Career as a Midwife – How to Become, Eligibility, Education, Salary

Career as a Midwife – If you have compassion for people and a desire to be at the forefront of bringing life into the world, become a midwife and start your transforming journey. Be prepared to embark on a rewarding profession that celebrates the miracle of birth and makes an everlasting impact on the lives of many others. In this article, we’ll reveal key steps, inspirational thoughts, and motivational advice to help you navigate your way to becoming a midwife. 

What is a midwife?

A midwife is a type of healthcare provider who offers support to women before, during, and after childbirth. Hospitals, private homes, and birthing facilities are all places where midwives can deliver infants. The main objectives of a midwife are to monitor women’s health, comfort, and safety throughout the childbearing process and to reduce needless medical interventions.

In the absence of problems, midwives are very proficient in performing yearly gynaecological exams as well as other obstetric and gynaecological procedures. Additionally, they might offer counselling, education, and information on labour, delivery, and postpartum care to expecting and new moms.

Career as a Midwife – Role and Responsibilities

In order to have a clear plan for the birthday, midwives educate expectant women about their alternatives for the delivery process before labour. Throughout a patient’s pregnancy, a midwife performs physical examinations while keeping an eye on the health and development of the foetus.

Once labour has started, midwives may help to relieve discomfort or induce labour. During pregnancy and delivery, these healthcare professionals also operate in conjunction with physicians and other medical professionals as needed.

Midwives continue to offer instruction and training in subjects including breastfeeding, postpartum care, and self-care after birth and beyond. In certain areas, midwives may operate independently in independent practises where they can issue prescriptions and order lab testing, depending on their degree of certification.

Epidurals are not given by midwives. Although midwives may prescribe epidurals for labouring patients, anesthesiologists or nurse anaesthetists administer these painkillers. Additionally, midwives don’t perform C-sections or treat pregnant people who are at high risk for complications.

Career as a Midwife – Types of midwives

There are numerous kinds of midwives, and each one needs a specific amount of schooling and experience. The majority of midwives are certified by either the North American Registry of Midwives (NARM) or the American College of Nurse-Midwives (ACNM). Here are a few types of midwives that are well-known.

Certified Nurse-Midwife (CNM)

A licenced nurse-midwife is a highly skilled and educated midwife who holds a Master of Midwifery and a Bachelor of Science in Nursing (BSN). The ACNM normally certifies a CNM before they may start practising. These midwives are licenced to practise in all states and frequently work in clinical or hospital settings. In addition to helping women during labour and delivery, they can also recommend drugs, therapies, and diagnostic procedures.

Certified Midwife (CM)

A certified midwife often holds a bachelor’s degree or higher in a subject other than nursing. They are certified by the ACNM and have the ability to write prescriptions. These midwives are only permitted to work in a few jurisdictions since only specific states recognise their credentials.

Certified Professional Midwife (CPM)

A certified professional midwife has undergone midwifery training and satisfies NARM’s requirements for practice. Candidates from various educational backgrounds are eligible to become CPMs. These midwives typically work in places other than hospitals, such as private homes or birthing facilities. Only a few states allow CPMs to practise, and they cannot prescribe drugs.

Direct-Entry Midwife (DEM)

An independent professional known as a direct-entry midwife acquires their education and training in midwifery through an apprenticeship, independent study, or a midwifery school. often hold a college degree in a field other than nursing. These midwives don’t have an ACNM or NARM licence or qualification. They primarily offer midwifery services outside of hospitals, mainly in private homes.

How to Become a Midwife?

If you want to become a midwife, you can do the following four steps.

Enrol in a bachelor’s degree program

The majority of midwives have an undergraduate degree in a health-related profession, or a BSN, at the very least. The Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN) standards should be met by the undergraduate programme you choose. Although a bachelor’s degree in a discipline connected to health sciences is often preferred, you can still obtain an undergraduate degree in a field other than nursing.

Become a registered nurse (RN)

After completing a BSN or comparable undergraduate programme, you can apply to your state’s State Board of Nursing to get licenced to practise as a registered nurse and take the National Council Licencing Examination for Registered Nurses (NCLEX-RN). You may think about concentrating on obtaining at least a year of nursing work experience during this period, particularly with some hands-on experience in obstetrics and gynaecology. The criteria for obtaining a nursing licence might differ between states.

Complete an ACME-approved midwifery graduate program

You might be able to apply for and finish a graduate programme in midwifery after gaining the appropriate experience as an RN. It is advisable to pick a programme that complies with ACME standards for accreditation of midwifery education. In many places, you need at least a master’s degree in midwifery to work as one.

Take and pass the midwifery exam

You must pass the American Midwifery Certification Board (AMCB) test in order to qualify for the majority of midwife roles. This is a nationwide test with 175 multiple-choice questions that are normally completed on a computer. You could think about submitting an application for a midwife position after passing this exam and earning your certification in midwifery.

Career as a Midwife – Average salary of a midwife

A midwife makes an annual income of Rs. 102,008 on average. The title and credentials a midwife possesses, the business they work for, and the state in which they operate are just a few of the variables that might affect their pay. Midwives have the option of receiving overtime pay as additional remuneration.

Career as a Midwife – Employment Sectors

The majority of the women and infants that nurse-midwives care for are those who are of reproductive age. Typically, nurse-midwives work in hospitals or clinics where women go for general gynaecological or prenatal treatment. Although some nurse-midwives operate their own practice independently, independent practises are not permitted in all states.

  • There are public, private, academic, and military hospitals that provide gynaecological care, prenatal care, and other services.
  • HMOs, private practices, and birthing centres that deliver infants and provide prenatal and postoperative care
  • Clinics for public health
  • In a woman’s home, providing childbirth and postpartum care and support 

Career as a midwife – Midwifery courses

Adding classes to your schedule might be a great strategy to strengthen your applications to universities and your resumes. It might help you stand out from other applicants and show how committed you are. To help you expand your understanding of how to care for moms and infants, we’ve put together this list of courses.

  • Maternity care: building relationships really does save lives
  • Women’s Health after Motherhood
  • Nutrition, fertility and pregnancy
  • Assessment of the newborn
  • Addressing postnatal depression as a healthcare professional
  • Loss of a Baby in multiple pregnancies: supporting grieving parents
  • Domestic Violence and Abuse in Pregnancy
  • Non-invasive prenatal testing (NIPT): an introduction for Healthcare professionals

What hours do midwives typically work?

Typical business hours for a midwife can be from 9 am to 5 pm. A lot of nurse midwives also work irregular hours, such as weekends and nights. Additionally, midwives frequently need to be on call for patients in order to attend to individuals who go into labour or need additional emergency care during pregnancy or delivery.

What services does a midwife provide?

Numerous medical treatments that may be related to pregnancy or other issues affecting women’s reproductive systems can be offered by a midwife. The following are the services provided by Midwives.

  • Pregnancy care
  • Postpartum care
  • Family planning
  • Disease prevention and management
  • Delivery and labour coaching
  • Preconception care
  • Medication prescribing
  • Treatment and counselling for STDs
  • Primary care

What is the difference between a doula and a midwife? 

You might be familiar with a doula’s role in pregnancy. A doula is a trained professional who helps women during delivery. Since they concentrate on offering care and help during pregnancy and delivery, their function is comparable to that of a midwife. But there is one significant distinction between the two. A doula is not a licenced healthcare provider, but a midwife is. Doulas can educate expectant women, but they are unable to provide medical advice or treatment.


Being a midwife is an amazing calling that demands a mix of extensive study, practical experience, and steadfast commitment. Aspiring midwives may begin on a road that allows them to make a great impact in the lives of mothers, newborns, and families by obtaining the appropriate qualifications, perfecting critical skills, and embracing the virtues of empathy and effective communication. They have the chance to give compassionate care, empower women, and contribute to the advancement of maternal and infant health with every birth, creating a lasting influence on their communities and the world at large.

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