Summary Report for:
29-1161.00 - Nurse Midwives
Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. May provide well-woman gynecological care. Must have specialized, graduate nursing education.
Sample of reported job titles: Certified Nurse Midwife (CNM); Certified Nurse-Midwife; Clinical Site Coordinator and Supervisor; Nurse Midwife; Nurse Midwife/Clinical Instructor; Senior Instructor, Certified Nurse Midwife; Staff Certified Nurse Midwife; Staff Midwife; Staff Nurse Midwife; Staff Nurse-Midwife
Tasks | Tools & Technology | Knowledge | Skills | Abilities | Work Activities | Detailed Work Activities | Work Context | Job Zone | Education | Credentials | Interests | Work Styles | Work Values | Related Occupations | Wages & Employment | Job Openings | Additional Information
- Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
- Initiate emergency interventions to stabilize patients.
- Provide prenatal, intrapartum, postpartum, or newborn care to patients.
- Explain procedures to patients, family members, staff members or others.
- Develop and implement individualized plans for health care management.
- Order and interpret diagnostic or laboratory tests.
- Document findings of physical examinations.
- Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconceptional care.
- Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
- Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
- Provide primary health care, including pregnancy and childbirth, to women.
- Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
- Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
- Prescribe medications as permitted by state regulations.
- Provide patients with direct family planning services such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers including cervical caps or diaphragms.
- Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.
- Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.
- Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.
- Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
- Manage newborn care during the first weeks of life.
Tools & Technology
Tools used in this occupation:
- Acute care fetal or maternal monitoring units or accessories — Fetal heart rate monitors
- Blood collection syringes — Blood drawing syringes
- Blood pressure cuff kits — Sphygmomanometers
- Clinical incubators or infant warmers — Infant warmers
- Colposcopes or vaginoscopes or accessories — Colposcopes
- Electronic medical thermometers — Digital medical thermometers
- Fetal or gynecological ultrasound or echo units — Fetal doppler units
- Floor grade forceps or hemostats — Curved forceps; Curved hemostats; Straight hemostats
- Flow sensors or regulators or components — Oxygen flowmeters
- Infant scales — Baby scales
- Intravenous tubing with catheter administration kits — Intravenous IV administration equipment
- Medical acoustic stethoscope or accessory — Mechanical stethoscopes
- Medical aspiration or irrigation syringes — Bulb syringes
- Medical nasal cannulae — Oxygen nasal cannulae
- Medical oxygen masks or parts — Infant oxygen masks; Oxygen delivery masks
- Medical staff isolation or surgical masks — Protective face shields
- Medical suction cannulas or tubes or accessories — Suction catheters
- Medical syringe with needle — Hypodermic syringes
- Medical tape measures — Medical measuring tapes
- Microscope slides
- Notebook computers — Laptop computers
- Oxygen concentrators
- Patient floor scales — Medical scales
- Personal computers
- Personal digital assistant PDAs or organizers — Personal digital assistants PDA
- Reflex hammers or mallets — Reflex hammers
- Resuscitation masks or accessories — Bag valve mask BVM resuscitators
- Specimen collection container — Specimen collection containers
- Surgical clamps or clips or forceps or accessories — Obstetrical forceps; Ring forceps; Tissue forceps; Umbilical cord clamps (see all 6 examples)
- Surgical gloves
- Surgical needle holders for general use — Curved needle holders; Straight needle holders
- Surgical scissors — Episiotomy scissors; Umbilical cord scissors
- Suturing kits or trays or packs or sets — Suturing kits
- Transcutaneous electric nerve stimulation units — Transcutaneous electric nerve stimulation TENS equipment
- Urinary catheterization kit — Urinary catheters
- Vacuum blood collection tubes or containers — Evacuated blood collection containers
- Vaginal exam specula
- Vaginal ultrasound or echo probes or accessories — Vaginal ultrasound probes
Technology used in this occupation:
- Medical software — Acrendo Medical Software Ob/Gyn EMR; Bizmatics PrognoCIS EMR; digiChart OB-GYN; GE Healthcare Centricity EMR (see all 19 examples)
- Office suite software — Microsoft Office software
- Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
- Psychology — Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
- English Language — Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
- Customer and Personal Service — Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Biology — Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
- Therapy and Counseling — Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
- Sociology and Anthropology — Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
- Education and Training — Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
- Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Social Perceptiveness — Being aware of others' reactions and understanding why they react as they do.
- Speaking — Talking to others to convey information effectively.
- Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
- Monitoring — Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
- Reading Comprehension — Understanding written sentences and paragraphs in work related documents.
- Service Orientation — Actively looking for ways to help people.
- Complex Problem Solving — Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Judgment and Decision Making — Considering the relative costs and benefits of potential actions to choose the most appropriate one.
- Writing — Communicating effectively in writing as appropriate for the needs of the audience.
- Coordination — Adjusting actions in relation to others' actions.
- Learning Strategies — Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
- Instructing — Teaching others how to do something.
- Time Management — Managing one's own time and the time of others.
- Science — Using scientific rules and methods to solve problems.
- Systems Analysis — Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
- Deductive Reasoning — The ability to apply general rules to specific problems to produce answers that make sense.
- Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
- Oral Expression — The ability to communicate information and ideas in speaking so others will understand.
- Problem Sensitivity — The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
- Written Comprehension — The ability to read and understand information and ideas presented in writing.
- Inductive Reasoning — The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
- Speech Clarity — The ability to speak clearly so others can understand you.
- Written Expression — The ability to communicate information and ideas in writing so others will understand.
- Speech Recognition — The ability to identify and understand the speech of another person.
- Near Vision — The ability to see details at close range (within a few feet of the observer).
- Information Ordering — The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
- Selective Attention — The ability to concentrate on a task over a period of time without being distracted.
- Category Flexibility — The ability to generate or use different sets of rules for combining or grouping things in different ways.
- Arm-Hand Steadiness — The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
- Finger Dexterity — The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.
- Flexibility of Closure — The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
- Fluency of Ideas — The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
- Originality — The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
- Perceptual Speed — The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
- Time Sharing — The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
- Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
- Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
- Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
- Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.
- Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job.
- Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time.
- Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
- Performing for or Working Directly with the Public — Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
- Identifying Objects, Actions, and Events — Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
- Interpreting the Meaning of Information for Others — Translating or explaining what information means and how it can be used.
- Analyzing Data or Information — Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
- Interacting With Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
- Monitor Processes, Materials, or Surroundings — Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
- Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
- Training and Teaching Others — Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
- Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work.
- Developing and Building Teams — Encouraging and building mutual trust, respect, and cooperation among team members.
- Evaluating Information to Determine Compliance with Standards — Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
- Coaching and Developing Others — Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
- Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
- Judging the Qualities of Things, Services, or People — Assessing the value, importance, or quality of things or people.
- Communicating with Persons Outside Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
- Performing General Physical Activities — Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
- Coordinating the Work and Activities of Others — Getting members of a group to work together to accomplish tasks.
- Provide Consultation and Advice to Others — Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
- Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
- Scheduling Work and Activities — Scheduling events, programs, and activities, as well as the work of others.
- Thinking Creatively — Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.
- Estimating the Quantifiable Characteristics of Products, Events, or Information — Estimating sizes, distances, and quantities; or determining time, costs, resources, or materials needed to perform a work activity.
- Handling and Moving Objects — Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
- Developing Objectives and Strategies — Establishing long-range objectives and specifying the strategies and actions to achieve them.
- Inspecting Equipment, Structures, or Material — Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
Detailed Work Activities
- Record patient medical histories.
- Prescribe medications.
- Care for women during pregnancy and childbirth.
- Examine patients to assess general physical condition.
- Analyze test data or images to inform diagnosis or treatment.
- Prepare reports summarizing patient diagnostic or care activities.
- Develop medical treatment plans.
- Explain medical procedures or test results to patients or family members.
- Inform medical professionals regarding patient conditions and care.
- Order medical diagnostic or clinical tests.
- Measure the physical or physiological attributes of patients.
- Treat medical emergencies.
- Test patient nervous system functioning.
- Collaborate with healthcare professionals to plan or provide treatment.
- Provide health and wellness advice to patients, program participants, or caregivers.
- Train medical providers.
- Refer patients to other healthcare practitioners or health resources.
- Administer basic health care or medical treatments.
- Maintain medical or professional knowledge.
- Conduct research to increase knowledge about medical issues.
- Establish nursing policies or standards.
- Conduct health or safety training programs.
- Face-to-Face Discussions — 97% responded “Every day.”
- Physical Proximity — 92% responded “Very close (near touching).”
- Telephone — 89% responded “Every day.”
- Contact With Others — 81% responded “Constant contact with others.”
- Duration of Typical Work Week — 89% responded “More than 40 hours.”
- Freedom to Make Decisions — 78% responded “A lot of freedom.”
- Indoors, Environmentally Controlled — 92% responded “Every day.”
- Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets — 81% responded “Every day.”
- Work With Work Group or Team — 76% responded “Extremely important.”
- Electronic Mail — 78% responded “Every day.”
- Impact of Decisions on Co-workers or Company Results — 78% responded “Very important results.”
- Consequence of Error — 81% responded “Extremely serious.”
- Exposed to Disease or Infections — 70% responded “Every day.”
- Importance of Being Exact or Accurate — 59% responded “Extremely important.”
- Frequency of Decision Making — 78% responded “Every day.”
- Structured versus Unstructured Work — 49% responded “A lot of freedom.”
- Deal With External Customers — 61% responded “Extremely important.”
- Coordinate or Lead Others — 44% responded “Very important.”
- Letters and Memos — 49% responded “Once a week or more but not every day.”
- Time Pressure — 35% responded “Every day.”
- Responsible for Others' Health and Safety — 39% responded “Moderate responsibility.”
- Frequency of Conflict Situations — 41% responded “Once a month or more but not every week.”
- Deal With Unpleasant or Angry People — 42% responded “Once a month or more but not every week.”
- Responsibility for Outcomes and Results — 27% responded “High responsibility.”
- Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls — 27% responded “Continually or almost continually.”
- Exposed to Contaminants — 30% responded “Every day.”
- Spend Time Standing — 53% responded “About half the time.”
- Sounds, Noise Levels Are Distracting or Uncomfortable — 24% responded “Once a year or more but not every month.”
|Title||Job Zone Five: Extensive Preparation Needed|
|Education||Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).|
|Related Experience||Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.|
|Job Training||Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.|
|Job Zone Examples||These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include librarians, lawyers, sports medicine physicians, wildlife biologists, school psychologists, surgeons, treasurers, and controllers.|
|SVP Range||(8.0 and above)|
Percentage of Respondents
|Education Level Required|
Interest code: SI
- Social — Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
- Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.
- Integrity — Job requires being honest and ethical.
- Concern for Others — Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
- Dependability — Job requires being reliable, responsible, and dependable, and fulfilling obligations.
- Stress Tolerance — Job requires accepting criticism and dealing calmly and effectively with high stress situations.
- Attention to Detail — Job requires being careful about detail and thorough in completing work tasks.
- Self Control — Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
- Cooperation — Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
- Social Orientation — Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
- Adaptability/Flexibility — Job requires being open to change (positive or negative) and to considerable variety in the workplace.
- Analytical Thinking — Job requires analyzing information and using logic to address work-related issues and problems.
- Independence — Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
- Initiative — Job requires a willingness to take on responsibilities and challenges.
- Persistence — Job requires persistence in the face of obstacles.
- Achievement/Effort — Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
- Leadership — Job requires a willingness to lead, take charge, and offer opinions and direction.
- Innovation — Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
- Relationships — Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
- Achievement — Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
- Independence — Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.
Wages & Employment Trends
|Median wages (2015)||$44.48 hourly, $92,510 annual|
|Employment (2014)||5,000 employees|
|Projected growth (2014-2024)||Much faster than average (14% or higher)|
|Projected job openings (2014-2024)||2,500|
|Top industries (2014)|
Source: Bureau of Labor Statistics 2015 wage data and 2014-2024 employment projections . "Projected growth" represents the estimated change in total employment over the projections period (2014-2024). "Projected job openings" represent openings due to growth and replacement.
Job Openings on the Web
Sources of Additional Information
Disclaimer: Sources are listed to provide additional information on related jobs, specialties, and/or industries. Links to non-DOL Internet sites are provided for your convenience and do not constitute an endorsement.
- Nurse anesthetists, nurse midwives, and nurse practitioners . Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook, 2016-17 Edition.