Central Texas Midwives holds peer review meetings quarterly. These meetings are for all midwives in the Austin area who want to review transports or other complicated cases. The intention of the peer reviews is supportive and educational not punitive or critical. Student midwives are always encouraged to attend. All information shared is confidential, and the client's name and any identifying information is withheld by the presenter. During each case presentation, everyone in attendance remains quiet while the midwife tells her story. When she is done, midwives are then allowed to ask more questions and give feedback. Each midwife presenting has equal time to present their case and receive feedback. Peer review meetings bring the local midwives together to connect and develop community standards while reviewing state rules and laws. Each peer review is educational and supportive for both the midwife presenting and all in attendance.