Healthcare career

Nurse Midwife

Also called: CNM · Certified Nurse-Midwife · Midwife · Women’s Health Provider

What nurse midwifes do, what they earn, how long training takes and how to get started, with official BLS pay data and practical, job-level detail.

Updated By the Career Education Institute Curriculum Team
What does a nurse midwife do?

Nurse midwives are advanced practice registered nurses who provide prenatal care, deliver babies, care for newborns and offer gynecologic and family planning care. The median pay is $134,040 per year (BLS, May 2025), most people train for about 6–8 years including RN education, and employment is projected to grow +11.5% from 2025–35.

Pay data: BLS OEWS, May 2025 · Outlook: BLS 2025–35 · Checked October 15, 2026

  • Median pay
    $134,040
    $64.44/hour · May 2025
  • Job growth
    +11.5%
    2025–35, much faster than average
  • Openings per year
    400
    Average, 2025–35
  • Typical entry education
    Master's degree
    BLS classification
  • Time to train
    6–8 years including RN education
    Typical program length
  • U.S. jobs
    8,200
    Employment, 2025

What nurse midwifes do

Certified nurse-midwives (CNMs) support women through pregnancy, labor, birth and beyond. They provide prenatal visits, manage labor and deliver babies in hospitals, birth centers and homes, care for mothers and newborns after birth, and offer gynecologic exams, contraception and menopause care. They consult with obstetricians when complications arise.

CNMs are registered nurses who complete a graduate midwifery program and pass a national certification exam. BLS projects faster-than-average growth for nurse midwives.

Typical duties

  • Provide prenatal care
  • Manage labor and deliver babies
  • Care for mothers and newborns after birth
  • Provide gynecologic exams
  • Offer contraception and family planning
  • Educate patients
  • Consult and refer when needed

Work environment and schedule

CNMs work in hospitals, birth centers, clinics and sometimes patients’ homes.

Schedule: Births happen any time, so midwives take call and work nights, weekends and holidays.

A day in the life

  1. Check on a patient in early labor.
  2. See prenatal patients in clinic.
  3. Do an annual gynecologic exam.
  4. Return to labor and delivery to support pushing.

See a full day in the life of a nurse midwife →

Nurse Midwife salary

Half of nurse midwifes earned more than $134,040 and half earned less in May 2025. Pay ranged from about $93,620 for the lowest 10% to $188,320 for the top 10%.

Full nurse midwife pay scale and hourly rates →

How to become a nurse midwife

  1. Become an RN
  2. Gain experience
  3. Complete a midwifery program
  4. Pass the AMCB exam
  5. Get licensed

CNMs are RNs who earn a master’s or doctoral degree from an accredited nurse-midwifery program and pass the AMCB certification exam.

Step-by-step guide to becoming a nurse midwife →

Skills and tools

Technical skills

  • Prenatal care
  • Labor management
  • Newborn assessment
  • Gynecologic care
  • Pharmacology

People skills

  • Calm under pressure
  • Empathy
  • Communication
  • Patience

All nurse midwife skills and tools →

Pros and cons

Pros

  • Deeply meaningful work
  • Strong patient relationships
  • High pay
  • Faster-than-average growth

Cons

  • Unpredictable hours
  • High-stakes emergencies
  • Emotional losses
  • Long training path

Certifications and licenses

  • Certified Nurse-Midwife (AMCB): National certification.
  • State APRN license: Required to practice.
  • Neonatal Resuscitation Program (NRP): Newborn resuscitation.
  • Electronic fetal monitoring certification: Fetal heart rate interpretation.

Career path

  1. Labor and Delivery RN: Gain experience.
  2. Certified Nurse-Midwife: Provide care.
  3. Lead Midwife: Lead services.
  4. Birth Center Director or Faculty: Lead or teach.

Learn the job before day one

Our Nurse Midwife training (12 hours, $109.99) covers the role, 15+ key terms, step-by-step procedures such as conduct a prenatal visit and support a patient in labor, safety and how to land your first job.

Compare: CNM vs. RN · CNM vs. NP · CNM vs. OB-GYN · CNM vs. CRNA

Nurse Midwife FAQ

Do nurse midwives deliver babies?

Yes, in hospitals, birth centers and homes.

Do CNMs need to be nurses?

Yes, CNMs are RNs with graduate midwifery education.

Do midwives only care for pregnant women?

No, they also provide gynecologic and family planning care.

How much does a nurse midwife make?

The median annual wage for nurse midwifes was $134,040 ($64.44 per hour) in May 2025, according to the U.S. Bureau of Labor Statistics. The lowest 10% earned less than $93,620 and the highest 10% earned more than $188,320.

How long does it take to become a nurse midwife?

Most people need about 6–8 years including RN education of training. CNMs are RNs who earn a master’s or doctoral degree from an accredited nurse-midwifery program and pass the AMCB certification exam.

Do you need a degree to be a nurse midwife?

Yes. BLS lists a master's degree as the typical entry-level education, and you also need a state license to practice.

More nurse midwife questions →

Sources

Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.

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