The Midwifery curriculum is designed to educate and train young ladies to attend expectant mothers in all phases of pregnancy, from prenatal to newborn care. This field has proven to be an open door to share the gospel and the last-day message to expectant parents. It also is in harmony with the instructions given through the pen of inspiration. “The Bible speaks of women at childbirth being attended by women, and thus it ought always to be. Women should be educated and trained to act skillfully as midwives and physicians to their sex. This is the Lord’s plan.” The General Conference Bulletin, June 4, 1909.
The curriculum begins with the Childbirth Education/Doula course, designed to certify the student to serve as a Childbirth Educator and/or Doula. This comprehensive program will cover the aspects of pregnancy, labor, and postpartum. Topics covered will range from labor techniques and support to newborn care, postpartum adjustment, pregnancy nutrition and fitness, and much more. The goal of this course is to prepare the student to not only teach, but to design her own childbirth education classes, along with developing essential skills necessary to become a trained birth doula professional. Successful completion of this course is a prerequisite to the Certified Professional Midwifery (CPM
The Midwifery course builds upon the foundation laid down in the CE/ Doula course. Areas of study will include Antepartum, Intrapartum and Postpartum Care. The didactic skills will be followed with a clinical practicum under the supervision of approved CPM
s and/or Certified Nurse Midwives (CNM
s). Upon completion of this course the student will be prepared to take the North American Registry of Midwives (NARM
) exam to become a Certified Professional Midwife.
MIWI 203 Childbirth Education and Doula
(4 credits) This course, taught from a Christian perspective, is designed to certify the student to serve as a childbirth educator and/or doula. This comprehensive program will cover the aspects of pregnancy, labor, and postpartum. Topics covered will range from pregnancy nutrition and fit- ness to labor techniques and support, newborn care, postpartum adjustment, and much more. The goal of this course is to prepare the student to not only teach, but to design her own childbirth education classes, along with developing essential skills necessary to become a trained birth doula professional. Successful completion of these classes is a prerequisite to the certified professional midwifery program.
Textbooks: The Ministry of Midwifery by Patti Barnes, CPM. A workbook will also be required for each student.
MIWI 203 – MODULE I: INTRODUCTION TO CE, DOULA, AND MIDWIFERY
Within this first segment of classes, the student will be introduced to the roles of childbirth educators and doulas and define the legal, moral, and ethical role and realm of each. Also covered are the various routes to becoming a midwife. The history of midwifery and childbirth techniques up to modern times will be examined, as well as the inspired counsel from Scripture and the Spirit of Prophecy.
MIWI 203 – MODULE II: BASIC ANATOMY AND PHYSIOLOGY OF REPRODUCTION
This segment covers all aspects of the reproductive anatomy and the successive, normal physical changes throughout pregnancy, beginning with conception and following through the three trimesters with the progressive development of the fetus.
MIWI 203 – MODULE III: DIAGNOSTIC LABS & PROCEDURES
This module identifies the most common lab tests and procedures utilized in obstetrics. Strategies and mechanisms to enable an unmedicated birth in a hospital, birth center, or home setting are covered.
MIWI 203 – MODULE IV: 8 LAWS OF PRENATAL HEALTH AND COMMON PREGNANCY COMPLAINTS
The goal of this segment is to understand the aspects of a proper lifestyle throughout pregnancy. The eight laws of health are discussed with an emphasis on nutritional needs for the pregnant woman. Also covered are natural remedies to relieve common complaints throughout pregnancy.
MIWI 203 – MODULE V: STAGES OF LABOR, BIRTH, AND COMFORT MEASURES
The student will learn the progression of labor and the maternal and fetal changes in the stages of the childbirth process based on changes in the uterus and cervix as labor progresses. The basics of breathing methods and their relationship to relaxation will be covered, as well as techniques of pain relief and comfort measures without the use of medications.
MIWI 203 – MODULE VI: LABOR COMPLICATIONS AND CESAREAN SECTIONS
Skills to differentiate between minor discomforts and warning signs in pregnancy are covered in this module. The student will learn to recognize a difficult labor and birth and how to help clients cope with complications. The current trends in cesarean births in the United States and the role of the doula with a mother during cesarean birth will also be covered.
MIWI 203 – MODULE VII: POSTPARTUM AND NEWBORN CARE
The goal of this segment is to understand the characteristics of the normal newborn and train the parents in care and treatment of a newborn, as well as problems and what to do for them. The importance of postpartum follow-up care will be covered.
MIWI 203 – MODULE VIII: BREASTFEEDING AND PHYSIOLOGY OF LACTATION
Here the student will learn to define the advantages of breastfeeding and the importance of early breastfeeding for the mother and the baby. The ability to diagnose common breastfeeding problems and to know how to treat them will be examined.
MIWI 203 – MODULE IX: OPTIONS AND RIGHTS IN BIRTH
Multitudes are unaware of their legal rights pertaining to interventions in hospitals and birth centers. These rights and options will be discussed along with the pros and cons of these options.
MIWI 203 – MODULE X: MAKING THIS YOUR MINISTRY / BUSINESS
The student will formulate a complete topic outline for a childbirth education (CE) course and a complete list of materials for a doula practice. Determining the student’s approach to whatever vocation she chooses will be considered. The determination of fees, donations, etc. in light of costs, will be discussed. Each student will actually teach a CE class and be evaluated.
The Summer Term
The summer term will comprise a practicum for those pursuing certification as a doula. This practicum must be under the preceptorship of a certified doula, doctor, or midwife. A minimum of two births must be attended where the student provides doula support to the mothers. Appropriate forms must be completed by the preceptor and the clients and submitted for approval to the College. The student must also submit a report (500 words minimum) to her instructor(s).
MIWI 321 Midwifery I
(4 credits) After completion of the CE/Doula modules listed above, the student who decides to continue on to become a midwife will be required to complete the following courses. The design of this curriculum is to prepare the student to take the North American Registry of Midwives (NARM
) exam to become a Certified Professional Midwife (CPM
) and fulfill the scholastic and clinical requirements of NARM
Textbooks (for the Midwifery program): Practical Skills Guide for Midwifery; Healing Passage: A Midwife’s Guide to the Care and Repair of Tissues; Myles’ Textbook for Midwives; Varney’s Midwifery; Human Labor and Birth; Holistic Midwifery: A Comprehensive Textbook for Midwives and Homebirth Practice; Understanding Diagnostic Tests in the Childbirth Year; The Breastfeeding Answer Book; Assessment and Care of the Well Newborn.
MIWI 321 – ANTEPARTUM MODULE I—OFFICE WORK
This module will cover the Midwifery Model of Care, various consent forms, the Health Insurance Portability and Accountability Act (HIPAA
) Law, cultural competency, and charting. It will also address the initial interview with prospective clients and the information to be gathered.
MIWI 321 – ANTEPARTUM MODULE II—INITIAL VISIT A
In this module, the student will learn how to conduct the initial visit. She will learn and demonstrate skills in physical assessment and prenatal examination. Routine blood work, Pap smear, and sterile speculum exams will also be covered.
MIWI 321 – ANTEPARTUM MODULE III—INITIAL VISIT B
Here the student will learn to use and read a urine dipstick and understand urinalysis. Sexually transmitted diseases and infections will be covered, as well as other indicators of risk during prenatal assessment.
MIWI 321 – ANTEPARTUM MODULE IV—PELVIC EXAM
The student will learn how to conduct a pelvic exam which includes pelvimetry, pelvic landmarks, pelvic floor muscles, and true cephelopelvic disproportion (CPD
MIWI 321 – ANTEPARTUM MODULE V—RISK SCREENING
In this segment the student will learn about hemoglobin and blood sugar testing, the Rh negative factor and ABO
incompatibilities, and other risk factors. The use of ultrasound will also be discussed, as will genetic screening.
MIWI 321 – ANTEPARTUM MODULE VI—HANDS ON
Here the student will learn to use a doppler, fetascope, and other instruments. She will also learn and be required to demonstrate skill in the Leopold’s Maneuvers, reading fetal heart tone (FHT
), and measuring fundal heights.
MIWI 321 – ANTEPARTUM MODULE VII—WOMEN’S DISEASES IN PREGNANCY
Both allopathic and non-allopathic usage in pregnancy will be examined with the pros and cons of each. Gestational diabetes and Group Beta Strep will be discussed, as will the assessment of the wellbeing of the fetus and possible risks.
MIWI 321 – ANTEPARTUM MODULE VIII—COMPLICATIONS A
In this segment the student will learn about various complications which may develop during the prenatal period, including hypertension, polyhydramnios, oligohydramnios, placental problems, and abnormal fetal positions.
MIWI 321 – ANTEPARTUM MODULE IX—COMPLICATIONS B
This module will cover more complications that arise during pregnancy, including common diseases, miscarriages, hydatidiform mole, ectopic pregnancies, hyperemesis gravidarum, and more.
MIWI 321 – ANTEPARTUM MODULE X—REVIEW AND FINALS
A review of all the major material covered in the antepartum modules should prepare the student for final exam of this term.
322 Midwifery II (4 credits)
322 – INTRAPARTUM MODULE
This segment will cover the emergency birth plan, the relationship with collaborating physicians, the birth environment and implements, and the universal precautions such as hand washing and gloving.
MIWI 322 – INTRAPARTUM MODULE II—MONITORING LABOR A
In this module the student learns to determine labor; evaluate contractions; check station, effacement, and dilation; check vital signs; and chart during labor.
MIWI 322 – INTRAPARTUM MODULE III—MONITORING LABOR B
This segment will cover the evaluation of FHT
s, the fetal position, fetal skull diameters, and how to determine when there is fetal distress. Positions for pushing and normal labor patterns will be examined.
MIWI 322 – INTRAPARTUM MODULE IV—MINOR INTERVENTIONS A
The student will learn about such interventions as episiotomies, amniotomies, perineal support, and preventing uterine inversion.
MIWI 322 – INTRAPARTUM MODULE V—MINOR INTERVENTIONS B
The use of medical oxygen, IV therapy, and urinary catheters will be dis- cussed. The students will demonstrate skills in some of these interventions.
MIWI 322 – INTRAPARTUM MODULE VI—DELIVERY
Labor augmentation methods will be covered along with the pros and cons of each. The student will learn how a routine delivery should go, how to do cord clamping and cutting, and how to use a bulb syringe. Delivery of the placenta and examination of it will also be covered.
MIWI 322 – INTRAPARTUM MODULE VII—COMPLICATIONS A
The student will learn the various presentations of the baby and how to manage malpresentations.
MIWI 322 – INTRAPARTUM MODULE VIII— COMPLICATIONS B
This segment will cover such things as pendulous belly, synclitism and asynclitism, AROM
, post-date pregnancy, and maternal exhaustion.
MIWI 322 – INTRAPARTUM MODULE IX—COMPLICATIONS C
This class will cover uterine rupture, uterine inversion, and amniotic embolism. Knowing when to transport and implementing a backup plan will be discussed in this module.
MIWI 322 – INTRAPARTUM MODULE X—REVIEW AND FINAL EXAM
MIWI 323 Midwifery III (4 credits)
MIWI 323 – POSTPARTUM MODULE I—IMMEDIATE
Newborn assessment and APGAR scoring will be discussed in this segment along with recognizing birth defects, meconium aspiration, stillborn and newborn instructions.
MIWI 323 – POSTPARTUM MODULE II—INTERVENTIONS
Here the student will learn how CPR
, Delee, and bag and mask procedures are done. Eye prophylaxis will also be covered.
MIWI 323 – POSTPARTUM MODULE III—NRP
This segment is devoted to neonatal resuscitation program (NRP
), in which the student will have to be certified in NRP
, which is a requirement before taking the NARM
MIWI 323 – POSTPARTUM MODULE IV—TEARS AND SUTURING
Recognizing tears and when and how to suture will be covered. Local anesthesia will be discussed.
MIWI 323 – POSTPARTUM MODULE V—BLOOD LOSS
Various emergency and precautionary procedures will be covered in this module including assessment of blood loss, causes of blood loss, managing a hemorrhage, the use of bi-manual compression, managing shock, and monitoring vital signs.
MIWI 323 – POSTPARTUM MODULE VI—NEWBORN CARE
The student will learn how to care for a newborn and how to initiate breast- feeding. Postpartum charting and waivers will also be covered.
MIWI 323 – POSTPARTUM MODULE VII—POSTPARTUM COMPLICATIONS
How to recognize and manage postpartum complications will be discussed in this module. In addition, postpartum visits and instructions for the parents will be addressed.
MIWI 323 – POSTPARTUM MODULE VIII—POSTPARTUM RESPONSIBILITIES
In this segment the student will learn about jaundice and its treatments, follow-up assessments, the birth certificate, counseling, and care for the circumcised baby.
MIWI 323 – POSTPARTUM MODULE IX—MATERNAL CARE
Postpartum depression, psychosis, thrombophlebitis, separation of abdominal muscles, and other potential problems for the postpartum mother are discussed.
MIWI 323 – POSTPARTUM MODULE X—REVIEW AND FINALS
Summer Term Practicum
MIWI 491, 492, 493 INTERNSHIP I, II, III
(48 credits) Three consecutive terms in which to utilize and further develop skills learned at Hartland College. This includes observing, assisting, and delivering babies in birthing centers and in homes. Assisting in prenatals, newborn exams, and postpartum visits is also included. A research project is also a required part of this internship, as is developing a plan for a midwifery practice. Sites are subject to the approval of the Curriculum Committee.
While the instructor(s) may be helpful in placing a student under a preceptor, it will be the responsibility of the student to find a willing preceptor. It will also be the student’s responsibility to met any expenses the preceptor(s) may encounter, including, but not necessarily limited to, travel and lodging. In addition, the student will be responsible for any possible fees the preceptor may require for her/his services. The students will be responsible for the purchase of textbooks, certifications, and the NARM
fees for applications and examination. Any equipment the student may need will also be her responsibility to acquire.