Montana Midwifery Education Standards and the
corresponding Midwife To Be Course Requirements
Montana Midwife Course Requirements
Health, Social Sciences and Services
(A) communication, counseling, and teaching
techniques, including the areas client education and
inter-professional collaboration
(B) human anatomy and physiology relevant to
human reproduction;
(C) ARM and MCA standards of care, including
midwifery and medical standards for women
during the childbearing cycle;
(D) Inter-professional communication and
collaboration with community health and social
resources for women and children;
(E) Significance of and methods for thorough
documentation of client care through the childbearing
cycle;
(F) informed decision making;
(G) health education, health promotion, and self care;
(H) The principles of clean and aseptic techniques,
and universal precautions;
(I) psychosocial, emotional, and physical components
of human sexuality, including indicators of
common problems and methods of counseling;
(J) ethical considerations relevant to reproductive
health;
(K) epidemiologic concepts and terms relevant to
perinatal and women’s health;
(L) the principles of how to access and evaluate
current research relevant to midwifery practice;
(M) family centered care including maternal, infant,
and family bonding;
(N) Identification of appropriate referral of disease in
women and their families;
(O) importance of accessiblity, quality health care for
all women that includes continuity of care and special
requirements for home births;
Antepartum Care
(A) preconceptional factors likely to influence
pregnancy outcome;
(B) basic genetics, embryology, and fetal
development;
MTB Phase/Unit
Phase/Unit where topic is covered:
(A) Phase 1/Unit 9 – Communication & Counseling
(B) Phase 1/Unit 1 – Anatomy & Medical Terminology
(C) Phase 2/Unit 11 – Risk Factors & Referrals
(D) Phase 2/Unit 11 – Risk Factors & Referrals
(E) Weekend/Alternative Unit 3
(F) Weekend/Alternative Unit 1
(G) Phase 1/Units 6, 8, 9 – Nutrition II, Childbirth
Education, Communication & Counseling
(H) Weekend/Alternative Phase 1/Unit 1 Practical Skills
Guide for Midwifery
(I) Phase 1/Unit 9 – Communication & Counseling
(J) Phase 1/Units 2, 8, 9 – Physiology, Childbirth
Education, Communication & Counseling
(K) Phase 1/Units 1, 2 – Anatomy & Medical
Terminology, Physiology
(L) Weekend/Alternative Unit 2
(M) Phase 1/Units 8, 9, Phase 2/Unit 19, and Phase
3/Units 24, 26 – Childbirth Education, Communication &
Counseling, Labor Support, Postpartum Normal I,
Postpartum Changes
(N) Phase 2/Unit 11 – Risk Factors & Referrals
(O) Phase 1/Units 8, 9, 10, and Phase 2/Unit 11 –
Childbirth Education, Communication & Counseling,
Prenatal Care
Phase/Unit where topic is covered
(A) Phase 1/Units 2, 3 – Physiology, Fetal and Placental
Development
(B) Phase 1/Units 2, 3 – Physiology, Fetal and Placental
Development
(C) anatomy and assessment of the soft and bony
structure of the pelvis;
(D) identification and assessment of the normal
changes in pregnancy, fetal growth, and position;
(E) nutritional requirements for pregnant women and
methods of nutritional assessment and counseling;
(F) environmental and occupational hazards for
pregnant women;
(G) education and counseling to promote health
throughout the childbearing cycle;
(H) methods of diagnosing pregnancy;
(I) The etiology, treatment and referral, when
indicated, of the common discomforts of pregnancy;
(J) assessment of physical and emotional status,
including relevant historical and psycho-social data;
(K) counseling for individual birth experiences,
parenthood, and changes in the family;
(L) Indications for, risks and benefits of
screening/diagnostic tests used during pregnancy;
(M) the etiology, assessment, treatment for, and
appropriate referral related to abnormalities of
pregnancy;
(N) identification of, implications of and the
appropriate treatment of various STD/vaginal
infections during pregnancy;
(O) special needs of the Rh negative woman;
(P) identification and care of women who are (HIV)
positive, have hepatitis or other communicable and
non-communicable diseases;
Intrapartum Care
(A) normal labor and birth processes;
(B) anatomy of the fetal skull and its critical
landmarks;
(C) Parameters and methods for assessing the
maternal and fetal status, including relevant historical
data;
(D) emotional changes and support during labor and
delivery;
(E) techniques to facilitate the spontaneous vaginal
delivery of the baby and placenta;
(F) Etiology, assessment of, appropriate referral or
transport of and/or/emergency measures (when
indicated) for the mother or newborn for
abnormalities of the four stages of labor;
(G) Anatomy, physiology, and supporting normal
adaptation of the newborn to extra-uterine life;
(C)Phase 1/Unit 1 – Anatomy & Medical Terminology
(D) Phase 1/Units 3, 10 – Fetal and Placental
Development, Prenatal Care
(E) Phase 1/Units 5, 6, 9 – Nutrition I, Nutrition II,
Communication & Counseling
(F) Phase 2/Unit 11 – Risk Factors & Referrals
(G) Phase 1/Units 8, 9 – Childbirth Education,
Communication & Counseling
(H) Phase 1/Unit 4 – Lab Work
(I) Phase 2/Unit 12 – Prenatal Discomforts
(J) Phase 1/Units 9, 10, and Phase 2/Unit 11 –
Communication & Counseling, Prenatal Care, Risk
Factors & Referrals
(K) Phase 1/Units 8, 9, and Phase 2/Unit 19 – Childbirth
Education, Communication & Counseling, Labor Support
(L) Phase 1/Units 4, 7 – Lab Work, Drugs &
Interventions
(M) Phase 2/Units 13, 14, 15 – Prenatal Complications I,
Prenatal Complications II, Prenatal Complications III
(N) Phase 1/Units 4, 9, and Phase 2/Units 13, 14, 15 –
Lab Work, Communication & Counseling, Prenatal
Complications I, Prenatal Complications II, Prenatal
Complications III
(O) Phase 1/Unit 4, Phase 2/Unit 10, Phase 3/Unit 24 –
Lab Work, Prenatal Care, Postpartum Normal I
(P) Phase 1/Unit 4, Phase 2/Units 13, 14, 15 – Lab Work,
Prenatal Complications I, Prenatal Complications II,
Prenatal Complications III
Phase/Unit where topic is covered:
(A) Phase 2/Units 16-19 – Labor & Delivery I, Labor &
Delivery II, Pelvimetry & Fetal Position, Labor Support
(B) Phase 2/Unit 18 – Pelvimetry & Fetal Position
(C) Phase 2/Units 16, 17, 20, Phase 3/Units 21, 22 –
Labor & Delivery I, Labor & Delivery II, Birth
Complications I
(D) Phase 2/Unit 19 – Labor Support
(E) Phase 2/Unit 16, 17 – Labor & Delivery I, Labor &
Delivery II
(F) (i) (ii) Phase 2/Unit 20, Phase 3/Units 21, 22 – Birth
Complications I, II, III
(G) Phase 3/Units 29, 30 – Newborn Normal, Newborn
Complications
(H) Phase 2/Unit 20, Phase 3/Units 21, 22, 23 – Birth
Complications I, II, III, Hospital Transports
(H) familiarity of medical interventions and
technologies used during labor and birth;
(I) assessment and care of the perineum and (I) Phase 2/Unit 20, Phase 3/Units 21, 22, 23 – Birth
surrounding tissues, including suturing necessary for Complications I, II, III, Hospital Transports
perineal repair;

Postpartum Care: Phase/Unit where topic is covered:

(A) anatomy and physiology the postpartum period; (A) Phase 3/Unit 24-25 -Post partum Normal I, II
(B) anatomy, physiology and support of lactation, (B) Phase 3/Unit 24, 25 – Postpartum Normal I, II
and appropriate breast care and assessment; Phase 3/Unit 27- Breastfeeding
(C) Parameters and methods for assessing and (C) Phase 3/Unit 26 – Postpartum Changes
promoting of postpartum recovery; (D) Phase 3/Unit 24, 25 – Postpartum Normal I, II
(D) Etiology and methods for managing the (E) Phase 3/Unit 26 – Postpartum Changes
discomforts of the postpartum period; (F) Phase 1/Unit 5, 6 – Nutrition I, II
(E) emotional, psychosocial, and sexual changes (G) Phase 3/Unit 28 – Postpartum Complications
which may occur postpartum; (H) Phase 3/Unit 27 – Breastfeeding
(F) nutritional requirements for women during the (I)Phase 3/Unit 22 Birth Complication
postpartum period; (J) Phase 1/Unit 7 Drugs and Interventions
(G) Etiology, assessment of, treatment for and (K) Phase 1/Unit 7 Drugs and Interventions
appropriate referral for abnormalities of the
postpartum period;
(H) Methods to assess the success of the breast
feeding relationship and identify lactation problems,
and mechanisms for making appropriate referrals;
(I)Suturing necessary for episitomy repair;
(J) Dispensing and administration pitocin
(intramuscular) postpartum;
(K) Dispensing and administering xylocaine
(subcutaneous)
Neonatal Care Phase/Unit where topic is covered:
(A) anatomy and physiology of the newborn's (A) Phase 3/Unit 29 – Newborn Normal
adaptation and stabilization in the first hours and (B) Phase 3/Unit 29 – Newborn Normal
days of life; (C) Phase 3/Unit 27, 29 – Breastfeeding, Newborn
(B) Parameters and methods for assessing newborn Normal
status including relevant historical data and (D) Phase 1/Unit 7, Phase 3/Unit 29 – Drugs &
gestational age; Interventions, Newborn Normal
(C) nutritional needs of the newborn; (E) Phase 1/Unit 4, Phase 3/Unit 29 – Lab Work,
(D) ARM and MCA standards for administration of Newborn Normal
prophylactic treatments commonly used during the (F) Phase 3/Unit 30 – Newborn Complications
neonatal period;
(E) ARM and MCA standards for, indications, fisks,
and benefists of and method of preforming common
screening tests for the newborn;
(F) Etiology, assessment of (including screening and
diagnostic tests), emergency measures and
appropriate transport/referral or treatments for
neonatal abnormalities;