How to become

How to become a Midwife

How to become a Midwife


A career as a midwife is among the most satisfying employment choices. To ensure a healthy pregnancy and safe delivery, these highly trained experts work with women of all ages, including expectant mothers. In the end, they get to participate actively in the birth and care of adorable newborns, sharing at least some of the delights of new births.

However, the job may also be difficult and unpleasant, as well as draining on the body and mind. The prospect of anything catastrophically going wrong, for the mother or the child, is always a reality for midwives because things don’t always go as planned. Because of this, the educational and certification standards for midwives are among the most stringent in the medical sector. The extensive and demanding midwifery programme prepares you to become one of the most regarded, valued, and well-paid nurses in any hospital or clinic.

What is a midwife

A midwife is a licensed healthcare provider who supports healthy women during pregnancy, childbirth, and the postpartum period. Although most midwives can deliver babies in a hospital, they can also do it at birthing centers or at clients’ homes. They have never caused issues for the pregnant women who chose them.

The Work of a Midwife

The medical profession of midwifery, which is carried out by both certified midwives (CMs) and certified nurse-midwives (CNMs), involves assisting women in all phases of life. While safe reproductive practices and successful deliveries of newborns are a large part of their attention, a midwife’s responsibilities extend far beyond the delivery room. You should also consider the obligations and duties of the midwife.

A career as a midwife can cover a wide range of facets of a woman’s life, including lifetime well-woman care. A midwife’s job may involve providing contraception control, fertility counselling, and sexual health care because many of the issues relate to reproduction and sexual wellbeing. Additionally, they may do a variety of women’s healthcare procedures, such as PAP smears, breast exams, and annual screenings of several diseases.

With good reason, midwives are frequently connected to pregnancy. Providing assistance before, during, and after pregnancy is the cornerstone of midwifery. A certified midwife can offer advice on managing contraception or reproductive issues prior to pregnancy. In addition, midwives offer prenatal treatments such as normal prenatal checkups, pregnancy confirmation visits, and ultrasounds. A nurse midwife will look after the woman following birth to make sure she is comfortable and healthy. Although a neonatal doctor or nurse will likely be prepared to give the infant more advanced care while the midwife concentrates on the mother, a midwife may still offer urgent treatment to the child.

Differences between midwives and others

1. Doula vs. Midwife

The debate between a midwife and a doula is typical. A doula plays a different function in women’s health and reproductive care, but having similar duties. An expecting woman receives emotional and physical assistance from a doula, and this help may last long after the baby is born. With a doula, a mother can have the finest pregnancy and delivery experience possible because she is nearly exclusively focused on her needs. He or she might be present during labor and delivery, and some doulas are experts in providing care before and after the birth. A birth plan is frequently created with the doula’s assistance.

The precise responsibilities of a doula can vary, although they frequently include providing comfort to the mother. This can involve massages, help with labor positions, and other procedures that might improve a laboring mother’s comfort and relaxation. The most crucial fact is that a doula is not a medical expert. He or she is incapable of giving birth and lacks any medical training.

2. Midwife vs. Doctor

A midwife may often be present when expectant parents go to a hospital or clinic for prenatal treatment. They could also consult a physician, most likely an OB/GYN specialist. Compared to midwives, doctors and physicians have more schooling.

OB/GYN specialists are experts in women’s health, a broad field that includes issues including pregnancy, childbirth, and long-term sexual wellness. They might frequently cross paths with midwives in this regard.

The level of care between the two is a key distinction. A doctor can frequently provide care that a midwife would not be able to offer in high-risk pregnancies. The comparison between a midwife and a doctor is close, yet as you can see, there are clear distinctions.

3. Labor and delivery nurse vs. midwife

You might also locate labor and delivery nurses in a women’s clinic or delivery ward. These professional nurses are trained and experienced in providing newborn care and childbirth. These nurses assist with care for both mom and baby and frequently offer postpartum care, infant education, and general support to parents while typically working under the supervision of a midwife or doctor.

What is a midwife’s role?

A midwife can offer care before, during, or after your pregnancy, just like a doctor or OB can.

  • Ensure preconception and family planning are provided.
  • Order tests and perform prenatal exams.
  • Keep an eye on your physical and mental health.
  • assisting you in making birth arrangements.
  • advise you on maintaining your health through food, exercise, and medication.
  • Your knowledge of pregnancy, labor, and newborn care should be increased.
  • give you both emotional and practical assistance while you’re giving birth.
  • birth your child.
  • Send patients to doctors when necessary.

How the midwife interacts with the pregnancy team

An OB who offers guidance when needed should be a close friend to the midwives. If something goes wrong throughout your pregnancy, your midwife can recommend that you see an OB for treatment. Additionally, they could collaborate with another midwife or doula to assist with your labor and delivery.

Basic steps to Become a Midwife

To start this interesting career, follow these four steps:

  • To meet RN standards, obtain a bachelor’s or associate’s degree.
  • Obtain a midwifery master’s degree.
  • Obtain certification from the state where you intend to work.
  • Continually learn and recertify as necessary.

To meet RN standards, obtain a bachelor’s or associate’s degree

You’ll need to finish a nursing or medical-related degree as one of your first steps. All states have standard and uniform standards for midwife education, while little details may differ. A bachelor’s degree in nursing is arguably the most popular and easy option to go to the next level, therefore most people will choose that route. However, there are a lot of other nursing-related topics that can aid you in your academic endeavors.

How to become a midwife without a nursing degree is a question that many people ask. Although an associate’s degree could be a quicker route, your earning potential and employment opportunities might be constrained. Before beginning your career as a certified nursing midwife (CNM), you must obtain a bachelor’s degree in nursing.

Obtain a midwifery master’s degree

The following stage is to finish a graduate school that will enable you to become a licensed nursing midwife. Your grasp of medical topics, particularly women’s health, reproduction, and childbirth, can be advanced through graduate-level study. The majority of universities provide specialist nurse midwife programmes that let you study about both women’s health and midwifery. You can increase your knowledge and usefulness to women who are pregnant or trying to get pregnant by specializing in these areas.

You will take a number of courses as you pursue your master’s degree in midwifery education and training that advance both your understanding of the human body (particularly a woman’s body and reproductive system) and your awareness of the healthcare sector. The courses in each programme will vary, but you may anticipate learning about subjects including health evaluations, antepartum care, well-woman concerns, and infant care, among many others. These programmes also have requirements for clinical practice and lab hours.

Obtain certification from the state where you intend to work

You must fulfill the necessary certification and license criteria before beginning your midwifery career. Although the qualifications for becoming a licensed midwife vary from state to state, you will often need to pass tests and fulfill school and experience requirements.

The definition of “Advanced Practice Registered Nurses” is broad and includes a number of specialties, such as nurse anesthetists, nurse practitioners, and nurse midwives. In most states, the licensure criteria are in line with these qualifications. You need to hold a registered nursing license and finish a graduate-level degree at a recognised institution in order to be eligible. Additionally, you’ll need to pass a certification test and possess APRN licensure. The American Midwifery Certification Board oversees the procedure for nurse midwives.

Continually learn and recertify as necessary

You can become a nurse midwife by following the above-mentioned steps, but in order to stay in this field, you’ll need to keep your license current and keep up with the most recent advancements in medicine. The American Midwifery Certification Board frequently handles this. You must maintain your certification and pursue continuing education in order to keep your employment and develop into one of the most knowledgeable medical experts, abreast of the most recent findings and techniques.

Certification & Licensing for Midwives

Each state takes a distinct stance on midwife certification, as we covered above. Let’s examine the specifications for three distinct states to illustrate these discrepancies.

New Jersey

A notarized application that is submitted to the State Board of Medical Examiners along with a certain type of ID is required to become a certified nurse midwife in New Jersey. Additionally, you’ll require your master’s transcripts and must submit to a background investigation. You’ll need to submit a CV and documentation of your American Midwifery Certification Board certification. Every two years, licenses must be renewed in New Jersey, and the midwife requirements include 30 hours of continuing education.


Similar steps are taken by a midwife in Texas, though the details may vary. A master’s degree is necessary to become a Certified Professional Midwife (CPM), a designation available to nurses in Texas. Midwives in this state must be certified by the North American Registry of Midwives.


The State of Illinois Department of Professional Regulation, which classifies midwives as advanced practice nurses, is in charge of regulating the profession in Illinois. Although a document from the American College of Nurse Midwives Certification Council (ACC) may also be submitted, a copy of certification from the American College of Nurse Midwives is also necessary.

Pay for a midwife

What do midwives earn? Although it will vary, you can count on getting paid well. One of the highest paid medical professionals is a midwife, earning far more than the average pay for most jobs. The median pay for nurse midwives was $111,130 in May 2020, according to the Bureau of Labor Statistics. This is significantly higher than the $41,950 median wage for all vocations. Undoubtedly, this is one of the highest-paying careers now accessible, and those who pursue it can anticipate fantastic salaries.

If you want to earn a large salary, it appears that California offers the best pay for this profession. In this state, the median salary for a nurse midwife is just shy of $160,000. Utah takes 2nd place, but it’s a distant 2nd. The median earnings in this state is $133,680, roughly $26,000 less than in California. The cost of living certainly needs to be considered, but it appears that California truly appreciates people who have completed nurse midwife programs. Other states in the top five for nurse midwife salary include Mississippi, New York, and Minnesota.

Future Outlook for Midwives

Though not as high as many other fields, this profession is predicted to experience great career growth. Between 2019 and 2029, midwives are predicted to expand by 12 percent. There will be an increase of around 8,100 employment in the field. This growth is exceptional when compared to the majority of careers; the overall average for all occupations over the same time period is anticipated to be 4%.

There are a variety of reasons why nurse midwives’ careers could develop. The need for healthcare services for elderly seniors and the growing emphasis on preventative care in women’s medicine will probably be the main drivers of expansion. There will be a greater demand for healthcare and other services as baby-boomer generation women age, much of which can be handled by nurse midwives. The future of the nurse-midwife profession is therefore highly promising.

There appear to be more nurse midwives in some locations than others. Of course, large states have the most. For instance, when it comes to the overall number of midwives, California and New York are first and second, respectively. However, you need to look at employment per 1,000 occupations to have a clearer understanding of where the majority of midwives are located. Vermont tops the list in this category with 0.18 midwives per 1,000 jobs. Alaska comes in second on the list with 0.15, and New Mexico is third with 0.14. At 0.1 per 1,000 jobs, Maine and Connecticut are tied for fourth place.

Advantages and disadvantages


You can gain a lot from working in this field in terms of compensation, job security, and general job happiness. The salary is often excellent, as we’ll detail below, and the predicted rate of job growth is significant. But these two things won’t be enough to carry you through the long days. The opportunity to promote healthy family growth, help women in productive ways, and improve the wellbeing of women of all ages just might.

Although every person’s experience will vary, this might be one of the most fulfilling occupations out there. Your work makes women and families healthier and happier, and the medical industry holds your position in the highest esteem. You will have the opportunity to contact patients and support them as they navigate their travels through many of life’s problems. A midwife can be a devoted friend to women of all ages, from youth to senior care.


Although it can be difficult, becoming a midwife can be quite rewarding. Unpredictable schedules, busy days, and tense situations. These can all be discovered through a midwife’s profession. It takes the highest levels of commitment to succeed in this demanding field, and things don’t always turn out as planned. Long hours, giving support even when they don’t feel capable, and dealing with depressing childbirth outcomes are all challenges faced by midwives. Although a career can bring the highest of highs, it can also bring mental exhaustion, stress, and unhappiness.


What is the time commitment to become a midwife?

Your training will likely take two years to finish this phase. You’re looking at an additional bachelor’s degree and about six years of formal schooling.

Is nursing a prerequisite for this specialty?

No. If you have a bachelor’s degree or higher in a subject other than nursing, you can advance to and then advance to the Nurse-Midwifery specialization by completing a one year full-time baccalaureate equivalent programme (PreSpecialty Year – Clinical Experiences).

What is the time commitment to become a midwife?

An average of eight years are needed to become a certified nurse-midwife. After spending four years earning a bachelor’s degree, the nurse must work for at least a year before enrolling in a third, three-year programme to become a midwife.

What qualifications are needed to become a midwife?

One must complete a four-year bachelor’s in nursing programme at a college or university, get nursing experience, and then finish a midwifery school in order to become a midwife. The nurse-midwifery must then work to obtain board certification and a license to practise as a certified nurse-midwife.

Where did the term “midwife” originate?

The Old English terms “mid” and “wif,” which are the origin of the word midwife. Its literal meaning is “with-woman.” This is a fantastic summary of the midwives’ philosophy, which is based on the idea of working together to advocate for the type of birthing you want to have. They collaborate with you to make sure you get the treatment you and your family merit.

When did midwifery first start?

The Midwives Act of 1902 might be considered to have founded midwifery as a profession, even though it had been performed for a very long time prior to being formally acknowledged and regulated.

Do midwives have insurance coverage?

Many insurance companies offer coverage for midwives as both primary care and women’s health providers.

Is Medicaid accepted by midwives?

For their services, the midwives at Swedish Hospital accept Medicaid.

Where can we practise as midwives?

In addition to hospitals, birthing clinics, and homes, midwives can also work in a variety of other settings. In the United States, hospitals are where most midwives practise.

How many infants are delivered by midwives each year?

Nine percent of all hospital deliveries were attended by midwives, according to the American College of Nurse-Midwifery.