Massachusetts Midwives Alliance

MMA Course Classes

The Massachusetts Midwives Alliance  Basic Course in Midwifery meets twice a month for two years September through June to learn from practicing midwives from around Massachusetts.  Each full day class consists of a seminar style presentation on the material studied at home the preceding month, a vegetarian potluck lunch, and usually a skills practicum. Light summer work will be assigned in preparation for the first class. These are full days, so expect to arrive on time and be prepared to run a few minutes over if the material demands it. Due to the intensive nature of  the days, only non-mobile nursing babies will be allowed. 

Orientation & History of Midwifery

History of Midwifery ~ Life of a Midwife~ Pathways~ Birth Circle

Anatomy & Physiology, Medical Terminology

Female Reproductive Anatomy & Physiology~ History Taking ~ Informed Consent ~ Charting~ Universal Precautions ~ Sterile Technique~ Fertility Midwifery

Nutrition for the Childbearing Year & Charting

Basic Nutrition for Pregnancy -Charting

The First Trimester of Pregnancy & 

Fetal & Placental Development ~ Vital Signs ~urinalysis~ Risking Out~ Signs & Symptoms~ Physical & Other Changes ~ Due Dates~ Physical Exams

Across the World & Cultural Diversity

Story-Sharing~ Health Disparities & Midwifery Response~ Caring for Diverse Clients~ Philosophy & Culture as a Care Provider ~Public Health Legacies

The Second Trimester of Pregnancy

Leopold Maneuvers ~ Assessing Fetal Heart Tones~ Differential Diagnosis ~ Complications of Pregnancy~ Psychological & Emotional Impacts~ Sexuality~ Common Discomforts

Interpreting Research, Evidence Based Care & Herbal Remedies for the Childbearing Year

Epidemiology Evaluating Research~ Causation, Informed Consent~ Conducting Research~ Introduction to Botanicals  for the Childbearing Year

The Third Trimester of Pregnancy

Preparing for Birth~ Assessing Fetal Well Being~ Optimal Fetal Positioning~ Rebozo~Postdates~ Sterilizing Instruments~ Complications~ Referrals & Collaborative Care. ~The Home Visit~

Prenatal Labs & Pelvic Exams

 Anatomy of the Pelvic Region ~ Performing Gynecologic Exams~ Pelvimetry~  Breast Exams ~ Venipuncture~ Lab work & Test Results

Labor & Birth: One

Hormones of Labor ~ Mechanisms of Labor ~Fetal/Pelvic Relationship ~ Rupture of Membranes ~ Monitoring Maternal & Fetal Well-being ~ Estimating Dilation, & Station~ Being on Call

Labor& Birth: Two  Immediate Postpartum & the Newborn Placental Examination 

Estimating Blood Loss ~ Changes in Newborn Physiology ~ APGAR Scores ~ Newborn Exams~ Intramuscular Injections~ Eye Prophylaxis~ Vitamin K~Placentas

ToLabor Doula Training

Full Weekend Doula Certification Workshop


Breastfeeding Basics & Supportive skills Troubleshooting

The Postpartum Period & Care

Post-partum Visits ~ Screening for Depression~ Involution ~ Jaundice~ Common Infections & Complications ~ Newborn Growth Patterns


Unusual Labor & Birth Part One

Understanding~ Recognizing & Responding to Complications of Labor & Birth

Unusual Labor & Birth Part Two

Understanding, Recognizing & Responding toComplications of Labor Birth

Medications & Counseling Skills

Indications, Contraindications, Actions & Proper Use of Common Medications in Midwifery~ Basic Counseling & Listening skills ~Ethics~ Referrals

Vaginal Birth after Cesarean & Cesarean Section Prevention

Cesarean Prevention~ Post Traumatic Stress from Birth~ Supporting Recovery~ Birth Activism

CPR for Health Care Providers

 Sexuality & the Impact of Abuse,

Sexualuality and Childbearing

Childbirth Educator Workshop with Vicki Elson

Neonatal Resuscitation

Homeopathy and Abdominal Massage

Basic Homeopathy for Childbearing-Intro to Abdominal Massage~ The Webster Technique

Skills Practice, & Career Counseling

Grief, & Self Care for Birth Workers

Herbs for the Childbearing Year


Suturing & Supporting Perineum Health ~ Grief & Loss ~Self-Care for Midwives

Grand Midwife Day

Business of Midwifery & Final Exam

Setting up a Practice ~the PEP Process~ Finding an Apprenticeship,~ Money Matters

Practical Skills Day

Review and Practice Day~ Next Steps~ Being involved in Birth