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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. 
On January 1, 2015, new Board of Direct Entry Midwifery law (Oregon Revised Statutes (ORS) 687.415 goes into effect that requires persons performing midwifery duties in Oregon to be licensed by the State of Oregon unless:
• The person is already licensed as a health care professional with midwifery duties within the scope of the license; or
• The person is a traditional midwife.

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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