Career roadmap
How to Become a Nurse Midwife
The education, training, certifications and steps it takes to start working as a nurse midwife, plus how long it takes and where the career can lead.
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. Most people need about 6–8 years including RN education. BLS lists “master's degree” as the typical entry-level education.
5 steps to become a nurse midwife
Become an RN
Earn a BSN and pass the NCLEX.
Gain experience
Labor and delivery nursing helps.
Complete a midwifery program
Master’s or doctoral.
Pass the AMCB exam
Become a CNM.
Get licensed
Practice in your state.
Education and training requirements
CNMs are RNs who earn a master’s or doctoral degree from an accredited nurse-midwifery program and pass the AMCB certification exam.
| Typical entry-level education (BLS) | Master's degree |
|---|---|
| Related work experience | None |
| On-the-job training | None |
| Typical training time | 6–8 years including RN education |
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.
Skills to build now
Start with prenatal care, labor management, and newborn assessment, and practice calm under pressure and empathy. Learning the nurse midwife vocabulary early makes training and interviews easier.
Where the career can lead
- Labor and Delivery RN: Gain experience.
- Certified Nurse-Midwife: Provide care.
- Lead Midwife: Lead services.
- Birth Center Director or Faculty: Lead or teach.
Get a head start
Our self-paced Nurse Midwife training gives you a realistic, practical overview of the job (duties, terminology, step-by-step tasks, safety and interview prep) so you can decide with confidence and show employers you’re serious.
Common questions about getting started
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.
What certifications are available for nurse midwifes?
Common credentials include Certified Nurse-Midwife (AMCB), State APRN license, Neonatal Resuscitation Program (NRP), and Electronic fetal monitoring certification. CNMs need an RN license, AMCB certification and state APRN licensure.
Sources
- U.S. Bureau of Labor Statistics, BLS Occupational Employment and Wage Statistics (OEWS), May 2025, SOC 29-1161 (Nurse midwives).
- U.S. Bureau of Labor Statistics, BLS Employment Projections, Table 1.2 (2025–35).
- O*NET OnLine summary for Nurse midwives (U.S. Department of Labor).
- BLS Occupational Outlook Handbook.
Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.