The Oregon Administrative Rules contain OARs filed through November 15, 2015
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OREGON HEALTH AUTHORITY
HEALTH LICENSING OFFICE, BOARD OF DIRECT ENTRY MIDWIFERY
The following definitions apply as used
in OAR 332-015-0000 through 332-030-0000.
(1) "Agency" means the Oregon
Health Licensing Agency. The agency is responsible for the budget, personnel, performance-based
outcomes, consumer protection, fee collection, mediation, complaint resolution,
discipline, rulemaking and record keeping.
(2) "Antepartum" means the
period of time before the onset of labor.
(3) "Board" means, pursuant
to ORS 687.470, the entity that advises the agency on matters relating to the practice
of direct entry midwifery, and determines practice standards, education and training,
and provides consultation to the agency on all disciplinary issues in accordance
with ORS 687.405 to 687.495.
(4) “Baby” means
the fetus and the newborn.
(5) "Consultation" means
a dialogue for the purpose of obtaining information or advice from a health care
provider by phone, written notes, or in person, which may include, but is not limited
to identification of and recommendation regarding management of maternal or fetal
(6) "Fetal distress" is a
condition in which the fetus demonstrates progressive and irresolvable clinical
signs of compromise, which may include, but are not limited to, abnormal fetal movement;
loss of heart tone variability; non-reassuring fetal heart rate deceleration patterns
such as late decelerations; and non-reassuring changes in fetal heart baseline rate.
(7) "Informed Consent" means
the consent obtained following a thorough and easily understood explanation of the
information to the mother or the mother’s guardian. Refer to OAR 332-025-0120.
Informed consent used in OAR 332-025-0125 does not apply to this definition.
(8) "Intrapartum" means the
period of time from the onset of labor through the birth of the placenta.
(9) "LDM” means licensed
direct entry midwife.
(10) "MANA" means the Midwives
Alliance of North America.
(11) "MEAC" means the Midwifery
Education and Accreditation Council.
(12) "NARM" means the North
American Registry of Midwives.
(13) "Peer review" means
the discussion of cases with other health care providers and students for the purpose
of obtaining and providing suggestions regarding care.
(14) "Postpartum" means the
period of time immediately after and up to eight weeks following the birth of the
(15) "Prenatal" means the
period of time from conception to the onset of labor.
(16) "Primary birth attendant"
means the midwife who assumes direct responsibility for mother and baby care.
(17) "Sharps" means items
that includes needles, intravenous tubing with needles attached, scalpel blades,
lancets, glass tubes that could be broken during handling and syringes that have
been removed from their original sterile containers.
(18) “Traditional Midwife”
Pursuant to ORS 687.415 an individual who is acting as a traditional midwife, does
not use legend drugs and devices, does not advertise as a midwife, and provides
the required disclosures to clients may practice direct entry midwifery in this
state without a license to practice direct entry midwifery.
Stat. Auth.: ORS 687.485
Stats. Implemented: ORS 183.450(7)
Hist.: DEM 1-1993(Temp),
f. & cert. ef. 12-22-93; DEM 1-1994, f. & cert. ef. 6-15-94; DEM 1-1998,
f. 2-27-98, cert. ef. 3-1-98; DEM 1-1999(Temp), f. 9-1-99, cert. ef. 9-9-99 thru
2-29-00; DEM 2-1999, f. 12-17-99, cert. ef. 12-20-99; DEM 1-2002, f. 2-25-02 cert.
ef. 3-1-02; DEM 1-2004, f. 6-29-04, cert. ef. 7-1-04; DEM 4-2010, f. 12-30-10,
cert. ef. 1-1-11; DEM 5-2011, f. & cert. ef. 9-26-11; DEM 2-2014, f. 12-31-14,
cert. ef. 1-1-15
Direct Entry Midwifery License
(1) A direct entry midwife, licensed
under ORS 687.420, may perform direct entry midwifery services defined under 687.405.
(2) A direct entry midwife
license is good for one year and becomes inactive on the last day of the month one
year from the date of issuance.
Stat. Auth.: ORS 676.615, 676.616, 687.410,
687.415, 687.420, 687.425, 687.445, 687.480 & 687.493
Stats. Implemented: ORS 676.615,
676.616, 687.410, 687.145, 687.420, 687.425, 687.445, 687.480 & 687.493
Hist.: DEM 2-2014, f. 12-31-14,
cert. ef. 1-1-15
Application Requirements Direct
Entry Midwifery License
An individual applying for licensure
to practice direct entry midwifery must:
(1) Meet the requirements
of OAR 331 division 30.
(2) Submit a completed application
form prescribed by the agency, which must contain the information listed in OAR
331-030-0000 and be accompanied by payment of the required application and license
(3) Submit current certification
in cardiopulmonary resuscitation for adults, neonates and infants.
(4) Submit a written plan
for emergency transport for mother or newborn pursuant to OAR 332-025-0020.
(5) Submit satisfactory evidence
of having current CPM credential from NARM; and
(6) Pursuant to ORS 687.420,
participation as an assistant at 25 deliveries, 25 deliveries for which the applicant
was the primary birth attendant, participation in 100 prenatal care visits, 25 newborn
examinations, and 40 postnatal examinations. The applicant must have provided continuity
care for at least 10 of the primary birth attendant deliveries, including four prenatal
visits, one newborn examination and one postpartum exam. Of these 50 births, at
least 25 deliveries must have taken place in an out-of-hospital setting and 10 births
must have occurred within the two years or 24 months preceding the date of application.
(7) If there is more than
one birth attendant present at the same birth, the birth attendants must designate
which birth attendant is primary.
(8) If the applicant received
the Initial Renewal Legend Drugs and Devices continuing education prior to applying
for licensure the applicant my provide the documentation of successful completion
during the time of application. If applicant receives the continuing education within
12 months of applying for licensure the applicant must attest to having received
the continuing education at the time of next renewal on a form prescribed by the
(9) If the applicant has
not received the Initial Renewal Legend Drugs and Devices continuing education listed
under OAR 332-020-0010(2) or (3) at the time of application this information must
be disclosed to each patient on the patient disclosure form required under OAR 332-025-0020.
Stat. Auth.: ORS 687.420 & 687.485
Stats. Implemented: ORS 687.420
Hist.: DEM 1-1994, f. &
cert. ef. 6-15-94; DEM 1-1998, f. 2-27-98, cert. ef. 3-1-98; DEM 1-2002, f. 2-25-02
cert. ef. 3-1-02; DEM 1-2004, f. 6-29-04, cert. ef. 7-1-04; DEM 4-2010, f. 12-30-10,
cert. ef. 1-1-11; DEM 1-2014(Temp), f. 12-31-14, cert. ef. 1-2-15 thru 6-27-15;
DEM 2-2014, f. 12-31-14, cert. ef. 1-1-15; DEM 2-2015, f. & cert. ef. 7-1-15
Applicant’s education must incorporate the general educational requirements listed in the NARM CPM candidate information bulletin, including:
(1) Core competencies developed by MANA;
(2) NARM written test specifications;
(3) NARM skills assessment test specifications;
(4) NARM written examination primary reference list; and
(5) NARM skills assessment reference list.
Stat. Auth.: ORS 183, 687.420, 687.480 & 687.485
Stats. Implemented: ORS 183, 687.420, 687.480 & 687.485
Hist.: DEM 1-1994, f. & cert. ef. 6-15-94; DEM 1-1998, f. 2-27-98, cert. ef. 3-1-98; DEM 2-1998, f. 4-14-98, cert. ef. 4-15-98; DEM 1-2002, f. 2-25-02 cert. ef. 3-1-02; DEM 1-2004, f. 6-29-04, cert. ef. 7-1-04; DEM 4-2010, f. 12-30-10, cert. ef. 1-1-11
NARM Midwifery Examination
The qualifying examination is the NARM examination. An applicant is responsible for payment of all fees for NARM applications, examinations, and any other fees paid directly to NARM.
Stat. Auth.: ORS 676.615, 687.480 & 687.485
Stats. Implemented: ORS 676.615, 687.480 & 687.485
Hist.: DEM 1-1994, f. & cert. ef. 6-15-94; DEM 1-1998, f. 2-27-98, cert. ef. 3-1-98; DEM 1-2004, f. 6-29-04, cert. ef. 7-1-04; DEM 4-2010, f. 12-30-10, cert. ef. 1-1-11
License Display and Posting Requirements
(1) A licensee must show proof of valid license with the agency upon request or post the license document in public view at the licensees primary workplace.
(2) A licensee may temporarily conceal the address printed on the license document with a covering that is removable.
(3) A licensee must carry the license identification card (pocket card), or post in plain view, the official license anytime services are being provided.
Stat. Auth.: ORS 687.485 & 687.615
Stats. Implemented: ORS 687.425, 687.485, 676.606 & 676.607
Hist.: DEM 4-2010, f. 12-30-10, cert. ef. 1-1-11
The official copy of an Oregon Administrative Rule is
contained in the Administrative Order filed at the Archives Division,
800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the
published version are satisfied in favor of the Administrative Order.
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