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It will depend on her state and type of midwife she wants to be. In Texas we have documented midwives and there is a program set up for them. Other places might require her to be a certified nurse midwife. I know lots of people that are doula's first and then branch out to become midwives. It gives them experience working around laboring women and some experience as well as they see how different things are handled by the medical care provider.

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