08/31/2025
East Texas Midwives Association (ETMA)
Policy on Hospital Transfers and Client Support
The East Texas Midwives Association affirms that every client deserves continuity of care and respectful support during hospital transfers. In response to concerns regarding midwives abandoning clients at hospitals—whether due to freebirth situations, negligence, or misunderstanding—we wish to clarify both the law and our membership requirements.
Legal Requirements
Under Texas Midwifery Rule §115.111, a licensed midwife must:
Contact and collaborate with hospital staff and physicians to the extent possible.
Provide prenatal and labor records during the transfer of care.
ETMA Membership Standards
In addition to state law, ETMA requires its members to:
Accompany the client (or send another qualified midwife or student) to the hospital to ensure a smooth transfer until care is appropriately received.
Provide complete records at the time of transfer, either in paper or fax form. If urgent care prevents full documentation, records must be submitted as soon as possible with any necessary addendums.
Establish a postpartum plan to ensure continuity of care following the transfer.
Our midwives are committed to making each transfer as non-traumatic as possible, offering reassurance, advocacy, and compassionate presence.
Accountability and Client Communication
ETMA holds its members accountable to these standards. If a client feels this policy was not upheld, or wishes to discuss their care, all ETMA midwives welcome open communication and, when needed, mediation. We believe such dialogue strengthens our community and fosters healing and growth.
Community Support
This support is extended beyond ETMA clients. Any individual wishing to process their experience—whether with an ETMA midwife or another provider—is welcome to reach out. We can:
Provide a listening ear and guidance.
Direct clients to the relevant laws and procedures for filing a formal complaint, if appropriate.
Work toward healing, peace, and reconciliation within our community.
Commitment
Our goal is to build a safe, accountable, and connected midwifery community where clients feel supported, respected, and cared for at every stage.