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How to Become a Midwife

By Lace Brunsden


Becoming a midwife is a calling that offers the unique opportunity to support women and families during one of life’s most transformative experiences.

In this article, we’ll explore the steps and qualities required to embark on a fulfilling career as a midwife, where you can play a vital role in bringing new life into the world while providing essential care and guidance.

Career Summary

Midwife Salary

Midwife Salary

The typical midwife salary can vary greatly depending on where you live, your qualifications, and the demand for your services. How much do midwives make?

According to Glassdoor, the salary of a midwife can be summarized as follows:

  • Entry Salary (US$88k)
  • Median Salary (US$110k)
  • Executive Salary (US$138k)

According to the United States Bureau of Labour Statistics, the average salary across more than 800 occupations is estimated at US$ 61,900. Compared to this, a typical midwife salary is very high.

What does a Midwife do?

Before we delve into how to become a midwife, you need to understand if it is something you would be interested in. So, what is a midwife?

A midwife is a healthcare professional specializing in providing care and support to pregnant women before, during, and after childbirth. They often focus on natural and low-intervention approaches to childbirth and can deliver babies in various settings, including homes, birthing centers, and hospitals. 

Midwife Career Progression

  • Student Midwife: You will often work under the supervision of experienced midwives or in clinical settings to gain hands-on experience.
  • Registered Midwife: You are licensed to practice independently, providing care to pregnant women and assisting in childbirth.
  • Staff Midwife: You can work in hospitals, clinics, or birthing centers. You mainly provide primary care to expectant mothers, conduct routine prenatal check-ups, assist with labor and delivery, and offer postpartum care.
  • Senior Midwife: You have extensive experience and expertise in midwifery. You may take on leadership roles within their practice, mentor junior midwives, and participate in quality improvement initiatives.
  • Nurse-Midwife Practitioner (CNM/CM): You hold both nursing and midwifery certifications. You can offer a broader range of women’s health services, prescribe medications, and manage more complex cases.
  • Chief Midwife: You lead midwifery departments within large healthcare institutions, managing staff, overseeing patient care, and shaping department policies and procedures.
Midwife Career Progression

Pros and Cons of Working as a Midwife


  • Fulfilling and meaningful work.
  • Building strong patient relationships.
  • Supporting women through a transformative experience.
  • Autonomy and independence in practice.
  • High earning potential.


  • Irregular and demanding hours.
  • Emotional stress and burnout.
  • Exposure to high-pressure situations.
  • Complex and challenging cases.
  • Potential exposure to physical risks.

Useful Skills to Have as a Midwife

  • Effective communication.
  • Empathy and emotional support.
  • Clinical assessment and monitoring.
  • Problem-solving and critical thinking.
  • Resilience.

Popular Midwife Specialties

  • Certified Nurse-Midwife (CNM)
  • Certified Midwife (CM)
  • Certified Professional Midwife (CPM)
  • Nurse-Midwife Sonographer
  • Home Birth Midwife

How to become a Midwife

Midwife 3 Steps to Career

Step 1: Complete Education

Complete a high school diploma or equivalent, ensuring that you have a strong foundation in science and mathematics. Next, consider earning a bachelor’s degree or enrolling in a midwifery program.

Many midwifery programs require a bachelor’s degree as an entry requirement. It’s common for students to pursue degrees in nursing or a related field. However, some direct-entry midwifery programs accept candidates with varying backgrounds.

Choose an accredited midwifery program that aligns with your career goals. These programs can vary in length and may include a Bachelor of Science in Nursing (BSN) with a focus on midwifery, a Master’s in Nurse-Midwifery, or a direct-entry midwifery program.

Do I Need a Degree to Become a Midwife?

The educational requirements to become a midwife can vary depending on the type of midwifery you are interested in and the country or state in which you plan to practice. There are different pathways to becoming a midwife, and while some paths do require a degree, others may not.

Here are the common pathways:

  • Bachelor’s Degree in Nursing (BSN) + Certified Nurse-Midwife (CNM): This is one of the most common routes. You start by earning a BSN and then proceed to a nurse-midwifery program, which is typically a Master’s program. After completing the nurse-midwifery program, you can become a Certified Nurse-Midwife (CNM).
  • Direct-Entry Midwifery Programs: Some programs offer direct-entry midwifery education, which means you can enter midwifery training without prior nursing education. These programs often lead to Certified Midwife (CM) or Certified Professional Midwife (CPM) credentials.
  • Associate’s or Diploma in Nursing + CNM: In some cases, you can start with an associate’s degree or nursing diploma and later complete a nurse-midwifery program to become a CNM. However, having a BSN may provide more career opportunities.
  • Certified Professional Midwife (CPM): To become a CPM, you can complete a midwifery program accredited by the Midwifery Education Accreditation Council (MEAC) and then pass the North American Registry of Midwives (NARM) certification exam. This path does not require a nursing degree.

Why is it Important to Get a Degree in Nursing or Another Relevant Field?

Earning a bachelor’s degree when becoming a midwife, especially in the context of a Certified Nurse-Midwife (CNM) program, offers several important advantages and reasons for its importance:

  • Broader Educational Foundation: A bachelor’s degree in nursing (BSN) provides a comprehensive education in various aspects of healthcare, including anatomy, physiology, pharmacology, and patient care. This foundational knowledge is invaluable when providing comprehensive care to expectant mothers and newborns.
  • Clinical Experience: BSN programs typically include clinical rotations in various healthcare settings, allowing you to gain hands-on experience in patient care. This experience is crucial in preparing midwives for real-world practice.
  • Certification and Licensure: Many countries, including the United States, require a BSN as a prerequisite for taking the certification exams to become a CNM. A BSN can also facilitate the licensure process, as it demonstrates a certain level of education and competence in nursing.
  • Expanded Career Opportunities: Having a BSN opens up a broader range of career opportunities in the healthcare field. Midwives with a BSN can work in various roles within healthcare settings, not just as midwives.
  • Advanced Practice Opportunities: A BSN is often the first step towards advanced practice roles, such as becoming a nurse practitioner or pursuing a master’s or doctoral degree in nursing or midwifery.
  • Professional Credibility: Patients and healthcare institutions may have greater confidence in midwives with a BSN, as it signifies a higher level of education and expertise.

How Long Does it Take to Get a Degree Relevant to Midwifery?

The length of time it takes to earn a relevant degree for midwifery can vary depending on the specific educational path you choose.

Here are some common educational pathways and their respective durations:

  • Bachelor of Science in Nursing (BSN) + Certified Nurse-Midwife (CNM): Bachelor’s Degree (BSN) typically takes 4 years. CNM Master’s Program typically takes 2-3 years. Some programs offer accelerated options for BSN-prepared students.
  • Direct-Entry Midwifery Programs (Certified Midwife or Certified Professional Midwife): Direct-entry midwifery programs can vary in length, but they often take 2 to 4 years to complete, including both didactic coursework and clinical training.
  • Associate’s Degree in Nursing (ADN) + CNM: Associate’s Degree (ADN) typically takes 2 to 3 years. CNM Master’s Program typically takes 2-3 years after completing the ADN. Some programs offer bridge programs for ADN-prepared students.
  • Certified Professional Midwife (CPM) Pathway: Education can take 2-4 years, depending on the specific program and the student’s pace.
  • Master’s Degree in Nurse-Midwifery: Typically takes 2-3 years to complete, after obtaining BSN or ADN.

How Much Does it Cost to Study a Bachelor of Science in Nursing at University?

The cost of a nursing degree will vary depending on the university and whether or not you are studying in-state.

According to, the cost can vary between US$ 25,000 and US$ 120,000.

Can I Become a Midwife Through Online Education?

While it’s possible to complete some aspects of midwifery education online, becoming a midwife typically requires a combination of online coursework and in-person clinical training. The specific requirements and opportunities for online education may vary depending on your location and the type of midwifery you wish to pursue.

Here’s an overview of how online education can be incorporated into midwifery training:

  • Didactic (Theoretical) Courses: Many midwifery programs offer didactic courses that cover theoretical knowledge, such as anatomy, physiology, pharmacology, and principles of midwifery care. These courses can often be completed online, allowing you to study from a distance.
  • Clinical Training: Clinical training is a crucial component of midwifery education. While you may be able to complete some didactic coursework online, you’ll need to participate in hands-on clinical training and gain practical experience attending births and providing care to pregnant women. This aspect of training typically requires in-person participation and is conducted at clinical sites, such as hospitals, birthing centers, or under the supervision of experienced midwives.
  • Hybrid Programs: Some midwifery programs offer hybrid options, combining online coursework with periodic on-site or in-person training sessions. These programs aim to provide flexibility while ensuring that students acquire the necessary clinical skills.

What Are Some Web Resources to Learn Skills to Become a Midwife?

There are web resources and online platforms that can complement your midwifery education and provide valuable information and resources.

Here are some online resources to aid in your midwifery journey:

  • American College of Nurse-Midwives (ACNM): ACNM’s website offers a wealth of information, research, and resources related to nurse-midwifery. They have publications, educational materials, and links to accredited programs.
  • Midwifery Today: This website provides articles, books, webinars, and conferences on various aspects of midwifery and childbirth.
  • International Confederation of Midwives (ICM): ICM offers global resources and information related to midwifery, including guidelines and publications.
  • Midwifery Organizations and Forums: Online forums and discussion boards, like Allnurses, can provide a platform for students and professionals to exchange information, experiences, and advice.
  • Online Courses and Webinars: Look for accredited online courses or webinars that can supplement your midwifery education. Organizations like InJoy Health Education offer online childbirth education programs.

Step 2: Complete Clinical Training

During your midwifery program, you’ll acquire hands-on experience by participating in clinical rotations, where you will observe and assist in various aspects of midwifery care.

What Are Internship Opportunities For a Midwife?

Internship opportunities for midwives, often referred to as clinical placements or clinical rotations, are a crucial part of midwifery education and training. These internships provide students with hands-on experience under the supervision of experienced midwives.

The specific opportunities may vary based on the type of midwifery program and the location, but here are some common settings for midwifery internships:

  • Hospital Obstetrics Departments: Many midwifery students complete part of their clinical training in hospital obstetrics departments. You will assist in labor and delivery, prenatal and postpartum care, and may work alongside obstetricians and other healthcare professionals.
  • Birthing Centers: Birthing centers offer a more homelike environment for childbirth and are often staffed by midwives. You can gain experience in low-risk, out-of-hospital births in these settings.
  • Clinics and Health Centers: You may intern in community health clinics where you provide prenatal and postpartum care to expectant mothers, conduct well-woman exams, and offer family planning services.
  • Home Birth Practices: For those interested in home births, internships with midwives who specialize in home births provide valuable experience in providing care in a home setting. Students learn about emergency protocols and management.
  • Rural or Underserved Areas: Some programs offer opportunities for internships in underserved or rural areas, allowing you to work with populations that may have limited access to healthcare services.
  • Global Health Programs: Some midwifery programs offer international internship opportunities, where you can gain experience working in maternal and child health programs in different countries.
  • Nurse-Midwifery Practices: For nurse-midwifery students, internships may involve working in nurse-midwifery practices, where they provide a range of women’s health services, including prenatal care, family planning, and gynecological care.

What Skills Will I Learn as a Midwife?

As a midwife, you will acquire a wide range of skills to provide comprehensive care to expectant mothers, newborns, and women throughout their reproductive lives. These skills encompass both clinical and interpersonal aspects of midwifery.

Here are some of the key skills you will learn:

  • Prenatal Assessment: Midwives learn how to assess the health of pregnant women and their developing babies, including measuring vital signs, conducting physical examinations, and interpreting lab results to ensure a healthy pregnancy.
  • Intrapartum Care: Midwives acquire skills to provide care during labor and childbirth, including monitoring contractions, assessing fetal well-being, and supporting natural or medically assisted births.
  • Postpartum Care: Post-birth, midwives offer care to mothers and newborns, conducting assessments, providing breastfeeding support, and addressing postpartum complications or concerns.
  • Well-Woman Examinations: Midwives perform well-woman exams, which include gynecological assessments, cervical cancer screenings (Pap smears), and contraceptive counseling.
  • Breastfeeding Support: Midwives offer guidance and assistance to mothers in breastfeeding, including proper latching techniques and addressing common breastfeeding challenges.
  • Patient Education: Midwives educate patients on various topics, such as pregnancy, childbirth, family planning, nutrition, and newborn care, ensuring informed decision-making.
  • Cultural Competence: Understanding and respecting the cultural diversity of patients is essential for providing sensitive and inclusive care and adapting to diverse backgrounds and preferences.
  • Collaborative Care: Midwives often work in collaboration with other healthcare professionals, promoting teamwork and shared decision-making for the benefit of the patient.
  • Communication Skills: Effective communication, active listening, and empathy are vital to establishing trust and rapport with patients, and fostering open dialogue and patient-centered care.
  • Emergency Preparedness: Midwives learn how to recognize and respond to obstetric emergencies, such as postpartum hemorrhage or neonatal resuscitation, to ensure the safety of patients and newborns.
  • Documentation: Accurate and comprehensive record-keeping is crucial for patient care and legal compliance, and midwives acquire the skills to maintain thorough and organized patient records.
  • Autonomous Decision-Making: Midwives make clinical decisions based on the patient’s condition and preferences, practicing independence within their scope of practice.

Step 3: Explore Job Opportunities

Begin your career as a midwife. Explore the various midwife job opportunities and apply to positions that align with your interests.

What Are the Job Opportunities of a Midwife?

Midwives have a range of job opportunities and available positions across different practice settings and roles. The specific opportunities can vary based on the type of midwifery (e.g., Certified Nurse-Midwife, Certified Midwife, Certified Professional Midwife) and your individual preferences.

Here are some common job opportunities and positions for midwives:

  • Hospital-Based Midwife: As a hospital-based midwife, you’ll attend births in a hospital setting, providing care to women during labor and childbirth. You’ll collaborate closely with obstetricians and other healthcare professionals to ensure a safe and comprehensive birthing experience.
  • Birthing Center Midwife: Working as a birthing center midwife, you’ll offer care in a freestanding birthing center, providing a homelike environment for childbirth. You’ll focus on natural and low-intervention births, emphasizing patient choice and comfort.
  • Clinic-Based Midwife: In a clinic-based role, you’ll provide a range of women’s health services, including prenatal care, family planning, gynecological care, and well-woman exams. Your role will be to ensure comprehensive healthcare for women of all ages.
  • Home Birth Midwife: As a home birth midwife, you’ll provide prenatal care and attend home births, emphasizing natural childbirth and minimal medical intervention. Your focus will be on ensuring a safe and personalized birthing experience in the comfort of a woman’s home.
  • Community Health Midwife: In a community health setting, you’ll work to address maternal and child health needs, particularly in underserved or low-income areas. Your role will involve promoting wellness, conducting educational programs, and improving healthcare access.
  • Educational and Leadership Roles: If you choose educational or leadership roles, you may become a midwifery educator, teaching the next generation of midwives in academic institutions. Alternatively, you can take on roles like program director, clinical director, or chief midwife, overseeing and managing midwifery departments and services.
  • Independent or Private Practice: In an independent or private practice, you’ll establish your own midwifery practice, offering personalized care in a private setting. You’ll have the flexibility to shape your practice to meet your personal and professional goals.
  • Consultant or Specialist: If you have specialized expertise, you may work as a consultant or specialist in areas such as high-risk pregnancy, alternative medicine, or lactation consulting, providing specialized care and guidance to patients.

What Type of Companies Hire a Midwife?

Midwives can be hired by a variety of healthcare organizations and institutions, including:

  • Hospitals
  • Birthing Centers
  • Women’s Health Clinics
  • Community Health Centers
  • Academic Institutions
  • Nurse-Midwifery Practices
  • Home Birth Practices
  • Global Health Organizations
  • Private Practices
  • Lactation Consulting Practices
  • Telehealth and Telemedicine Providers

What’s the Career Outlook for Midwives?

The career outlook for midwives in the USA is generally positive, with opportunities for growth and an increasing demand for their services.

Several factors contribute to the favorable career outlook for midwives:

  • Growing Demand: There is a growing demand for midwifery care in the United States. More women are seeking out midwives for their expertise in providing personalized, holistic care during pregnancy, labor, and childbirth.
  • Healthcare Reform: Healthcare reform initiatives have emphasized the importance of access to quality care, and midwives are seen as essential providers in improving maternal and newborn health outcomes.
  • Workforce Shortages: In some areas, there are shortages of healthcare providers, including obstetricians, leading to opportunities for midwives to fill the gap.

According to the BLS, overall employment for the categories of nurse anesthetists, nurse midwives, and nurse practitioners is projected to grow 38% from 2022 to 2032. This is a lot higher than average.

Midwife Popular Career Specialties

What is the Work-Life Balance of a Midwife?

The work-life balance of a midwife can vary based on several factors, including the specific role, practice setting, and individual preferences.

Here are some key considerations regarding work-life balance for midwives:

  • Varied Work Schedules: Midwives often work in shifts, and these can include evenings, nights, weekends, and holidays. This variability in work hours can impact your personal time and family life.
  • On-Call Duties: Many midwives have on-call duties, especially in hospital settings, which means they must be available to attend births when needed. This can lead to irregular schedules and potential disruptions to personal life.
  • Practice Setting: Midwives working in hospitals or birthing centers may have more structured schedules, while those in home birth practices or as independent practitioners may have more flexibility in managing their time.
  • Support Systems: Having a supportive team or network, including backup midwives, can help manage on-call and call duties, allowing for more predictable personal time.
  • Emotional and Physical Demands: The emotional and physical demands of midwifery work can impact work-life balance. Coping with high-stress situations and balancing a heavy workload can affect personal time and well-being.

Should I become a Midwife?

In conclusion, the path to becoming a midwife is an enriching journey, filled with opportunities to significantly impact the lives of expectant mothers and their families. Midwives play a crucial role in providing personalized, holistic care during pregnancy, labor, and childbirth, promoting maternal and newborn health, and emphasizing shared decision-making. The profession offers diverse practice settings, from hospitals and birthing centers to home births and international healthcare initiatives, allowing midwives to tailor their careers to their passions and goals.

The decision to become a midwife is deeply personal and should be based on your individual interests, values, and dedication to women’s healthcare. A career as a midwife can be profoundly fulfilling if you are compassionate, dedicated, and committed to the well-being of women and their families. However, it’s essential to understand the educational and certification requirements, consider the potential work-life balance challenges, and be prepared for the emotional and physical demands of the profession.

Ultimately, should you become a midwife? The answer lies within your heart and your passion for supporting women through one of the most transformative experiences of their lives. If you feel drawn to this meaningful and vital profession, it may be the perfect path for you to pursue a fulfilling and impactful career in healthcare.

Careers Related to Midwife

Lace Brunsden

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