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.
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Licensing, certifications and working conditions
State licensing. Nurse Midwives is licensed or registered in 52 of 57 states and territories, as reported by each state to CareerOneStop. A license often applies only to certain roles within a career, and records were last updated between 2010 and 2024, so confirm requirements with the state licensing board.
Certifications. CareerOneStop directly links 6 professional certifications to Nurse Midwives. 4 of them are in CareerOneStop's "Core" group, for example: Certified Midwife (CM), Certified Professional Midwife (CPM), Lamaze Certified Childbirth Educator (LCCE), Midwife Sonography Exam. Certifications are voluntary credentials offered by the organizations named; listing one is not an endorsement.
Working conditions. On average, workers stand or walk about 5.2 hours and sit about 3.2 hours per day. Shares of workers who interact with the general public (over 99.5%), have a consistently fast work pace (40.6%), and are exposed to the outdoors (under 0.5%). From the U.S. Bureau of Labor Statistics Occupational Requirements Survey (2023 estimates); figures describe the occupation on average.
Sources: CareerOneStop (licenses and certifications), part of the CareerOneStop suite of web products, sponsored by the U.S. Department of Labor Employment and Training Administration; U.S. Bureau of Labor Statistics (working conditions, wages). MajorPays has reorganized this information; these agencies have not approved or endorsed it. See it interactively, with state-by-state detail →
More data on this career
Where the jobs are, and what they pay by industry. Nationwide, the industries that employ the most nurse midwives are Offices of Physicians (43% of the jobs counted, median pay $130,870), General Medical and Surgical Hospitals (24% of the jobs counted, median pay $140,990), Outpatient Care Centers (21% of the jobs counted, median pay $157,440), Offices of Other Health Practitioners (10% of the jobs counted, median pay $94,180) (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025). Among large industries, the highest median pay is in Outpatient Care Centers ($157,440), General Medical and Surgical Hospitals ($140,990), Offices of Physicians ($130,870). Pay differs by industry for many reasons, including the mix of jobs and where employers are located.
Injury and illness rates. For the broader group "Healthcare diagnosing or treating practitioners", which includes this career (BLS did not publish enough cases for this exact occupation), employers reported 83.9 nonfatal injury and illness cases with days away from work per 10,000 full-time workers, compared with 94.6 for all U.S. workers; the median case kept the worker away 7 days (all workers: 8) (U.S. Bureau of Labor Statistics, 2023-2024). Rates reflect the work setting as well as the occupation.
Projected supply and demand. HRSA projects the supply of nurse midwives at 100% of demand in 2025 and 140% in 2038 (100% means supply matches demand); in nonmetro areas, 174% in 2025 and 265% in 2038. These are model projections, not forecasts of any one job market (U.S. Health Resources and Services Administration).
Union membership. In the broad group "Healthcare practitioners and technical", which includes this career, 12.0% of wage and salary workers belong to a union (all U.S. workers: 10.0%); median weekly pay is $1,605 for union members and $1,521 for workers not in a union (U.S. Bureau of Labor Statistics, Current Population Survey, 2025). This is a group figure, not specific to nurse midwives.
Employer benefits. In the broad group "Professional and related", which includes this career, 86% of civilian workers had access to an employer retirement plan, 85% had access to employer medical care benefits, and 92% had paid sick leave, 73% paid vacation and 78% paid holidays (all civilian workers: 75%, 74%, 83%, 77% and 79%) (U.S. Bureau of Labor Statistics, National Compensation Survey, March 2026). This is a group figure, not specific to nurse midwives, and having access to a benefit does not mean every worker uses it. The Bureau of Labor Statistics has not endorsed this presentation. Employers spent about $74.42 per hour worked on total compensation for the occupational group "Professional and related" in June 2026 ($50.37 in wages and salaries and $24.06 in benefits, 32.3% of the total; all civilian workers: $49.46, with 31.6% in benefits) (U.S. Bureau of Labor Statistics, Employer Costs for Employee Compensation).
Work environment. In O*NET's survey of workers in this occupation, the conditions most often placed at the two highest levels for nurse midwives are: face-to-face discussions with individuals and within teams (100%), contact with others (100%), physical proximity (100%), freedom to make decisions (100%), e-mail (97%), telephone conversations (97%). Each percentage is the share of respondents choosing the top two levels for that condition (for example 'most of the time' or 'continually'), so it describes how common the condition is in the job, not how a particular workplace is (O*NET 31.0 Database, U.S. Dept. of Labor, ETA, CC BY 4.0).
Typical preparation. In O*NET's survey of workers in this occupation, for related work experience, the most common answer (42% of 33 respondents) was "none"; for on-site or in-plant training, the most common answer (36% of 33 respondents) was "over 1 month, up to and including 3 months"; for on-the-job training, the most common answer (36% of 33 respondents) was "over 1 month, up to and including 3 months". These are what workers report is needed to do the job; employers' requirements and individual paths vary (O*NET 31.0 Database, U.S. Dept. of Labor, ETA, CC BY 4.0).
Related careers. O*NET lists these occupations as similar to nurse midwives in the work done and the skills used: Midwives, Nurse Practitioners, Registered Nurses, Acute Care Nurses, Obstetricians and Gynecologists, Clinical Nurse Specialists, Critical Care Nurses, Advanced Practice Psychiatric Nurses (O*NET 31.0 Database, U.S. Dept. of Labor, ETA, CC BY 4.0).
Compare nurse midwives with other careers (pay, growth, openings and education side by side).
Sources: U.S. Census Bureau, American Community Survey 2024 PUMS (MajorPays' own estimates from the survey; Census is credited as the source of the original data and has not endorsed them); BLS Survey of Occupational Injuries and Illnesses; BLS Current Population Survey; BLS National Compensation Survey (employee benefits); HRSA National Center for Health Workforce Analysis; U.S. Department of Labor, Office of Foreign Labor Certification (LCA disclosure data, FY2025). MajorPays has selected and reorganized these figures; these agencies have not approved or endorsed them. See it interactively →
Nurse Midwife/Nursing Midwifery
CIP 51.3807