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How To Become A Licensed Midwife In Texas

Last Updated on January 29, 2023 by Omoyeni Adeniyi

Get more information on collegelerners on How To Become A Licensed Midwife In Texas, how to become a licensed midwife in Texas, how long does it take to become a midwife in Texas, how to become a certified nurse midwife in texas, how much does a midwife make in Texas & how do i become a doula in texas.

best midwifery programs in texas

Nurse Midwife Programs are structured to provide advanced academic and clinical instruction in all aspects of pregnancy, childbirth, newborn care and more. Midwifery as practiced by certified nurse-midwives (CNMs®) and certified midwives (CMs®) spans a full range of primary health care services for women from adolescence to beyond menopause.

Curriculums for nurse midwifery programs might stack general medical sciences courses onto specific courses in fetal development and physical assessment of women. Students enrolled in Nurse Midwifery Programs also study to gain the skills needed to deliver babies and manage their care in the first weeks of life.

Nurse Midwifery Programs: How to Become a Nurse Midwife near Texas

By definition, masters level nurse midwifery programs are graduate level degree programs that seek to prepare individuals to become certified nurse midwives as per the BLS. As of 2010, completion of a graduate midwife program became an added requirement for certification and entry into clinical practice. Furthermore, per the ACNM, which is the professional organization for certified nurse-midwives and certified midwives, “standards for education and certification in midwifery are identical for CNMs and CMs.

The ACNM also lists the two primary categories of midwives in the United States as (1) Certified nurse-midwives and (2) direct-entry midwives. Nurse-midwives might enter the field after they receive formal education in nursing, while direct-entry midwives typically enter directly into the field. Interested students should use career goals and their current level of education and clinical experience to choose a suitable degree pathway and midwifery school.

Nurse Midwife Degrees in Texas

Accredited nurse midwifery graduate programs may award Master of Science in Nursing (MSN), Doctor of Nursing Practice (DNP) and post-master’s certificates. Additionally, some accredited nursing schools might offer a joint program in nurse midwifery and women’s health nurse practitioner.

Master of Science in Nurse Midwifery Programs near Texas

Nurse midwifery graduate programs may lead to a Master of Science in Nursing (MSN) or Master of Science in Midwifery. In some schools, students may work to earn their MSN, then seamlessly continue to pursue their DNP.

Master of Science in Midwifery programs could lead to both a MS degree and eligibility to sit for the American Midwifery Certification Board (AMCB) exam. These programs may be available in 2-year full time and 3-year part time formats. In either format though, midwifery students may need to complete their clinical rotations on a full-time basis.

Admission Information

Admission requirements for Nurse Midwifery Programs often vary as students enter these programs with diverse educational backgrounds. Generally, applicants to a masters in midwifery program need a current registered nurse license as well as educational preparation from a nationally accredited nursing program (CCNE or ACEN).

Often this means that a student is a Registered Nurse with a BSN degree or higher. However, some schools make provisions for those who have a diploma or have graduated from an associate degree nursing (ADN) program. Each of these scenarios could entail other requirements and students should consult individual nurse midwifery schools for details.

Aside from transcripts and a minimum GPA set by the university, other material that may need to be furnished in an application could include the items listed below:

  • Active RN license in the United States with no encumbrances. Also, if assignment to a clinical practice site requires that the student practice in another state, then the student may be required to meet license requirements related to statutes and obtain the appropriate license.
  • Have one year of Registered Nursing Clincial Experience. However, in some cases, RNs with less than one year of RN experience might be able to provide details of other experience in health care which might cover work as a doula, childbirth educator, and/or lactation consultant.
  • TOEFL scores as needed.
  • Coursework in statistics and physical assessment (PA).

Nurse Midwifery Program Curriculum

MSN-Nurse Midwifery curriculums generally cover four areas: (1) foundations for midwifery practice, (2) clinical management for Midwifery, (3) clinical skills, (4) clinical practicums. Level one foundation courses tend to be shared by all participants in a MSN degree program.

These topics often cover the following six types of core topics:

  1. Communication
  2. Health promotion
  3. Epidemiology and statistics
  4. Evidence-based practice
  5. Advanced pathophysiology
  6. Advanced health assessment

Level two courses center around women’s health and the role of the nurse midwife. These courses usually make up a substantial component of an MSN in Nurse Midwife degree program.

Some examples of possible nurse midwifery program topics include:

  • Pharmacology
  • Primary care of women
  • Midwifery care (labor and birth)
  • Midwifery care (pregnancy)
  • Midwifery care (postpartum women, newborns)
  • Advanced midwifery care (childbearing women, newborns)

Levels three and four usually cover clinical aspects of midwifery. Students might therefore study to gain skills for advanced practice and nurse-midwifery care. A course that covers the principles of independent practice might then lead into nurse midwifery clinical practicums.

While completing their midwifery masters programs, nurse midwives may need to pass a final comprehensive review, after they have completed their didactic and clinical credits. In some nurse midwife schools, the MSN might require about 64 credits. Some midwifery students might continue their studies with a companion DNP curriculum.

Texas Master’s in Midwifery Completion Programs

MS in Midwifery Completion programs are those that could allow current certified nurse-midwife or certified midwife professionals to validate and enhance the professional competencies and skills needed for today’s healthcare environment. This degree may be designed to a student’s area of interest: teaching, advanced clinical practice, administration, international health or research.

Nurse Midwifery-Women’s Health Nurse Practitioner Programs in Texas

A Nurse-Midwifery/Women’s Health Nurse Practitioner (NM/WHNP) program intends to prepare registered nurses to manage a woman’s normal obstetrical and gynecological needs during the childbearing years, manage the care of the newborn, and provide primary care to women throughout the lifespan. This type of program could prepare graduates to take AMCB certification exams as well as Board Certification for WHNPs through the National Certification Corporation (NCC).

DNP – Nurse Midwife

A Doctor of Nursing Practice (DNP) is a terminal practice degree for nurses. The admission requirements for DNP Nurse Midwife programs could differ. Some applicants may be RNs with a BSN degree. Others may earn their MSN in Nurse Midwife with an option to roll their credits into a DNP. These midwifery students might need to complete extra academic and clinical credits to earn their graduate degree in midwifery, although fewer credits than a student who entered with a Bachelors degree.

Curriculums for a DNP program could cover some of the topics that follow:

  • Nurse as educator
  • Leadership and organizational dynamics
  • Health policy and advocacy
  • Clinical scholarship

Aside from courses, a DNP Nurse Midwifery program typically requires a research project or dissertation.

Texas Doctor of Midwifery Programs

Professional Doctor of Midwifery Programs are designed to develop leadership skills for mid-career midwives. Students typically spend a significant portion of their program engaged in research where they actively address a real issue or question in the field of midwifery or women’s health. Their goal is often to advance clinical practice, education, policy or administration through the application or the results of current research.

Applicants may need to have earned a graduate degree or higher (E.g. MS, MSc, MSN, MPH) and have graduated from an accredited midwifery program. Aside from these requirements, midwifery students may need to furnish a writing sample, letters, statement, national certification or registration in midwifery. Graduate level statistics is often necessary.

Midwifery Post-Masters Certificate

A Post-Master’s Certificate program in Nurse Midwifery is usually intended for registered nurses who hold a Master of Science in Nursing and are nationally certified Women’s Health, Adult or Family nurse practitioners. Graduates may be eligible to take the American Midwifery Certification Board (AMCB) national certification exam.

Curriculums generally balance theory with practice, and students may need to complete about 30 credits of academics as well as about 630 clinical hours (may vary). Course topics could cover main issues like gynecological care and childbearing as well as mental health, intimate partner violence and addictive behaviors in women.

Certified Nurse Midwife vs. Women’s Health Nurse Practitioner

Some of the education received by certified nurse midwives (CNMs) and women’s health nurse practitioners (WHNPs) might overlap but they are not entirely the same. In terms of shared duties, CNMs and WHNPs could both care for the health of women in a clinical environment. WHNPs and CNMs conduct physical assessments, record medical histories, educate women on effective self-care, and provide medical treatment to their patients. That stated, in their practice, CNMs tend to provide medical care to women of childbearing age, pregnant women, and newborn babies. By comparison, WHNPs might provide general and reproductive health care to women across the life span, from menarche on to old age.

What Is a CNM?

A Certified Nurse-Midwife (CNM) is a primary healthcare provider to women and newborns. CNMs are licensed, independent healthcare providers with prescriptive authority. Certified nurse midwives perform such services as regular gynecological checkups, pap smears, contraception and preconception advising, sexual health education, and family health planning. They also offer medical care and treatment to low-risk pregnant women during pregnancy, labor, and the postpartum period.

Is an OBGYN the same as a midwife?

CNMs are not medical doctors and may offer holistic care. They also deliver babies and are sometimes called on to provide surgical assistance to physicians during cesarean births, however they have not earned a medical degree or license.

What Is a Certified Midwife?

Certified Midwives (CMs) are professionals who are trained exclusively in midwifery through academics and apprenticeship, by direct entry. Direct entry midwives may be licensed to practice home birth. They may also provide care to a woman from the onset of her (normal) pregnancy through delivery and the postpartum period for both mother and newborn. To pursue licensure, RMs may need to graduate from a program approved by the Midwifery Education Accreditation Council (MEAC).

Do Midwives Need to Be Licensed?

A nurse midwife has an Advanced Practice Registered Nurse (APRN) license, and has secured a second license to be able to practice in this role. Students who successfully earn a graduate degree in midwifery through a Nurse Midwife Program could pursue certification through the American Midwifery Certification Board (AMCB). The AMCB offers both the Certified Nurse-Midwife (CNM) ® and Certified Midwife (CM) ® certifications.

Accreditation for Nurse Midwifery Programs

The Accreditation Commission for Midwifery Education has been recognized by the U.S. Department of Education (under ‘Health-Care’) as a programmatic accrediting agency for midwifery education programs since 1982.

Nurse Midwifery Program Formats

Do you prefer to study at a local nurse midwife school? Are you an at-work nurse who needs a convenient format? Would you prefer to study independently but don’t want to sacrifice face-to-face interaction? Nurse Midwifery Programs may be found in three formats: online, on-campus and hybrid (blended).

Possible nurse midwifery program formats:

  • Online programs may enable midwifery students to take all the academic courses online with clinical practicums in their local community.
  • On-campus programs may be a great way to build professional contacts, find a mentor, and learn through hands-on practice and lively in-class discussion. Plus, you could look for nurse midwifery schools in a specific city or state.
  • Hybrid programs could blend some of each, online courses with synchronous or asynchronous delivery and on-campus requirements.

Whatever your preference, these filters could help you find a program that mirrors your learning style.

Employment Outlook for Nurse Midwives

Per the Bureau of Labor Statistics, overall employment of nurse midwives is projected to grow by 45% from 2020 to 2030. Areas with the highest levels of employment for nurse midwives include physicians’ offices, general medical and surgical hospitals, offices of other health practitioners, outpatient care centers and schools according to the BLS. (Source:

Nurse Midwives Salary

StateEmploymentAnnual Mean Wage
New York510$104,610

Bureau of Labor Statistics

Metro AreaAnnual Mean SalaryEmployment
San Francisco-Oakland-Hayward, CA$149,010200
Worcester, MA-CT$143,25040
Los Angeles-Long Beach-Anaheim, CA$132,520220
Boston-Cambridge-Nashua, MA-NH$118,310200
Portland-Vancouver-Hillsboro, OR-WA$116,86090

Bureau of Labor Statistics

Take the Next Step with our List of Nurse Midwifery Programs in Texas

Explore top Nurse Midwifery Programs and Nurse Midwifery Universities next. Compare programs at the Masters or Doctorate level, then easily contact the schools you want to apply to for more information on earning a graduate degree in midwifery. The on-page form makes this super-efficient to find the best midwifery programs for you! Take the next step now and check out our list of midwifery schools today!

in  Texas Nurse Midwifery Programs
StateEmploymentAnnual Mean Wage
New York510$104,610

Bureau of Labor Statistics

Schools with Midwifery Programs in Texas offers Midwifery Graduate Programs in Texas

how long does it take to become a midwife in texas

The Texas Midwifery rules requires midwifery students to have a high school diploma or GED certificate, and current certification in healthcare provider Basic Life Support (BLS) CPR.  PLEASE NOTE: CPR certification must be either:

  • BLS for the Health Care Provider, American Heart Association
  • BLS for the Healthcare Provider Professional Rescuer, Red Cross
  • National Safety Council: Basic Life Support for Health Care & Professional Rescuers

Additional Requirements:

  • Must be able to provide references (specified reference form is part of the application packet)
  • Must have a valid driver’s license
  • Must be a student member of the Association of Texas Midwives
  • Must demonstrate academic readiness by means of a written essay

Where do I Start?

Submit the completed Application and Financial Agreement Contract along with all required information.
Have current membership in ATM – $30 for students ( see application ).
Enclose the application fee of $150.00 along with completed payment plan ( on application ).

A complete checklist of everything required is included in the application packet.

See the Enrollment page for more information and an application packet.

What do I receive?

Upon approval of your application, you will:

  • Receive access to the ATMMTP E-Learning portal and the two mini-courses,  “Orientation to the ATMMTP” and “Standard Precautions, Bloodborne Pathogens, and Infections Prevention.”
  • Access to the first of eight modules of study, “Introduction to Midwifery,” after completing all orientation materials.
  • Independent study assignments and projects
  • Student Handbook (Please download a copy from the Enrollment page so that you are aware of all policies.)
  • Enrollment in the ATMMTP Student email group
  • Enrollment in the module email group
  • Access to the private student Facebook page
  • The name of an experienced midwife whom you may contact if you need assistance.

A live, electronic meeting will be scheduled before the start of the first module. The video meeting is mandatory for all incoming students.

Who can benefit?

  • Students desiring to meet Texas state-mandated minimum education requirements for a Licensed Midwife
  • Students or midwives who wish to obtain the CPM credential
  • Practicing midwives wishing to review their knowledge or supplement the knowledge gained through independent study

Midwife Assistant Salary

How much does a Midwife Assistant make?

As of Oct 20, 2021, the average annual pay for a Midwife Assistant in the United States is $69,953 a year.

Just in case you need a simple salary calculator, that works out to be approximately $33.63 an hour. This is the equivalent of $1,345/week or $5,829/month.

While ZipRecruiter is seeing annual salaries as high as $135,000 and as low as $19,500, the majority of Midwife Assistant salaries currently range between $34,500 (25th percentile) to $103,500 (75th percentile) with top earners (90th percentile) making $121,500 annually across the United States. The average pay range for a Midwife Assistant varies greatly (by as much as $69,000), which suggests there may be many opportunities for advancement and increased pay based on skill level, location and years of experience.

Based on recent job posting activity on ZipRecruiter, the Midwife Assistant job market in both Lagos, NG and throughout the entire state of is not very active as few companies are currently hiring. A Midwife Assistant in your area makes on average $69,953 per year, or the same as the national average annual salary of $69,953. ranks number 1 out of 50 states nationwide for Midwife Assistant salaries.

To estimate the most accurate annual salary range for Midwife Assistant jobs, ZipRecruiter continuously scans its database of millions of active jobs published locally throughout America.

Find your next high paying job as a Midwife Assistant on ZipRecruiter today.

What are Top 10 Highest Paying Cities for Midwife Assistant Jobs

We’ve identified 10 cities where the typical salary for a Midwife Assistant job is above the national average. Topping the list is San Jose, CA, with Oakland, CA and Tanaina, AK close behind in the second and third positions. Tanaina, AK beats the national average by $15,065 (21.5%), and San Jose, CA furthers that trend with another $16,448 (23.5%) above the $69,953 average.

Importantly, San Jose, CA has a moderately active Midwife Assistant job market with only a few companies currently hiring for this type of role.

With these 10 cities having average salaries higher than the national average, the opportunities for economic advancement by changing locations as a Midwife Assistant appears to be exceedingly fruitful.

Finally, another factor to consider is the average salary for these top ten cities varies very little at 7% between San Jose, CA and Seaside, CA, reinforcing the limited potential for much wage advancement. The possibility of a lower cost of living may be the best factor to use when considering location and salary for a Midwife Assistant role.

CityAnnual SalaryMonthly PayWeekly PayHourly Wage
San Jose, CA$86,401$7,200$1,662$41.54
Oakland, CA$85,406$7,117$1,642$41.06
Tanaina, AK$85,019$7,085$1,635$40.87
Wasilla, AK$85,018$7,085$1,635$40.87
Hayward, CA$83,618$6,968$1,608$40.20
Seattle, WA$83,053$6,921$1,597$39.93
Concord, CA$82,845$6,904$1,593$39.83
Sunnyvale, CA$82,373$6,864$1,584$39.60
Santa Cruz, CA$81,419$6,785$1,566$39.14
Seaside, CA$80,342$6,695$1,545$38.63

Online Midwifery Schools Offering CNM Masters Degrees in Texas

Certified nurse-midwives have been practicing in Texas since 1972. Since then, a growing proportion of women in the state have been turning to CNMs for antepartum, intrapartum and postpartum care. Countless studies acknowledge outstanding outcomes for births attended by nurse-midwives, and confirm what many women already know: The evidence-based interventions, personal attention and superb quality of care that nurse-midwives provide makes them ideal healthcare providers for women during the childbearing years and through all ages and stages of life.

As advanced practice nurses, nurse-midwives possess the skills and knowledge necessary to manage all aspects of maternity care for women with healthy pregnancies. Their expertise, however, extends beyond pregnancy and delivery, encompassing all aspects of healthcare for women. Nurse-midwives care for women from adolescence to well beyond menopause, providing gynecological care, obstetrical care, family planning services and much more.

According to the American College of Nurse-Midwives, the majority of nurse-midwives in Texas practice in hospitals, although these healthcare providers also work in freestanding birth centers, ambulatory care settings, and in home birth practices, among others.

As of 2019, the U.S. Bureau of Labor Statistics reported that 540 certified nurse-midwives were licensed to practice in Texas. In 2018, less than 7% of births in Texas were attended by midwives, according to the U.S. Department of Health & Human Services, Centers for Disease Control and Prevention and the National Center for Health Statistics.

Steps to Becoming a Nurse-Midwife in Texas

The Texas Board of Nursing regulates the practice of nurse-midwifery through licensure of advanced practice registered nurses (APRNs). To become a nurse-midwife in Texas, RNs must successfully complete a number of steps to meet all requirements for national certification through the American Midwifery Certification Board and APRN licensure through the Texas Board of Nursing:

Earn a Qualifying Master’s Degree or Higher in Nurse-Midwifery
Take and Pass the National Certification Examination to Become a CNM
Apply for APRN Licensure as a Nurse-Midwife through the Texas Board of Nursing
Explore Nurse-Midwife Career Options in Texas and Maintain Credentials

Step 1. Earn a Qualifying Master’s Degree or Higher in Nurse-Midwifery

To become an APRN in nurse-midwifery in Texas, RNs must first complete a master’s degree or other graduate degree in nurse-midwifery accredited by the American Commission for Midwifery Education (ACME).


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In addition to traditional nurse-midwifery programs, many institutions now offer dual specialization programs in nurse-midwifery/women’s health. These dual specialization programs allow students to expand their knowledge of women’s healthcare and expand their practice and certification options upon graduation.

ACME-accredited degree programs in nurse-midwifery often boast program features designed to appeal to working RNs. For example, part-time programs and programs offered either partially or completely online allow students to earn a master’s in nurse-midwifery at a more relaxed pace. Due to the lack of accredited nurse-midwifery programs in the United States, online programs have become commonplace. For example, there are just two nurse-midwife degree programs in Texas: one in Waco and one in Lubbock.

Admission Requirements

For RNs who possess a Bachelor of Science in Nursing (BSN), the clear path to APRN licensure is the Master of Science in Nursing (MSN) in nurse-midwifery or the Master of Science (MS) in Nurse-Midwifery.

Candidates for nurse-midwifery programs must possess a Bachelor of Science in Nursing (BSN) and a current and unencumbered RN license. Many institutions also require students to possess:

  • Minimum undergraduate GPA
  • Letters of recommendation
  • Nursing experience
  • Admissions essay

In addition to MSN and MS degrees, ACME accredits a number of other graduate programs designed specifically for RNs at different stages of their education. For example:

  • RN-to-MSN Degree Programs: RN-to-MSN bridge programs combine all aspects of a Bachelor of Science in Nursing (BSN) and a Master of Science in Nursing (MSN) in one accelerated dual-degree program designed for associate’s degree-prepared RNs.
  • Post-Graduate Certificate Programs: Post-graduate certificate programs appeal to RNs who already possess a master’s degree in nursing but want to pursue initial APRN licensure as a nurse-midwife.

Program Components

Nurse-midwifery and nurse-midwifery/women’s health master’s degree programs prepare nurses to serve as expert providers of healthcare to women across the lifespan. Graduates of these programs are prepared to provide and/or collaborate in the care of women and the healthy newborn in a variety of settings and serve as educators, leaders, consultants, and advocates.

The didactic component of a nurse-midwifery program allows students to incorporate knowledge from nursing and the related sciences into the delivery of advanced nursing care across diverse populations. The core curriculum of these programs includes study in:

  • Theoretical foundations of advanced nursing practice
  • Nursing in research
  • Pathophysiology
  • Pharmacological principles
  • Advanced health assessment
  • Women’s health
  • Antepartum/postpartum
  • Intrapartum/newborn care
  • Evidence-based care in nurse-midwifery

The clinical component of a nurse-midwifery or dual-focus nurse-midwifery/women’s health master’s program consists of up to 1,000 hours of practice, and allows students to receive valuable experience in a variety of clinical settings, such as hospitals, OB/GYN practices, birth centers, and women’s health clinics, and community health settings.

While campus-based programs in nurse-midwifery generally require students to complete their clinical rotations in established settings within close proximity to campus, institutions offering online programs often partner with clinical sites throughout the U.S., thereby allowing students to complete the clinical component of their nurse-midwifery program at sites close to home.

In Texas, nurse-midwifery students may satisfy some of their clinical requirements in settings such as:

  • The Woman’s Hospital of Texas, Houston
  • Texas Medical Center, Houston
  • Texas Children’s Hospital – Pavilion for Women, Houston
  • Conroe Regional Medical Center, Conroe
  • University of Texas Medical Branch at Galveston, Galveston
  • Texas Health Presbyterian Hospital, Plano
  • Methodist Mansfield Medical Center, Mansfield

Step 2. Take and Pass the National Certification Examination to Become a CNM

After graduating from am ACME-accredited nurse-midwifery program, RNs in Texas must take and pass the Certified Nurse-Midwife (CNM) examination through the American Midwifery Certification Board to qualify for initial APRN licensure as a nurse-midwife.

Graduates of dual-focus nurse-midwifery/women’s health programs may also take the Women’s Health Care Nurse Practitioner (WHNP) examination through the National Certification Corporation to earn the WHNP designation and dual APRN licensure as a nurse-midwife and women’s health nurse practitioner.

Candidates must qualify to take the CNM and WHNP by completing an application and receiving approval from the appropriate certifying body. Once they receive approval to test, candidates must schedule to take the test through one of the Applied Measurement Professionals (AMP) testing centers located throughout the country.

In Texas, candidates may schedule to take their exam at one of the following AMP testing centers:

  • Austin
  • Dallas
  • El Paso
  • Fort Worth
  • Houston
  • Lubbock
  • McAllen
  • San Antonio

Step 3. Apply for APRN Licensure as a Nurse-Midwife through the Texas Board of Nursing

To earn initial APRN licensure as a nurse-midwife in Texas, RNs must complete an Application for Licensure as an Advanced Practice Registered Nurse and Prescriptive Authority.


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Candidates may also complete an online application. Candidates not applying for prescriptive authority DO NOT need to answer questions 11 and 12.

In addition to a completed application, candidates must:

  • Submit an official transcript related to their advanced practice nursing education
  • Enclose evidence of current national certification as a CNM
  • Enclose an application fee of $100 or $150 if applying for APRN licensure with prescriptive authority

Candidates may only check ONE APRN specialty on the application. Candidates pursuing specialization as a women’s health nurse practitioner must complete a separate application.

Prescriptive Authority for Controlled Substances

Nurse-midwives in Texas requesting the authority to prescribe controlled substances must possess full licensure as an APRN with prescriptive authority and must meet all requirements (along with the delegating physician) as set forth by the Texas Medical Board (TMB). Nurse-midwives can contact the TMB at 512-305-7030.

After the TMB issues a controlled substances permit, nurse-midwives must apply for a DEA registration number.

Step 4. Explore Nurse-Midwife Career Options in Texas and Maintain Credentials

Certified nurse-midwives in Texas must maintain both their national certification(s) and APRN licensure as a nurse-midwife to practice midwifery in the State of Texas.

APRN License Renewal Requirements (Texas Board of Nursing)

Maintaining an APRN license in nurse-midwifery in Texas requires the completion of at least 20 contact hours of targeted continuing nursing education in nurse-midwifery on a biennial basis. CNMs that complete these contact hours satisfy both their RN and APRN license requirements.

CNMs with prescriptive authority must also complete at least five additional contact hours in pharmacotherapeutics.

Nurse-midwives must renew their RN and APRN licenses online.

CNM Renewal Requirements (American Midwifery Certification Board)

The American Midwifery Certification Board features a Certification Maintenance Program, which allows CNMs to satisfy their continuing education requirements by completing one of the following:

  • Option 1: Complete at least 3 AMCB Certificate Maintenance Modules during each five-year certification cycle and at least 20 contact hours of approved continuing education units; pay annual fees
  • Option 2: Retake the AMCB Certification Examination and pay the $500 examination fee in lieu of annual fees

WHNP Renewal Requirements (National Certification Corporation)

The National Certification Corporation requires WHNPs to take a continuing competency assessment at the beginning of each three-year maintenance cycle. The number of continuing education credits required for renewal is dependent upon the result of the assessment.

Resources for Nurse-Midwives in Texas

From large hospital systems to small midwifery practices, Texas nurse-midwives have a vast array of opportunities when starting or advancing their careers. Just a few of the locations in Texas where nurse-midwives may find job opportunities include:

  • The Women’s Specialists of Houston, Houston
  • Austin Area Birthing Center, Austin
  • Birth & Women’s Center, Dallas
  • Women’s Care Center, Houston
  • West Houston Birth Center, Houston
  • Corpus Christi Birth Center, Corpus Christi
  • House of Birth, Sherman
  • Childbirth Services, Tyler

Although the following job posts (sourced in 2015) are for illustrative purposes only, they do provide job hunters with a good idea of the types of nurse-midwives jobs available to CNMs in Texas:

  • Certified Nurse-Midwife, Texas Health Physicians Group, Kaufman
  • Certified Nurse-Midwife, Texas Children’s Hospital, Houston
  • Nurse-Midwife/Women’s Health Nurse Practitioner, UT Health Science Center at Houston, Houston
  • Nurse-Midwife, Parkland Health & Hospital System, Dallas
  • APRN Nurse-Midwife, Department of the Army, El Paso

Certified nurse-midwives in Texas interested in branching out on their own and starting a birth center or other private midwifery practice may find professional associations in Texas to be valuable sources of information and assistance:

Salaries for Certified Nurse-Midwives in Texas

According to the National Vital Statistics Report published by the Centers for Disease Control and Prevention (CDC) in 2010, a total of 5,964 out-of-hospital births took place in Texas between 2005 and 2006. The location of those births was split nearly equally between those that took place in-home and those that took place in birthing centers. That year 49% were home births, while 51% occurred within freestanding birthing centers.


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In 2019, occupational data from the U.S. Bureau of Labor Statistics indicated that the average midwife salary in Texas was $92,560. The average starting salary was $69,650 with a statewide median salary of $ 84080.

Job Forecast for Certified Nurse-Midwives in Texas

In 2018, the U.S. Department of Labor projected that the demand for nurse anesthetists would increase by 25.3% in the 10-year period between 2018 and 2028 while the number of nurse practitioners would increase 31.9% for the same time period, so you can expect that the number of nurse-midwives in Texas would increase in the same ballpark as the two other nursing professions.

Certified Nurse-Midwife Salaries in Texas by Location

Quite often, salary is affected by geographic location, as occupational demand tends to vary within different regions of the state. Shown here is a list of nurse-midwife salaries in Texas by location, based on data published by the BLS in 2019:


  • Entry-Level: $69,650
  • Median: $84,080
  • Average: $92,560
  • Experienced: $128,410

Dallas-Fort Worth-Arlington

  • Entry-Level: $69,110
  • Median: $79,840
  • Average: $85,720
  • Experienced: $120,490

Houston-The Woodlands-Sugar Land

  • Entry-Level: $74,910
  • Median: $103,800
  • Average: $105,640
  • Experienced: $136,630

(Salary data for nurse-midwives reported by the U.S. Bureau of Labor Statistics in May 2019. Figures represent state data, not school-specific information. Job growth data provided by Projections Central, a resource funded by the U.S. Department of Labor’s Employment and Training Administration. Conditions in your area may vary. Information accessed March 2021.)