…so many reasons!

AAMI Midwifery Studies ~
The Original Academic Distance Course

Comprehensive Applicable Midwifery Curriculum

Flexible – Family Friendly

Affordable Tuition – Payment Plans

Incentives – Awards – Contests

Online Study Group and Assistance

Intensive Study Courses

Philomath Program

Midwifery Scholastic Achievement Test

Introduction to Midwifery

Conference Mp3s

Helping Hands, The Apprentice Workbook


…set the standard of excellence in academic midwifery education with the original midwifery home study course.

…offers the most unique program, the most comprehensive and applicable curriculum, and the best value in midwifery education.

…honors the midwife of yesterday, supports the midwife of today, and holds the door open for the midwife of tomorrow.

Aspiring Midwives


…need direction to get started.

…want a solid academic foundation before beginning an apprenticeship.

…prefer home-based study over attending midwifery schools.

…are competing for apprenticeships and want to prove their desire and dedication.

…and those who want to be with their young children now while preparing for an apprenticeship when their children are older.

…are willing to make a major commitment to their education even if there is no official recognition from any other entity.


Apprentice Midwives


…aren’t satisfied with minimal academic requirements.

…need a solid academic foundation before beginning their own practices
want to understand WHY as well as WHAT to do WHEN.

…want a balanced program that addresses all the concerns of an apprenticeship from both sides.

…understand that application is more important than memorization and that the end result of a midwifery course should be much more than a passing score on a test.



who want to:

…increase their textbook knowledge.

…review and update.

…develop a ‘specialty’ area of expertise.

…enhance their credentials.

…believe in “with woman” midwifery, which means that birth belongs to parents and that a midwife’s role is not one of birth management, but of assistance.

…and really enjoy learning.


Childbirth Educators

…who want to increase their knowledge and broaden their perspectives from a birth attendant’s view

…and those who want structured continuing education.


…who want a greater understanding of birth and related topics,

…and those who are considering midwifery.

Women who…

… trust the wisdom of midwifery and respect the dignity and beauty of birth.

… know there are quick and easy courses out there, but wouldn’t settle for anything less than the best.

… believe that midwives should be concerned with client education and responsibility.

… want a program that encourages academic debate, where students are encouraged to develop their own informed opinions, and where decision-making skills are stressed.

… need help with the specifics of establishing a successful midwifery practice, including the creation of forms, policies and protocols.

… acknowledge that a midwife must conscientiously prepare for all the responsibilities of the profession and work toward a very high level of personal and professional integrity and accountability.

… want a course that will address relationship and counseling skills as well as problem solving, and critical thinking skills.

… are convinced that they will benefit from our unusual, but effective, instructional methods that integrate all related subjects, use ‘layered’ learning, do not emphasize grades or tests, and minimize performance anxiety.

… believe that their commitment to excellence will result in academic and personal growth, and ultimately, a sustaining level of confidence.

… want to invest time in an educational endeavor that will pay dividends indefinitely.

… value our distinction as the original program of its kind, and our thirty-two year history of helping women reach their educational goals.

…are a lot like YOU!


Our students are really quite a diverse group!

A unique feature of our course is that it seems to work for women at any stage of experience or expertise.

Some students are college graduates; some with masters or doctorates. Many have not completed high school.

We have had several enrollees who are homeschoolers under the age of 20 and
we have had enrollees who joined us in their late fifties and sixties.

Many of our students are experienced midwives with more than 300 catches to their credit – several with more than 1000 –
and there have been many who enrolled without having been to a single birth before starting the course.

Several enrollees have some medical background, but most do not.
Some have experience as apprentices, doulas, or childbirth educators, but there are just as many who don’t.

Many have had home births. Some have had hospital births. Some have never given birth.

All of our students, however, have one thing in common:
they each want the best midwifery education available…
and they have found it.




fact-1Self-paced learning results in high competency levels in 95 percent of adult learners.

minicheck.jpgAAMI students can work in any order, at any pace.


Students who are ‘internally directed’ assume more responsibility for their own learning.

minichk-2.jpgOur emphasis is on learning rather than grades.


The discipline to write down what is being learned reinforces learning in adults.

minicheck.jpgEvaluation of learning required with every assignment.


Students are more receptive to learning when a degree of autonomy is required.

minichk-2.jpgStudents are encouraged to use many sources and make many choices in the curriculum.


About 80 percent more will be learned from a final exam if it is ‘student corrected’.

minicheck.jpgOur Progress Tests and Certification Exam are self-assessment exams.


Goals are 97 percent more likely to be achieved if they can be articulated and have been written down.

minichk-2.jpgAccomplished with Cover Sheets, our Learning Evaluation sheets, and Annual Reports.

We were the first to believe that an excellent academic midwifery education could be achieved through a correspondence course. We designed a midwifery curriculum and a system that works. We are continually revising and updating, as well as incorporating innovative educational concepts into our midwifery program. More than 2,600 enrollments and 35 years have taught as a lot. There are many distinctive and outstanding features of our midwifery education program.

We’ve learned where a midwifery student needs direction and where it is best for her to determine her own direction. For example, the student may submit completed sections of the course in any order that makes sense to her, she may create her own documentation system, and may choose the books she wants for the required critiques and reports.

Just getting started is a challenge for many midwifery students so we provide extra help in many areas concerning organization and productivity. We give extensive instructions and assistance in several areas, such as creating topical databases. We have developed forms and checklists for many aspects of the course: reading evaluation, cover sheets for evaluation of each assignment, book reviews, video reviews, Good Science/Best Practice forms, and many more.

There are many assignments and worksheets designed to help the midwifery student assess her beginning knowledge, track her progress, outline her goals, and solve her logistical problems. Some help us know more about the student so that we can be more effective in helping her through the midwifery course.

We offer incentives, awards and opportunities to earn extensions, publish a regular newsletter, and provide daily assistance via e-mail. Our Online Midwifery Study Group is a terrific source of support.

We place great emphasis on meticulous documentation. We teach several unique organizational methods to ensure that the student’s midwifery education investment pays long-term dividends. Our theory is that unless the work is retrievable and revisable it is no more than ‘busy work’. We aren’t interested in keeping the student busy; we are interested in helping her create a comprehensive, well-researched and documented resource that will serve her indefinitely.

As our midwifery curriculum has gone through revisions, our procedures have also been carefully examined and refined. Initially we required research ‘papers’. After a few years we instituted an entirely new method of presentation which does not require writing skills, creates a lower level of anxiety for the student, and is actually a much more efficient means of proving the extent of knowledge on each topic.

We designed a reading evaluation system which helps the student document and evaluate printed matter without having to spend a lot of time writing book reviews.

Because workshop and conference attendance is just not possible for many students, we initiated evaluation of approved conference tapes.

In addition to becoming an expert on almost every imaginable topic concerning birth, our students learn to:

  • Identify learning objectives
  • Develop value-specific study strategies
  • Read critically and objectively
  • Locate available resources and experts
  • Initiate relationships with fellow students
  • File information so that it is retrievable and revisable
  • Judge academic suppositions against the science and physiology of birth
  • Cultivate consistent study habits
  • Organize data for multiple purposes
  • Set immediate and long-term goals and execute a plan for achieving them
  • Prioritize multiple tasks
  • Determine what information necessitates memorization and what information can be filed
  • Create a customized encyclopedic resource
  • Conduct independent research
  • Challenge medical and obstetrical protocol
  • Distinguish fact from opinion
  • Evaluate data for academic integrity
  • Document and appropriately credit all sources
  • Establish review habits
  • Develop test-taking skills
  • Practice meticulous record-keeping
  • Develop confidence in her ability to handle emergencies
  • Plan and organize for optimal time and resource management
  • Integrate ‘head’ knowledge with ‘hands on’ experience
  • Hone critical thinking and decision making ability
  • Translate life experiences into the learning process
  • Fine-tune communication skills
  • Assess needs of individual clients
  • Prepare on every level for any possible birthing scenario
  • Explore related areas of interest toward development of specialties
  • Establish counseling guidelines and parameters of responsibility
  • Organize support for parents’ rights
  • Inspire confidence in birthing couples as competent decision-makers
  • Develop a comprehensive practice plan
  • Create and publish original educational material for parents
  • Assess and improve community resources
  • Navigate the politics of midwifery
  • Investigate alternatives to reliance on technology
  • Stay current with developments and trends in women’s health
  • Encourage the pursuit of health and wellness in her family, friends, and clients
  • Prepare for the business aspects of an independent midwifery practice
  • Create community identity as home birth advocate
  • Exercise an extreme degree of accountability and professional integrity
  • Accept the responsibility of the historical legacy of midwifery
  • Articulate and promote the ‘with woman’ midwifery philosophy

And you thought it was just a midwifery course!!!!



minnie-1Our founder Carla’s grandmother, Minnie Stigall Tomlinson Warner, never had to fight a ‘system’. She never found herself in a political battle because of her profession and she was never the subject of an investigation or ridicule from the medical community.

To the contrary, Carla’s grandmother was a highly respected practitioner. Many times doctors knocked on her door to ask if she would accompany them to a birth that was expected to be difficult. According to family legend, “Grandma” possessed a particular gift for reviving ‘blue babies’ and was credited with bringing many babies ‘back’ that a doctor had considered dead. In those days, she was revered as a healer and considered an authority in everything that had to do with birth and children.

She was born in 1885 and died in 1971. In between, she was a midwife when midwifery was much more appreciated and much less complicated than it is today.


The traditional wisdom of the midwives of Carla’s grandmother’s time is no longer enough. Contemporary midwives face a number of new challenges that require an academic advantage.

Normal birth is not definable in medical terms. Childbirth is ‘treated’ as a disease and pregnant women are prodded through a technical, medicalized system that actually creates complications in an over-zealous attempt to predict or prevent them.

The practice of midwifery is no longer respected as a traditional and vital community service. The medical community generally misjudges and disapproves of midwives. Midwives often find themselves defending their profession in the medical community and in the political arena. Society, in general, is misinformed about birth and midwifery, and there are many potential legal jeopardies Carla’s grandmother never had to contemplate.

Today’s midwife has to meet the present technocracy of childbirth head-on, as a professional in her own right, and as a parent advocate and educator.

She maintains her faith in the normalcy of birth, and yet prepares for any possibility.

There is a lot to learn. There is a lot to know. In-depth academic study is an absolute requirement. Our theory is that a midwife who ‘knows’ a lot is much more comfortable doing less. The kind of midwifery educational assistance we want to offer is true ‘with woman’, ‘sit on your hands,’ ‘assist; not ‘manage’ style midwifery.

That has been our primary work since 1981 – helping midwives acquire an academic advantage.

A midwife with the working knowledge of medical and midwifery terminology, a thorough understanding of the physiology of pregnancy and birth, and an appreciation for medical technology when it’s warranted, is the kind of midwife who represents her profession well.

We’ve been helping women become that kind of midwife for over 35 years!


Practically Speaking…

Textbook study complements practical experience – knowing gives substance to doing. We need to know why we do what we do. It is only when we understand the rationale – or lack of it – for any standard procedure or protocol that we are qualified to deviate from it.


Most complications are rare; a midwife may not learn about many complications through experience. If her academic preparation has been comprehensive, though, she will have some knowledge of every possible deviation from normal and know how to respond without interfering with the natural process.


In-depth study not only increases competence, but confidence. ‘Self-efficacy’ which produces self-confidence is defined as the perception of one’s ability to do a specific task or function. Committed effort strongly increases the perception of an ability to perform, which leads to more confidence.


As the complex becomes understandable, the subtleties take on more meaning, gray areas clear up, old questions are answered, new questions arise, enthusiasm increases and burnout is less likely.

Every AAMI Midwifery Studies enrollee can customize her educational experience with Ancient Art Midwifery Institute in a number of ways. She can customize her experience and education by:

* participating in our online study group for inspiration, updates, and help from staff and fellow students.

* participate in frequent conference calls & teleconferences.

* subscribe to our monthly ACCESS newsletter.

*subscribe to our monthly Class Notes newsletter.

*subscribe to our monthly Free Quiz newsletter

* have the opportunity to qualify for our quarterly Honor Roll.

* add an enormous amount of study options by becoming a Philomath. (coming soon!)

* volunteer to ‘teach’ a Truth Teller’s Conference Call on any topic within her expertise.

* enroll in Intensive Study courses.

* complete topical Intensive Study Modules.

* participate in the NARM FOCUS program and have a CPM Tutor.

*listen to conference recording from past and future teachers via our Birth Nerd Access pass

Apprentice trained midwives are responsible
for the outcomes of all the
studies that show homebirth is safe!

Midwifery is unlike medicine in practice, philosophy and educational process. Midwives should never consider adopting medicine’s educational system unless we are prepared to accept the sacrifices we would make in practice – and unless we are ready to adopt a new philosophy. The educational differences in midwifery and medicine are best exemplified by the fact that midwifery has been traditionally learned through apprenticeship; medicine has completely overlooked the validity of that route.

Medicine operates as one huge tree with many branches. Midwives, by necessity, are more like individual trees, rooted in tradition, nurtured by the rewards of their work which are subject to individual definition. Midwives often stand together as a grove of trees, but they respect the individuality of each tree. Midwives also extend themselves to shelter little trees (apprentices) as they grow. That growth process is called the apprenticeship.

CheckHistorically proven educational route

CheckOne-on-one learning is most effective in most situations

CheckMore opportunity for personalized teaching and learning

CheckMost effective way to learn the benefits of continuity of care

CheckQuickly reconciles expectations with reality

CheckOffers opportunity for more questions

CheckEmphasizes degree of personal integrity and accountability required because of limited back up; no cover-up

CheckUnderscores importance of self-confidence and self reliance

CheckPromotes autonomy necessary for working outside the ‘system’

CheckIntegrates learning through observation followed by supervised participation, not in a classroom, but in real situations

CheckAllows students to view birth from practitioner’s point of view

CheckWorking with midwife’s clients teaches tolerance and respect for diversity of backgrounds, beliefs, and lifestyles

CheckAccountability to teacher prepares for accountability to client

CheckPromotes responsibility for learning; reciprocity with teacher

CheckClarifies issues pertinent to midwifery by observing how the midwife deals with and resolves them in her practice

CheckBest way to prepare for being ‘on call’ as a lifestyle

CheckChance to observe midwife in relationships with family or friends invited to births, midwife’s peers, and medical community

CheckChance to see importance of parental education and responsibility

CheckMost effective way to learn demands on time, family, emotions

CheckEncourages development of personal philosophy and procedure

CheckInitial limitations on participation and incremental assignments of responsibility produces maturity and patience

CheckOpportunity to learn people skills specific to midwifery

CheckChance to prove, over a period of time, the level of commitment

CheckMost effective way to learn when protocol should be adapted

CheckInstills respect for the client-midwife relationship

CheckOpportunity to find out what potential problems are

CheckOpportunity to see predominance of uncomplicated births and how complications can be handled in an individual manner

CheckOnly way to learn the dynamics specific to home birth

Our faculty and staff are here to help you. We are in the process of restructuring and not everyone’s roles have been updated. If you have a question, email the person you need to talk to and they’ll do their best to help.

AAMI Staff

Carla Hartley, Founder and Curriculum Developer, Sage Adviser

Lori BarklageDirector

Lori Gauvin, Administrator, Educational Consultant

Lilah Monger, Educational Advisor

Sheehan Ednie-Rosen, NARM Focus Director, Academic Advisor

AAMI teachers/speakers

Patricia Edmonds, Adjunct Professor Applied Midwifery Arts, Midwifery Skills Lab Director

Gail Hart, Adjunct Professor Applied Midwifery Arts

Anne Sokol, Oxytocin Enthusiast ISM Facilitator

Darcy Dormaier, Truth Teller’s Conference Calls Coordinator