Why choose Lone Star Nurse Midwives?

Statistically, fetal and maternal outcomes are equally good when comparing midwife and physician births. However, midwives have significantly reduced rates of cesarean section, epidural anesthesia, induced labor, and episiotomies with no compromise in safety.

The national average for cesarean deliveries was 32% in 2015. San Antonio area hospitals had cesarean section rates ranging from 31-40% dependent on location in 2015. Lone Star Midwives primary cesarean section rate has steadily remained 10-15% annually. Our annual rate even includes cesarean sections performed for medically indicated reasons (breech presentation, maternal condition, or fetal condition).


  • 15% primary cesarean section rate

  • 85% or greater VBAC success rate

  • <1% episiotomy rate

  • 50-60% rate of epidural use


All five midwives at Lone Star are CNMs

Certified Nurse-Midwife (CNM)

  • Licensed and trained as an Advanced Practice Registered Nurse in Midwifery

  • Education: Master’s Degree in Nursing

  • Certification: American Midwifery Certification Board (AMCB)

  • Professional Association: American College of Nurse-Midwives (ACNM)

  • Legal Status: Can practice in all 50 states

  • Practice Settings: Can deliver in all settings (home, birth center, or hospital)

  • Range of Care Provided: Independent management of women's healthcare throughout the lifespan

  • Prescriptive Authority: Can prescribe medications in all states


Certified Professional Midwife (CPM)

  • Licensed and trained in midwifery only

  • Education: No degree required

  • Certification: North American Registry of Midwives (NARM)

  • Professional Association: Midwives Alliance of North America (MANA)

  • Legal Status: Regulated in 26 states

  • Practice Settings: Can only deliver out of hospital in the home (if legal in the state) or in a birth center

  • Range of Care Provided: Care is limited to pregnant or post-partum women

  • Prescriptive Authority: Cannot prescribe medications

Read more here: ACNM Comparison of CNMs and CPMs

Still not sure if you want to see our midwives?

We are happy to schedule a 15 minute consultation with one of our midwives. This visit is a great opportunity to see if our practice is a good fit for you.  If you are more than 28 weeks pregnant, please bring your prenatal records with you for us to review.

About Lone Star Midwives

At Lone Star, a team approach to care allows us to collaborate through shared knowledge and insight gained from individual experiences. Our team of midwives routinely consult with each other and conduct reviews of client cases. We believe this helps us make better decisions and provides our clients with a higher level of care. We also benefit from great relationships with our collaborating physicians, perinatologists, specialty physicians, and other birth professionals in our community. This results in better, safer care for our patients.


All five Nurse-Midwives at Lone Star are certified by the American Midwifery Certification Board and fulfill state requirements as advanced practice nurses. They hold full prescriptive authority and can prescribe medications when needed. They also routinely attend continuing education courses to stay up to date on the newest guidelines and recommendations in obstetric and gynecological care.


We take most insurances including Medicaid and Tricare Standard. We also have self-pay plans available to those without insurance to make your care affordable. Call or come in to talk to one of our insurance experts to learn what your coverage is and what out-of-pocket expenses you may face. If we are not listed on your insurance as a provider, please call our office to verify as we are in-network with most insurances.

Lone Star Nurse-Midwives 

(210) 614-7580


7950 Floyd Curl, Ste. 400, San Antonio, Texas 78229


© 2016 Lone Star Nurse-Midwives


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