Career comparison

Nurse Anesthetist vs. Nurse Midwife

Side-by-side pay, training, growth and day-to-day duties to help you choose between two related careers.

Updated By the Career Education Institute Curriculum Team
Nurse Anesthetist vs. Nurse Midwife: the short answer

Nurse anesthetists earn more at the median ($236,590 vs. $134,040), while nurse midwifes usually get to work faster (6–8 years including RN education of training). Nurse anesthetists give anesthesia and keep patients safe during surgery and procedures. Nurse midwifes care for women through pregnancy, birth and every stage of reproductive health.

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

Nurse AnesthetistNurse Midwife
Median pay$236,590 ($113.75/hr)$134,040 ($64.44/hr)
Pay range (10th–90th)$155,250 – $339,500$93,620 – $188,320
Job growth, 2025–35+9.7% (much faster than average)+11.5% (much faster than average)
Openings per year2,400400
Typical entry educationMaster's degreeMaster's degree
Training time7–8+ years including RN and ICU experience6–8 years including RN education
Key credentialCRNA (NBCRNA certification)Certified Nurse-Midwife (AMCB)
Work settingCRNAs work in operating rooms, labor and delivery, surgery centers and procedure suites..CNMs work in hospitals, birth centers, clinics and sometimes patients’ homes..

What each job does

Nurse Anesthetist

  • Evaluate patients before anesthesia
  • Plan anesthesia care
  • Give general, regional and local anesthesia
  • Manage airways and ventilation
  • Monitor patients during procedures

Nurse Midwife

  • Provide prenatal care
  • Manage labor and deliver babies
  • Care for mothers and newborns after birth
  • Provide gynecologic exams
  • Offer contraception and family planning

How they’re similar

Both careers involve high-pay, high responsibility, hands-on work, and in-demand. Both are part of the healthcare field, so many skills transfer between them.

Which should you choose?

Choose nurse anesthetist if…

  • I’m an ICU nurse ready for more
  • I stay calm in emergencies
  • I love physiology and pharmacology

Choose nurse midwife if…

  • I want to support women through birth
  • I stay calm in emergencies
  • I build trust easily

Still torn? Take the Nurse Anesthetist fit quiz and the Nurse Midwife fit quiz, or the full Career Match Quiz.

Quick comparisons

Which pays more, nurse anesthetist or nurse midwife?

Nurse Anesthetists earn more at the median: $236,590 versus $134,040 for nurse midwifes, based on BLS May 2025 data.

Which takes less time to train for?

Nurse Midwifes typically train faster (6–8 years including RN education) than nurse anesthetists (7–8+ years including RN and ICU experience).

Which career has better job growth?

BLS projects nurse midwifes to grow +11.5% from 2025–35, compared with +9.7% for nurse anesthetists.