A licensed direct entry midwife (LDM) supervises the conduct and labor of childbirth, advises the parent as to the progress of childbirth, and renders prenatal, intrapartum and postpartum care. Licensed direct entry midwives provide care in the home, in birthing centers, clinics, and as teachers at midwifery schools.
Licensure in Oregon is voluntary, and unlicensed midwives may practice in Oregon. However, Oregon Revised Statute (ORS) 687.415 allows reimbursement under the Oregon Health Plan only if a licensed midwife provides birthing assistance. Only LDMs are legally authorized to administer legend drugs and devices.