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Direct entry midwifery is legal in Oregon as either unregulated practice or voluntary licensure.

Direct entry midwifery is legal in Oregon as a completely unregulated practice. There is also a voluntary licensure for those who want to recieve medicaid reimbursement Oregon Medical Assistance program (OMAP) and maximize the opportunity for insurance reimbursement; however, in reality access to medicaid payments for fee-for-service maternity care in the home is very limited due to the administrative rules set up by ). Licensure requires successful completion of the North American Registry of Midwives written and skills exam.

Currently about 35 licensed direct-entry midwives (LDM) practice in Oregon. Direct entry midwives are not required to have physician back-up, and are generally treated respectfully when transporting to the hospital. The number of unlicensed midwives is unknown, but far exceeds the number of licensed midwives. It is a felony for unlicensed DEMs to use oxygen and hemorrhagic medicaitons, and to suture.

Out of hospital births constitute approximately 1-2% of all Oregon births, with Direct-entry midwives and Licensed Direct Entry Midwives attending the majority. Certified Nurse Midwives and Naturopathic Physicians also attend a small number of out-of-hospital births. There are five free-standing birth centers staffed by either Direct Entry Midwives (DEMs, CPMs & LDMs) or Naturopathic Physicians or a combination.

Oregon Midwifery Council (OMC)

The OMC has represented direct entry midwives since 1977.

For information about the OMC, including membership dues and subscriptions, or midwifery and education in Oregon visit the OMC website.

, OR
Contact Info:

5126 NE 20th Ave Portland, OR 97211


Birth Freedom for Oregon



Oregon Midwives: the Oregon Affiliate of the ACNM


Contact Info:


Birthingway College of Midwifery

MEAC accredited midwifery program.

12113 SE Foster
Portland, OR 97266
Phone: 503-760-3131

Click Here For Full Details!

Link to ACNM for Information on Certified Nurse Midwives