New Mexico retains a state apprentice process to become a midwife; the division will provide a division-approved student workbook as a tool in determining the acceptability of an applicant’s educational experience. The main purpose of the education program is to establish entry-level knowledge, skills, and abilities necessary to practice competently; this is established through training, education and supervised clinical experience, followed by successful completion of a division-approved written examination. The midwifery instructor will use the student workbook to conduct the course of education for the apprentice as set out below.

1. A. Theoretical instruction: Theoretical instruction must include, but is not limited to, these areas of study:

   1. (1) Human life science: Anatomy and physiology, pathophysiology, fetal development, genetic screening, applied microbiology;
   2. (2) Psycho/social issues: Communication and counseling, cultural concerns, human sexuality, perinatal education;
   3. (3) Antepartum management: History taking, physical assessment, risk screening, provision of care, normal course, complications, pharmacology, nutrition, diagnostic laboratory tests and procedures, and consultation and transfer;
   4. (4) Intrapartum management: History taking, physical assessment, risk screening, provision of care, normal course, complications, pharmacology, diagnostic laboratory tests and procedures, consultation and transfer, and adult cardiopulmonary resuscitation;
   5. (5) Postpartum management: History taking, physical assessment, risk screening, provision of care, normal course, complications, pharmacology, consultation and transfer, diagnostic laboratory tests and procedures, and family planning;
   6. (6) Newborn management: History taking, physical assessment, risk screening, provision of care, normal course, complications, diagnostic laboratory tests and procedures, consultation and transfer, and neonatal resuscitation;
   7. (7) Reproductive health care: History taking, physical assessment, risk screening, provision of care, diagnostic laboratory tests and procedures, non-pharmalogical treatment, consultation or transfer for treament, and family planning;
   8. (8) Professional issues: History of midwifery, division regulations regarding prevention of infant blindness; newborn screening for certain congenital diseases and other inborn metabolic errors; registration of births, neonatal and maternal deaths, including stillbirths, and control of diseases and conditions of public health significance; ethics, laws and regulations, starting a small business.
   9. (9) Pharmacological management: Safely procure, carry, and administer medications, per the Drug and Cosmetic Act (Definition K), listed on the department formulary.
2. B. Clinical experience: Permitted apprentice midwives should refer to the division’s student workbook for details on clinical experiences and skills required to complete training including but not limited to:
3. (1) Skills and knowledge:
4. (a) professional issues, knowledge, and skills;
5. (b) general healthcare skills;
6. (c) maternal health assessment;
7. (d) prenatal care;
8. (e) labor, birth, and immediate postpartum;

9. (f) postpartum;

   1. (g) well-baby care.

10. (2) Clinical experiences:

    1. (a) births as an observer;
    2. (b) births as an assistant under supervision;
    3. (c) prenatal exams as an assistant under supervision;
    4. (d) newborn exams as an assistant under supervision;
    5. (e) postpartum exams as an assistant under supervision;
    6. (f) birth as a primary under supervision;
    7. (g) initial prenatal exams as a primary under supervision;
    8. (h) prenatal exams as a primary under supervision;
    9. (i) newborn exams as a primary under supervision;
    10. (j) postpartum exams as a primary under supervision;
    11. (k) continuity of care.

[16.11.3.1 NMAC - Rp, 16.11.3.1 NMAC, 12/28/2021]