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Birth with Midwives Safety and Information

Pregnant belly in black

 Birth & Midwifery Care With Experienced, Skilled Home Birth Specialists




Claudine Crews LM, CPM

Home Birth Specialist

San Antonio, Floresville, and surrounding areas



·     Prenatal Care

·     Labor and Birth

·     Waterbirth

·     Postpartum Care

·     The Birth Center

·     Well-Woman

·     Childbirth Classes

·     VBAC - Vaginal Birth After Cesarean

·     Fees and Insurance


·     Qualifications

·     Personal

·     Affiliations


·     Forms

·     Nutritional Assessment

·     Preparing for Your Birth

·     Supplies




·     What is a midwife?

·     What is a Certified Professional Midwife?

·     Midwives Model of Care™

·     Texas Midwives

·     How to Choose a Midwife


·     Home Birth - Is it safe?

·     Advantages of Birth Outside of a Hospital

·     American Public Health Association Support


·     Waterbirth

·     VBAC

·     Cord Clamping

·     Preparing for Birth - Childbirth Education

·     Doulas



·     Induction

·     Continuous Fetal Monitoring

·     Cesarean Section

·     Epidurals

·     Immediate Cord Clamping Vs. Delayed Cord Clamping


·     Home Pregnancy Tests

·     Estimating Your Due Date

·     Common Discomforts

·     Warning Signs

·     Prenatal Testing

·     Ultrasound

·     Breech?

·     Induction

·     Childbirth Classes


·     Why good nutrition

·     Nutritional needs

·     Sample Diet

·     Nutritional values of foods

·     Food Safety

·     Salt - Yes, you do need it!


·     Breastfeeding

·     Circumcision

·     Immunizations

·     Childproofing Your Home



Site Map


Complete prenatal care in either our North San Antonio or Elmendorf - Floresville area office.


Serving the San Antonio, Elmendorf, Floresville,  Pleasanton, and surrounding areas, including: Bexar,  Wilson, and surrounding counties in South Central Texas.

What Is A Midwife?

Quite literally, the word midwife means 'with woman'. Traditionally, a midwife has been a woman who assists other women when giving birth to their children.


International Definition of a Midwife


Adopted by the International Confederation of Midwives 19 July 2005

A midwife is a person who, having been regularly admitted to a midwifery educational program, duly recognized in the country in which it is located, has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery.

The midwife is recognized as a responsible and accountable professional who works in partnership with women to give the necessary support, care and advice during pregnancy, labor and the postpartum period, to conduct births on the midwife’s own responsibility and to provide care for the newborn and the infant.

This care includes preventive measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical or other appropriate assistance and the carrying out of emergency measures.

The midwife has an important task in health counseling and education, not only for the woman, but also within the family and community. This work should involve antenatal education and preparation for parenthood and may extend to women’s health, sexual or reproductive health and childcare.

A midwife may practice in any setting including in the home, the community, hospitals, clinics or health units.

       What is a Certified Professional Midwife (CPM)

A Certified Professional Midwife is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the midwifery model of care. The CPM is the only international credential that requires knowledge about and experience in out-of-hospital settings.


CPM certification

The Certified Professional Midwife (CPM) credential requires that all candidates demonstrate successful mastery of both the didactic information and clinical experience components. The didactic component must include either education in a program accredited by the Midwifery Education Accreditation Council (MEAC) or ACNM Certification Council (ACC), or completion of PEP, a competency-based education program. Each candidate must also complete a clinical component that is at least one year in length and equivalent to 1350 contact hours under the supervision of one or more approved preceptors. Recertification every three years is required of all CPMs.



       What is the Midwifery Model of Care?

Midwives Model of Care™
The Midwives Model of Care™ is based on the fact that pregnancy and birth are normal life events. The Midwives Model of Care includes:

  • monitoring the physical, psychological and social well-being of the mother throughout the childbearing cycle

  • providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support

  • minimizing technological interventions and; identifying and referring women who require obstetrical attention 

The application of this model has been proven to reduce to incidence of birth injury, trauma, and cesarean section.

The Midwives Model of Care definition above is Copyright © 1996-2001, Midwifery Task Force, All Rights Reserved.


The American Public Health Association (APHA) and The World Health Organization (WHO) on Midwifery

.... 'In terms of quality, satisfaction, and costs, the midwifery model for pregnancy and maternity care has been found to be beneficial to women and families, resulting in good outcomes and cost savings… With focus on pregnancy as a normal life event and health promotion for women of all ages, the midwifery model of care is an appropriate alternative or complement to the medical approach to childbirth.'
     ~  American Public Health Association, Supporting Access to Midwifery Services in the United States (Position Paper), American Journal of Public Health, Vol. 91, No. 3, March 2001.




...'Midwives are the most appropriate primary health care provider to be assigned to the care of normal birth.'

    ~ Maternal and Newborn Health/Safe Motherhood Unit of the World Health Organization, Care in Normal Birth: A practical guide. World Health Organization, 1996.


You can read and download a copy of

Care in Normal Birth: A Practical Guide

Report of a Technical Working Group

Maternal and Newborn Health/Safe Motherhood

Division of Reproductive Health

World Health Organization



Every country in the world who has lower maternal and infant mortality rates than the United States has universal health care AND midwives attending the majority of normal births! Read the CIMS Fact Sheet:


Midwives - Essential For Affordable and Effective Maternity care





NOW Resolution: Expansion of Reproductive Freedom to Include Midwives Model of Care (From the Citizens For Midwifery website)



Midwives In Texas...

There are two types of midwives which may legally practice in the state of Texas: Certified Nurse Midwives (CNM) and Licensed Midwives (LM). Some CNMs and LMs may also be Certified Professional Midwives (CPM). For a

chart explaining the differences between CNMs and LMs click here.


Please Note: You may read the term 'Lay Midwife' on web sites from outside of Texas, or hear the term from a physician, CNM, or hospital personnel. However, lay-midwifery is illegal in the State of Texas. Licensed and/or Certified Professional Midwives are not lay midwives. Some health care providers are are unaware of this fact and do not understand the difference.


Midwifery in Texas: Safety, Regulation and Need reflects, with only slight modification of format, research done by Kathy Rateliff at the request of the Association of Texas Midwives (ATM). Kathy conducted her research under contractual agreement with ATM, and this document is the result of the compilation of her research. Plans are being made for a subsequent edition of this document, which will feature expansion of content and standardization of the annotation and citation schemes currently employed.

Midwifery in Texas: Safety, Regulation and Need


To learn more about Licensed Midwives in Texas, or about the Texas Department of State Health Services Texas Midwifery Board, visit the TDSHS Midwifery Board Home Page at:










 For a free consultation contact:


  Midwifery Services of South Texas



© Copyright 2007 Midwifery Services of South Texas

Permission to reprint pregnancy and childbirth information contained within this website with attribution

No photographs may be copied or used without written permission



About Midwives



Happy Baby Born at Home





Progress in every country ... women and midwives




“Unfortunately, the role of obstetrics has never been to help women give birth. There is a big difference between the medical discipline we call “obstetrics” and something completely different, the art of midwifery. If we want to find safe alternatives to obstetrics, we must rediscover midwifery. To rediscover midwifery is the same as giving back childbirth to women. And imagine the future if surgical teams were at the service of the midwives and the women instead of controlling them.”

-Michel Odent, MD (An obstetrician with the heart of a midwife)




Selecting a midwife should be done with the same care you would use in selecting any health care provider. Obviously you need to know about her training, qualifications, and experience. You will want to know about how she practices, any routine procedures, tests, practices, etc. However, it is equally important to choose a midwife with whom you feel comfortable. The 'best' midwife for you may be an enthusiastic brand-new midwife, freshly trained, rather than a midwife with many years of experience. Birth is an intimate event and you want to have confidence in, feel comfortable with, and like the midwife you choose to assist you during your birth. There is no one 'best' midwife for everyone.


The questions on the page, 'How To Choose A Midwife' are divided into sections, with the most important things you should know listed first, followed by questions which may or may not be important to you. You will notice that the section on her fee is last. While it is very important to understand your midwife's fee, what it does and does not cover, and how she expects payment, you should never base your decision on choosing a midwife solely on the basis of how much she charges.


Note: According to Texas Law, Texas Occupations Code Ch. 203, the Midwife is required to disclose in oral and written form to a prospective client the limitations of the skills and practices of the midwife.  The Informed Choice and Disclosure Statement meets these legal requirements.  Each midwife may also expand the document into a more extensive information choice agreement reflecting details of her/his practice. The Informed Choice and Disclosure Statement must include much of the information you may want to know, including the number of years she has been a midwife, number of births attended, and how many of those were as a primary midwife.


Click here to view and print a PDF version of How To Choose A Midwife