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 classroom, clinical work and apprenticeship hours designed to maximize the transition of theory into practice.
Our next session begins October 1st!
Class and Skills Development
Students will spend 800 hours in classroom. Students can expect to spend 2 hours studying outside of class for every hour spent in class. 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 may be completed in 12 - 24 months. Typically, clinical training may take an additional 6 - 36 months.
Clinical Training includes direct client care through prenatals and postpartum (as well as births). Clinical hours will be a minimum of 1200 hours. Students can expect to choose clinical and birth shifts. Clinical hours are performed at Beautiful Beginning Birth Center until the student has demonstrated mastery of the basics of midwifery at which time they may be invited to study with other Preceptor-Midwives.
During the first year of study (or until the student is halfway through Births as an Assistant), students chose their clinical shifts. This may be one or two days a week or it may be as many as five days a week. This flexibility allows students to balance, work-life-school.
During the second year of study (after completing half of the Births as an Assistant phase), 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.
The time it takes a student to complete the clinical requirements is dependent upon the student's availability and competency at prenatals, births and postpartums. The time that it takes to demonstrate competency is unique to each individual. A student can expect to attend a minimum of:
- 55 births - In home, birth center and hospital settings,
- 100 prenatals
- 50 postpartums
Students are strongly encouraged to use this requirement as an absolute minimum and to gain as much clinical and birth experience as they can during their time at BBMTC.
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 - 1110 Anatomy & Physiology
A biology based lecture and laboratory combination course designed to allow students to explore the anatomical structure and physiological processes of the human body and how it relates to the field of midwifery. Topics include the basic organization of the body and major body systems.
Prerequisite - 1200 Medical Terminology
The study of medical terminology introduces students to the principals of medical word building – root words, prefixes and suffixes – designed to develop the extensive medical vocabulary used in healthcare. Students will gain an understanding of basic elements, rules of building and analyzing medical words, and medical terms associated with the body as a whole. Utilizing a systems-approach, the student will define, interpret, and pronounce medical terms relating to structure and function, pathology, diagnosis and clinical procedures. In addition to medical terms, common abbreviations applicable to each system will be studied.
Prerequisite - 1300 Pathophysiology
This course relates manifestations of disease, risk factors for disease, and the principles for pathology underlying illness and injury as it relates to the midwifery field.
Prerequisite - 1910 Intro to Midwifery and the Healthcare Field / Skills I
A healthcare based lecture and laboratory combination course designed to introduce students to the field of midwifery and the scope of practice for midwives worldwide and in Texas specifically. This course covers HIPAA and privacy practices, OSHA and blood borne pathogens training, along with universal precautions for safety when practicing in the healthcare field.
Successful completion of the prerequisite courses grants a student full enrollment status in the midwifery school.
2100 - Fertility & Embryology
In depth study of the physiology of the fertility cycle as well as natural family planning methods. This course covers birth control methods, their benefits and risks, and human sexuality. Student will explore the development of the fertilized egg from zygote to baby as well as developmental milestones of fetal development.
2200 - Nutrition & Exercise
Nutrition from a holistic, a Western and an Eastern perspective is introduced. Student will gain an understanding of the nutritional requirements for the childbearing year as well as during lactation. Supplements, vitamins, minerals and beneficial herbs will be studied. Exercise physiology, its risks and benefits and modifications for pregnancy and postpartum will be addressed.
2300 – Pharmacology & Ultrasound
An introduction to drug class, mechanism of action, basic drug classification of pharmaceuticals a midwife is most likely to encounter in practice. Drug safety is emphasized as well as a detailed protocol for preparing and administering mediations to a woman and her baby. Basics of ultrasound is covered. Students learn what sonographers are looking for while performing an ultrasound, how read a report, the legal requirement for interpreting sonography findings. There will be hands on practice for visualizing a fetal heart beat and position of a fetus.
2901 – Skills II
This is class builds on the foundational skills students learned in Introduction to Midwifery & Healthcare / Skills I class. Students are taught more advanced skills during this class. Includes skills drills for CPR, first aid and neonatal resuscitation.
3110 – Antenatal / Prenatal
Antenatal assessment and care of the woman and her fetus. Students learn:
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
3210 – Laboratory Investigations I
Legal requirements for labs – HIV, HBsAG, RPR
OB panel, Glucose screening, GBS, Genetic screening
3911 – Skills III
Pre-requisite: 2901- Skills II
4211 – Laboratory Investigations II
Pre-requisite: 3210 – Laboratory Investigations I
4411 – Abnormal Antenatal / Prenatal
Pre-requisite: 3110 – Antenatal / Prenatal
Protocols, Consulting Physician, Collaborative Care
Ectopic, molar pregnancy
Toxemia, TORCH, CMV, GDM, STIs
Post term vs post dates
Malpresentation, unstable lie
4911 – Skills IV
Pre-requisite: 3911 – Skills III
5110 - Intrapartum / Labor & Delivery
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
5300 – Lactation / Breastfeeding I
Students are encouraged to chose their course in lactation early on. Students that wish to take the add-on class – IBCLE preparation – will need to declare their decision early in their training to begin accumulating the supervised training hours under the supervision of an IBCLC mentor.
5911 – Skills V
Pre-requisites: 4911 – Skills IV
6411 – Abnormal Intrapartum / Labor & Delivery I
Pre-requisite: 5110 – Intrapartum / Labor & Delivery
Legality of transports
Abruption, excessive bleeding, retained placenta
Fetal distress, meconium, CPD
VBAC, multiple gestation, breech
Hemorrhage, Shock, Pharmacologic agents
6501 – Lactation / Breastfeeding II
Pre-requisites: 5300 – Lactation / Breastfeeding I
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
Breast exam and breast health
6911 – Skills VI
Pre-requisites: 5911 – Skills V
7600 – Newborn Care
Co-requisite: 7700 Postpartum Care
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
7700 – Postpartum Care
Co-requisite: 7600 – Newborn Care
EBL, Placental Inspection, Encapsultation
Perineal assessment and repair
Diastasis, Pelvic Floor, Exercise, Nutrition
Return to fertility, Family Planning
7801 – Abnormal Intrapartum / Labor & Delivery
Pre-requisites: 6411 - Abnormal Intrapartum / Labor & Delivery
8101 – Business of Midwifery
Pre-requisites: All 1000 – 8000 Level Courses
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