Midwife Assistant Training & Certification

Midwife Assistant Training & Certification

Gain skills to become employed to assist midwives in care of birthing women and newborns.

Midwife examining newborn baby at postnatal care in practice che


In September, 2015, California Senate Bill No. 408 passed, creating a NEW profession in  California! An act to add Section 2516.5 to the Business and Professions Code, relating to healing arts.

Read the Law 



Dates of  Upcoming Courses:  Contact us

Format of Course: Lecture, Demonstration, Skills Assessment, Written Exercises

Days and Hours of Course: 8:30 am to 5:30 pm, 3 days, 20 hours total.

Tuition: $400 per person. Early Bird: $300 per person.  Groups of 4 or More: $250 per person


 Midwife Assistant means a person, who may be unlicensed, who performs basic administrative, clerical, and Young Woman Giving Birthmidwife technical supportive services in accordance with this chapter for a licensed midwife or certified nurse-midwife. The midwife assistant should have had at least the minimum amount of hours of appropriate training pursuant to standards established by The California Medical Board for a medical assistant pursuant to Section 2069.


Midwife technical supportive services.  This means simple routine medical tasks and procedures that may be safely performed by a midwife assistant who has limited training and who functions under the supervision of a licensed midwife or certified nurse-midwife.

 “Supervision” means the supervision of procedures authorized by a  licensed midwife or certified nurse-midwife, within his or her scope of practice, who is physically present on the premises during the performance of those procedures.

A midwife assistant may do all of the following:
(1) Administer medication only by intradermal, subcutaneous, or intramuscular injections and perform skin tests and additional technical support services upon the specific authorization and supervision of a licensed midwife or Cropped image of pregnant woman holding nitrous oxide maskcertified nurse-midwife. A midwife assistant may also perform all these tasks and services in a clinic licensed in accordance with subdivision (a) of Section 1204 of the Health and Safety Code upon the specific authorization of a licensed midwife or certified nurse-midwife.
(2) Give injections and perform venipuncture intramuscularly and subcutaneous, under direct order and supervision of the Licensed Midwife or Certified Nurse-Midwife.

(3) Perform venipuncture or skin puncture for the purposes of withdrawing blood upon specific authorization and under the supervision of a licensed midwife or certified nurse-midwife, if the midwife assistant has met the educational and training requirements for medical assistants as established in Section 2070.

(4) Perform the following midwife technical support services:

(A) Administer medications orally, sublingually, topically, or rectally, or by providing a single dose to a patient for immediate self-administration, and administer oxygen at the direction of the supervising licensed midwife or certified nurse-midwife. The licensed midwife or certified nurse-midwife shall verify the correct medication and Midwife exanimating belly of pregnant woman with CTG scanning indosage before the midwife assistant administers medication.

(B) Assist in immediate newborn care when the licensed midwife or certified nurse-midwife is engaged in a concurrent activity that precludes the licensed midwife or certified nurse-midwife from doing so.

(C) Assist in placement of the device used for auscultation of fetal heart tones when a licensed midwife or certified nurse-midwife is engaged in a concurrent activity that precludes the licensed midwife or certified nurse-midwife from doing so. (But they may not make an interpretation of the heart tones).

(D) Collect by noninvasive techniques and preserve specimens for testing, including, but not limited to, urine.

(E) Assist patients to and from a patient examination room, bed, or bathroom.

(F) Assist patients in activities of daily living, such as assisting with bathing or clothing

(G) Provide patient information and instructions, as authorized by the licensed midwife or certified nurse-midwife .

(H) Collect and record patient data, including height, weight, temperature, pulse, respiration rate, blood pressure, and basic information about the presenting and previous conditions Blood pressure

(I) Perform simple laboratory and screening tests customarily performed in a medical or midwife office.

(J) Perform additional midwife technical support services under regulations and standards established by the board.


Where do Midwife Assistants Work?

They may work in Clinics, Birth Centers, and Midwifery offices and homebirth and birth center settings. According to the law, they may not work in acute care hospitals. They may be employed by Licensed Midwives and Certified Nurse-Midwives and Birth Centers.

Are Midwife Assistants Licensed Medical Providers?

No. They are similar to Certified Nursing Assistants, who work with physicians and mid-level practitioners such as Physician Assistants and Nurse-Practitioners in clinics and  medical offices, and have a limited scope of practice that does not include the  authority to diagnose or make independent clinical decisions. They must be supervised directly at all times by the LM or CNM when providing care to clients.

What Can A Midwife Assistant Expect to be Paid?

This varies. It is a range depending upon experience of assistant and from midwife to midwife. The hourly rate is anticipated to be between $12.00-20.00 per hour. The per-birth rate ranges from $300.00-700.00 per birth, depending upon experience and the community standards.

Where Can a Midwife Assistant Receive Training?

Through training programs such as ours, and also on the job with CNMs or LMs.
Course Prerequisites:
  1. Certification as a Doula, Nursing Assistant, or Perinatal Support Specialist.homebirth-Midwife& Doula
  2. Documented attendance at 3 births prior to course.
  3. Infant and adult CPR within 6 months prior to course.
  4. Neonatal  Resuscitation/Advanced Neonatal Life Support  within 6 months prior to the course. (Contact us for referrals on where to obtain these trainings).
  • Prenatal Care Overview
  •  Communication and Counseling Skills for Midwife Assistant
  •  Ethics and Principles of Midwife Assisting
  •  The Scope of Practice of Midwife Assistants, Doulas, and others
  •  The Scope of Practice of Midwives
  •  Brief History & Overview of Midwifery in America
  • Introduction, Goals and Objectives

Skills Practicum:

  • Blood Pressure, Temperature & Pulse
  • Urine & Specimen Collection
  • Venipuncture & Blood Draws
  • Charting for Prenatal Care


Antepartum Care Duties
Skills Practicum:
  • The midwife’s bag and equipment
  •  Fetal Heart Rate Auscultation (with real pregnant models)Midwives Bag
  •  Intramuscular and subcutaneous injections, medication administration
  •  Bed & Birth Tub Set up
  •  Oxygen & Ambu-bag set up
  • IV set up
  • Suturing set up
  •  Emergency Skills Lab
  •  Charting for antepartum
Postpartum Care Duties
Skills Practicum:
  • Aseptic Technique
  •  Instrument sterilization methods
  •  Preparation of placenta (not encapsulation)
  • Normal and abnormal newborn appearance
  •  Newborn Exam Assisting
  • Charting for Postpartum Care
  • Physical and Emotional Care of Postpartum Mothers
  •  Emergency Skills Lab
  • Assisting mothers with dressing, bathing, toileting, etc.
  • In-class written exam
  1. Within one month of completion of course, students will prepare a Midwife Assistant resume and cover letter to prospective midwife employers and submit it to course organizer.
  2.  Successful skill practicum examination, conducted in the training.
  3.  Passing written exam at 80%.
  4.  Documented completion of required number of clinical hours as defined by California Medical Board and validated by a Licensed Midwife or Certified Nurse-Midwife.
  5.  Upon completion of the pre-course trainings and this workshop and the post-course requirement, certification shall be granted as a Certified Midwife Assistant (CMA) by The Association for Wholistic Maternal and Newborn Health, a 501 c 3 non-profit educational corporation.
Cordelia Hanna-Cheruiyot

Cordelia Hanna-Cheruiyot

Cordelia Hanna-Cheruiyot, MPH, CHES, ICCE, CLE, CBA, has been a Midwife Assistant for two decades. She has assisted midwives in home and birth center settings and with prenatal and postpartum care. She is an apprenticeship-trained midwife who began working in the midwifery field in 1991. While pursuing California licensure, she was a Primary Midwife Under Supervision. Cordelia is a Certified Birth Assistant (ALACE), Certified Lactation Educator (CAPPA), Certified Childbirth Educator (ICEA) and has a Masters in Public Health (MPH) in Maternal-Child Health from Loma Linda University. She is also a homebirth mother of two. She is the Executive Director of The Association for Wholistic Maternal and Newborn Health, the sponsor of this training program. She is a mother of two children who were born at home with a midwife.


Additional Licensed Midwife/Certified Nurse Midwife/RN Instructor to be announced.




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