02/21/2026
Midwifery is not medicine. In Texas, Licensed Midwives practice a distinct, regulated model of care that supports physiologic pregnancy, birth, and postpartum for low-risk, healthy women and babies. State law defines our role: we provide normal care and consult, collaborate, or transfer when conditions move outside that scope.
At Swiss Avenue Birth & Wellness, our midwives also hold the Certified Professional Midwife (CPM) credential through NARM. CPMs are trained specifically for out-of-hospital birth and are the only midwifery credential in the U.S. that requires competency-based training in home and birth center settings.
We walk alongside women — not in front of them or above them. We educate, support, and respect autonomy through informed choice and shared decision-making.
Licensed Midwives are trained, regulated healthcare providers, but we do not treat pregnancy as a pathology. We are not obstetricians, and we never intended to be. We chose midwifery because we believe in the strength of healthy bodies and the safety of physiologic birth for appropriately screened women.
Most low-risk pregnancies remain low risk. When complications arise, we are required to recognize them and involve physicians or transfer care. This is not failure — it is a tiered system designed to provide the right level of care at the right time.
Midwifery works alongside obstetrics, not against it. Different training, different focus, shared goal: healthy mothers and babies.
