Midwife Assistants: Regulations, Scope, and Suggestions for Practice

This course begins with an explanation of the specific definitions in B&P regarding Midwife Assistants, including definitions of that role, supervision, and midwife technical services.

We will then discuss the specifics of training requirements, specific scope determined by the California code of regulations, and the process by which certifying organizations can apply with the Medical Board to certify Midwife Assistants. 

Finally, we will present suggested training outlines and documents as well as additional resources for training, compensation models, and documentation LMs can use when utilizing Midwife Assistants.

Learning Objectives:

1)Summarize the existing body of literature that addresses relative and absolute risk of negative outcomes for mother and baby by prenatal risk factor;
2)Explain the difference between absolute and relative risk and describe how to read outcomes of statistical analyses using these measures;
3)Define adjusted odds ratios and confidence intervals;
4)List and define all exposures and outcomes analyzed to inform risk assessment;
5)Summarize findings for the following exposures: breech, twins, older than average pregnant people, women of size, GDM, PE, postdates, primips, labor after cesarean;
6)Explain the difference between population-and individual-level risk, including the role of mitigating and exacerbating factors;
7)Explain the clinical significance of findings and critically debate implications for practice;
8)Describe the “four boxes approach” to ethical review of individual cases;
9)List the tenets of shared decision-making (SDM) and person-centered care (PCC);
10)Integrate the four boxes approach, SDM and PCC during scenario discussion;
11)Demonstrate the ability to support diverse clients through evidence-informed, holistic decision making to create a complex care plan.

This pre-recorded webinar is available only to members of CALM.

Upon completion of all online components, participants will receive a CE Certificate for 1 hour of CE approved by the Californians for the Advancement of Midwifery in collaboration and supervision of California Association of Licensed Midwives.