Career guide

How to become a nurse midwife

Diagnoses and coordinates every part of the birthing process, working either independently or as part of a healthcare team.

Data from BLS OEWS, May 2025 and BLS Employment Projections, 2025 to 2035.

At a glance

United States
Median annual pay $134,040 Median pay for Nurse Midwives, BLS, May 2025
Pay range $93,620 to $188,320 Median pay for Nurse Midwives, BLS, May 2025
Job outlook +11.5% by 2035
Typical entry education Master's degree

Data from BLS OEWS, May 2025 and BLS Employment Projections, 2025 to 2035.

Nurse midwife salary

United States

$134,040 median annual pay

Median$134,040
Low (bottom 10%)$93,620
High (top 10%)$188,320

Half of the people in this job earn more than the median and half earn less. Pay varies with location, industry and experience.

Median pay for Nurse Midwives, BLS, May 2025.

What a nurse midwife does

Diagnoses and coordinates every part of the birthing process, working either independently or as part of a healthcare team. This person may also provide well-woman gynecological care. Specialized, graduate nursing education is required for this work.

  • Provide prenatal, labor and delivery, postpartum, and newborn care to patients.
  • Monitor fetal development by checking heartbeat, uterine size, fetal position, and estimated size and weight.
  • Document patients' health histories, symptoms, physical conditions, and other diagnostic information.
  • Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
  • Develop and carry out individualized health care management plans.
  • Prescribe medications as state regulations permit.

Skills

Workplace

  • Active Listening
  • Critical Thinking
  • Speaking
  • Active Learning
  • Monitoring
  • Reading Comprehension
  • Writing
  • Learning Strategies
  • Science
  • Mathematics

Certification path

Start with an entry exam, then add more as your role grows.

Nurse midwife FAQ

Do you need a degree to become a nurse midwife?

BLS lists "Master's degree" as the typical entry education (BLS Employment Projections, 2025 to 2035).

Which certification should you get first?

Many people start with an entry certification such as ATI TEAS or National Council Licensure Examination - NCLEX-RN before moving to more specialized exams.

What does a nurse midwife do?

Typical duties include: Provide prenatal, labor and delivery, postpartum, and newborn care to patients; Monitor fetal development by checking heartbeat, uterine size, fetal position, and estimated size and weight; Document patients' health histories, symptoms, physical conditions, and other diagnostic information.

Start preparing for your first certification

ATI TEAS is the entry step on this path.

Start with ATI TEAS

Sources

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. oEdu.ai has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.

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