Missouri Midwives’ Association Position Statements

The following position statements have been developed by the Missouri Midwives’ Association to serve to inform midwives, students, and consumers when making decisions regarding care provided by midwives in the out-of-hospital setting. These statements are meant to provide guidance on community standards among midwives in Missouri and should not take the place of thorough informed-consent processes.

Out-of-Hospital Induction:

The Missouri Midwives’ Association does not recommend pharmaceutical induction or augmentation outside of the hospital, including but not limited to the medications Misoprostol/Cytotec or Oxytocin/Pitocin. Pharmaceutical induction or augmentation should only take place in a hospital. - 9/2/2024

Preceptor Supervision of Students:

The North American Registry of Midwives’ Candidate Information Booklet requires that all preceptors must be “physically present” in order to provide supervision to a student in any phase. Missouri state law requires that someone must hold a “ministerial or tocological certification” - the NARM CPM credential - or be recognized as a Certified Nurse Midwife or Certified Midwife to provide legal midwifery care. All students must be supervised in-person by a legal midwife until they have received their certification. - 2/17/25