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Scope of Practice

What can a Direct Entry Midwife do?

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 as defined in Oregon Revised Statutes (ORS) 687.405.
Licensed direct entry midwives provide care in the home, in birthing centers, clinics, and as teachers at midwifery schools. They are educated through self-study, apprenticeship, a midwifery school or college-based program distinct from the discipline of nursing.
Licensure is voluntary, and unlicensed midwives may practice in Oregon. However, state law allows reimbursement under the Oregon Health Plan only if a licensed midwife provides birthing assistance under ORS 687.420(3).
LDMs are legally authorized to administer certain legend drugs and devices under ORS 687.493 and Oregon Administrative Rules (OAR) 332-025-0030, 0040 and 0050, including anti-hemorrhagics, oxygen, I.V. drip sets and catheters, and sutures.
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Step-by-Step Process

To more effectively and efficiently respond to stakeholder questions, the Health Licensing Office (HLO) has developed a step-by-step process. Below, are documents to assist stakeholders (i.e. customers, licensees, business owners) in requesting clarification regarding licensing and regulatory issues.
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More information

For more information, contact HLO Policy Analyst Samie Patnode at 503-373-1917 or samie.patnode@state.or.us.
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