Nurse Midwife

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Job Description

Advanced practice registered nurses who provide counseling and care before, during and after pregnancy and childbirth are Certified Nurse-Midwives (CNMs).

They provide counseling services and care from pre-conception, through pregnancy and childbirth and into the postpartum period.

CNMs and their colleagues, including certified midwives (CMs) also provide primary health care that is family-oriented throughout the reproductive lives of their women clients.

Responsibilities

The need for high-tech interventions for women during labor can be reduced by the services of a skilled midwife.

Midwives are also trained to assist in normal deliveries by utilizing the latest scientific procedures. CNMs attend approximately 10 percent of all non-induced vaginal births in the United States.

At all births in general, you will find a Certified Nurse-Midwife in attendance at 7 percent of them. A full 97 percent of these deliveries occur in hospitals, 1.8 percent happen in freestanding birth centers and 1 percent occur at home.

A common misconception is that midwives do nothing but assist with births. Being in attendance at the birth is an integral and rewarding part of the job but it is only a fraction of what midwives actually do. CNMs/CMs spend about 10 percent of their time giving direct care to women who give birth and their newborns afterward.

CNMs/CMs also provide routine care to women, in addition to the services they provide before, during and after pregnancy and childbirth. Approximately 90 percent of all the patient visits to a CNMs/CMs are for primary and/or preventive care. Routine gynecological services that may be provided by CNMs/CMs include:

Reproductive health visits and screenings
Annual exams and other regular gynecologic care
Peri-/post-menopausal management care

CNMs/CMs are highly trained, skilled health professionals who provide services in a variety of clinical settings. They diagnose and treat patients as well as providing referrals to a specialist when needed.

The CNM/CM is a vital member of the health care team. They collaborate closely with physicians to provide women with an optimal combination of primary and preventative care, which includes specialized serviced as needed.

Midwives come from all backgrounds and walks of life. Some earn their midwifery degree immediately after they graduate from college.

Others are former professionals in other areas, such as teaching, writing, missionary work, or general practice nursing who begin their midwife careers later.

Skills

Physical Endurance	Must be able to stand for long hours and move around constantly, as they are on their feet all the time and need to be able to respond quickly to situations as they arise.
Stress Management	They must manage the stress and pressure that comes with their job.
Empathy	Being able to relate to patients on an emotional level and understand what they go through is super important for CNM/CMs because interact with women in vulnerable and painful situations.
Organization	Must be able to situate tasks and documents so as not to mix up records or medications.
Communication	They must communicate between patients and their families so they have to communicate clearly and relay information at a high level.
Patience	Becoming a nurse midwife and advancing in the field takes time, so it's important to take it slow and easy and save yourself a ton of anxiety.
Detail-Oriented	Must pay close attention to handling drugs to avoid a mix up that may seriously harm a patient.
Critical Thinking	Must constantly be devising new ways of interacting with people, adapt to changes, and learn about the things a medical professional needs to know.

Working Conditions

CNMs and CMs may work in any of the following settings:

Private practice
Hospitals
Birthing centers
General health care clinics
Home birthing services

The opportunities for employment as a CNM or CM can be found in many different locales and environments, but there is an especially acute need for CNMs/CMs in areas that are underserved by all health professions in general.

Some of the different career opportunity options for CNMs/CMs include the following:

Clinical practice
Education
Administration
Research
Domestic and global health policy, including legislative affairs
Public hospitals
Private practices, including in-home birthing services
University settings, including teaching hospitals
Military hospitals and clinics
Public health clinics
International health programs and charities

The hours that a CNM/CM may work during a typical week will vary, depending on the type of care provided and the location.

Salary Outlook

$82,580 25^th Percentile

$96,970 50^th Percentile

$114,090 75^th Percentile

$39.70 Hourly

$46.62 Hourly

$54.85 Hourly

Estimated Annual Salary	Average Hourly Wage	Positions Nationwide
$97,700.00	$46.97	5,000

Resources

American College of Nurse Midwives

Search for Bachelor of Nursing Programs

Certification Exam

ACME Accredited Midwifery Programs

Certified Nurse Midwife Credentails

How to Become a Registered Nurse

State-by-State Midwifery Licensing

Title	Company	Location	Posted
Nurse Midwife - FT- Ob/Gyn	WakeMed Health & Hospitals	Raleigh, NC	10.05.2017
Under the supervision and direction of the Medical Director of OB/GYN and other attendants, the Certified Nurse Midwife provides prenatal care in the L&D/Triage area for WakeMed Faculty Physicians. Functions as an educator and preceptor for...
Nurse Practitioner- Midwife	Mercy Medical Center Des Moines	Des Moines, IA	10.18.2017
Nurse Practitioner- Midwife Schedule-Full-time Job-Physicians Daily Schedule-8-5 Scheduled Hours per 2-week Pay Period-80 Weekends Required-Occasional Primary Location-IOWA-DES MOINES-MERCY MEDICAL CENTER Job Summary: Essential...
Certified Nurse Midwife	Wheaton Franciscan Healthcare	Waterloo, IA	10.18.2017
Under the direction of the Vice President/CNO Nursing Services, functioning within the policies and procedures of WFH-Iowa. The Certified Nurse Midwife (CNM) may provide direct care for the uncomplicated pregnant woman prenatally, during labor...
Certified Nurse Midwife	Cape Cod Healthcare	Hyannis, MA	10.18.2017
Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's...
Certified Nurse Midwife	Cape Cod Healthcare	Hyannis, MA	10.18.2017
Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's...
Certified Nurse Midwife Job	Mayo Clinic’s Campus in Minnesota	Rochester, MN	10.10.2017
Department: Obstetrics and Gynecology A Life-Changing Career Position Summary: Join our team! Our Mayo Clinic Health System - Mankato practice is launching nurse midwifery services. This is an exciting opportunity to join our growing...
NURSE MIDWIFE - DIVERSIFIED SERVICES	TriHealth	Cincinnati, OH	12.01.2016
Provide nurse-midwifery care to a caseload of clients within TriHealth. Maintain competence in providing healthcare services to clients of all ages and/or developmental levels. Comply with a Standard Care Agreement with a physician for practice...
NURSE MIDWIFE - DIVERSIFIED SERVICES	TriHealth	Cincinnati, OH	10.16.2017
Provide nurse-midwifery care to a caseload of clients within TriHealth. Maintain competence in providing healthcare services to clients of all ages and/or developmental levels. Comply with a Standard Care Agreement with a physician for practice...
NURSE MIDWIFE - DIVERSIFIED SERVICES	TriHealth	Cincinnati, OH	07.28.2017
EDUCATION: Master's Degree in Nursing Major in Nurse Midwifery Certification by the American College of Nurse-Midwives Registered Nurse Current Ohio licensure and CNM licensure EXPERIENCE: 1-2 years full scope nurse-midwifery practice...
PHYSN ASST-DIVERSIFIED SERVICES	TriHealth	Cincinnati, OH	06.22.2017
Master's Degree in Nursing Graduate from NP, CNS or midwife program Board certified APN Certificate of Authority as NP, CNS or Midwife from OBN. Holds Certificate to Prescribe (or CTP-E) or obtained within 1 year of hire. Specialty certification...
CNM & WHNP/FNP (dual-certified), Park Rapids, MN	Essentia Health	Park Rapids, MN	10.18.2017
CNM/NP (dual-certified) - Family Medicine Park Rapids, MN We are seeking an experienced full-time, 1.0 FTE dual-certified Nurse Midwife/Nurse Practitioner to join our growing obstetrics team in Park Rapids, MN! This high-volume practice...
CNM/NP (dual-certified) - Family Medicine, Fosston, MN	Essentia Health	Fosston, MN	10.18.2017
CNM & NP (dual-certified) - Family Medicine Fosston, MN We are seeking a new or experienced dual-certified Nurse Midwife & Nurse Practitioner to join our Family Medicine team in Fosston, MN with outreach services to our Oklee and...
Adv Pract Provider Lead	VCU Health System	Richmond, VA	10.18.2017
- Masters degree is required VCU Health System's EM MED - Emergency Med is seeking a full time Advanced Practice Provider Lead to provide clinical leadership and mentoring to Advanced Practice Providers (APP) on a designated health care team...
FNP or PA	Carolinas HealthCare System - Blue Ridge	Morganton, NC	06.12.2017
Graduate from FNP or PA program and have current licensure FNP or PA - Seeking Advanced Clinical Practitioner for Nights with Hospitalist group in Morganton, NC Carolinas HealthCare System Blue Ridge is seeking additional advanced clinical...
CNM or WHNP - Women's Health Center of the Carolinas - Pembroke, NC	Carolinas HealthCare System	Pembroke, NC	10.17.2017
Job Req ID: 146556 Position Number: 00162190 Employment Type: Full Time Salary Range: $80,184.00 - $120,286.40 Shift: Variable/On Call Shift Details : Standard Hours: 40.00 Department...

Nurse Midwife - FT- Ob/Gyn Raleigh, NC WakeMed Health & Hospitals
Under the supervision and direction of the Medical Director of OB/GYN and other attendants, the Certified Nurse Midwife provides prenatal care in the L&D/Triage area for WakeMed Faculty Physicians. Functions as an educator and preceptor for...
Nurse Practitioner- Midwife Des Moines, IA Mercy Medical Center Des Moines
Nurse Practitioner- Midwife Schedule-Full-time Job-Physicians Daily Schedule-8-5 Scheduled Hours per 2-week Pay Period-80 Weekends Required-Occasional Primary Location-IOWA-DES MOINES-MERCY MEDICAL CENTER Job Summary: Essential...
Certified Nurse Midwife Waterloo, IA Wheaton Franciscan Healthcare
Under the direction of the Vice President/CNO Nursing Services, functioning within the policies and procedures of WFH-Iowa. The Certified Nurse Midwife (CNM) may provide direct care for the uncomplicated pregnant woman prenatally, during labor...
Certified Nurse Midwife Hyannis, MA Cape Cod Healthcare
Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's...
Certified Nurse Midwife Hyannis, MA Cape Cod Healthcare
Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's...
Certified Nurse Midwife Job Rochester, MN Mayo Clinic’s Campus in Minnesota
Department: Obstetrics and Gynecology A Life-Changing Career Position Summary: Join our team! Our Mayo Clinic Health System - Mankato practice is launching nurse midwifery services. This is an exciting opportunity to join our growing...
NURSE MIDWIFE - DIVERSIFIED SERVICES Cincinnati, OH TriHealth
Provide nurse-midwifery care to a caseload of clients within TriHealth. Maintain competence in providing healthcare services to clients of all ages and/or developmental levels. Comply with a Standard Care Agreement with a physician for practice...
NURSE MIDWIFE - DIVERSIFIED SERVICES Cincinnati, OH TriHealth
Provide nurse-midwifery care to a caseload of clients within TriHealth. Maintain competence in providing healthcare services to clients of all ages and/or developmental levels. Comply with a Standard Care Agreement with a physician for practice...
NURSE MIDWIFE - DIVERSIFIED SERVICES Cincinnati, OH TriHealth
EDUCATION: Master's Degree in Nursing Major in Nurse Midwifery Certification by the American College of Nurse-Midwives Registered Nurse Current Ohio licensure and CNM licensure EXPERIENCE: 1-2 years full scope nurse-midwifery practice...
PHYSN ASST-DIVERSIFIED SERVICES Cincinnati, OH TriHealth
Master's Degree in Nursing Graduate from NP, CNS or midwife program Board certified APN Certificate of Authority as NP, CNS or Midwife from OBN. Holds Certificate to Prescribe (or CTP-E) or obtained within 1 year of hire. Specialty certification...
CNM & WHNP/FNP (dual-certified), Park Rapids, MN Duluth, MN Essentia Health
CNM/NP (dual-certified) - Family Medicine Park Rapids, MN We are seeking an experienced full-time, 1.0 FTE dual-certified Nurse Midwife/Nurse Practitioner to join our growing obstetrics team in Park Rapids, MN! This high-volume practice...
CNM/NP (dual-certified) - Family Medicine, Fosston, MN Duluth, MN Essentia Health
CNM & NP (dual-certified) - Family Medicine Fosston, MN We are seeking a new or experienced dual-certified Nurse Midwife & Nurse Practitioner to join our Family Medicine team in Fosston, MN with outreach services to our Oklee and...
Adv Pract Provider Lead Richmond, VA VCU Health System
- Masters degree is required VCU Health System's EM MED - Emergency Med is seeking a full time Advanced Practice Provider Lead to provide clinical leadership and mentoring to Advanced Practice Providers (APP) on a designated health care team...
FNP or PA Morganton, NC Carolinas HealthCare System - Blue Ridge
Graduate from FNP or PA program and have current licensure FNP or PA - Seeking Advanced Clinical Practitioner for Nights with Hospitalist group in Morganton, NC Carolinas HealthCare System Blue Ridge is seeking additional advanced clinical...
CNM or WHNP - Women's Health Center of the Carolinas - Pembroke, NC Charlotte, NC Carolinas HealthCare System
Job Req ID: 146556 Position Number: 00162190 Employment Type: Full Time Salary Range: $80,184.00 - $120,286.40 Shift: Variable/On Call Shift Details : Standard Hours: 40.00 Department...