TDLR Suspends Midwife’s License Following Maternal and Infant Deaths

March 11, 2026

AUSTIN –The Texas Department of Licensing and Regulation (TDLR) has issued an emergency order suspending the midwifery license of Salli M. Gonzalez. Gonzalez is prohibited from providing midwifery services in the State of Texas unless a court orders that license restored.

The emergency action follows investigations into two cases involving Gonzalez’s care of clients that resulted in serious outcomes, including an infant death in February 2023 and a maternal death in April 2023. In both cases, TDLR determined Gonzalez failed to follow the standards of care and provisions of the Texas Midwifery Law and Rules.

In addition, TDLR was made aware of a social media discussion between Gonzalez and another midwife discussing a clinical situation involving several complications that would typically require a transfer recommendation under Texas Midwifery Law and Rules. In response, Gonzalez stated, “Those things are not concerning to me.”

TDLR determined that Gonzalez’s response and failure to identify issues requiring escalation could place pregnant clients and unborn children at risk. Based on Gonzalez’s pattern of conduct and stated disregard for midwifery standards of care as well as the Texas Midwifery Law and Rules, TDLR concluded that emergency action was necessary to protect public health and safety of pregnant women.

“TDLR’s responsibility is to protect the health and safety of Texans,” said TDLR Executive Director Courtney Arbour. “When a license holder’s conduct poses a risk to the public, TDLR will take action to protect Texans.”