounts – oxygen, lab, hazardous waste
Coordinating with Physicians – Standing Orders, Consultations
Protocols – Writing, Review, Revision and Sign Off
Liability, Legal entities, Taxes
Birth and Death Certificates, Acknowledgment of Paternity
Records – Create, Storage – HIPAA, PHI, Client Records
NARM exam, Jurisprudence Exam, State Licensure