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
Certified Nurse Midwife	Anna Jaques Hospital	Newburyport, MA	03.10.2016
Responsible for patient care to include prenatal, antepartum and postpartum care including delivery; 1st surgical assist for c-sections, annual and gyn care for midwife pts. Req licensed MA Nurse Midwife, Certified by ACNM; 3-5 yrs exp in OB/GYN...
PPG Nurse Midwife	Parkview Health	Fort Wayne, IN	05.18.2017
Masters Degree Must be a graduate of an accredited school of professional nursing. Licensed to practice as a Registered Nurse. Must be eligible for certification to practice as a Nurse Midwife; and must become certified as a Nurse Midwife by...
Certified Nurse Midwife	Licking Memorial Health Systems	Newark, OH	06.21.2017
In collaboration with one or more physicians, the Certified Nurse Midwife (CNM) provides for the management of preventive services and those primary care services necessary to provide health care to women antepartally, intrapartally,...
Certified Nurse Midwife	Cambridge Health Alliance	Cambridge, MA	06.21.2017
Certified Nurse Midwife Apply Refer a Friend Back Category: Nurse Practitioner Location: Cambridge, MA Department: Ob/Gyn Employment Type: Per Diem Union Name: TCH MNA-TCH Mass Nurses Assoc Work Days: Cartified nurse...
Certified Nurse Midwife	Cambridge Health Alliance	Cambridge, MA	06.21.2017
Certified Nurse Midwife Apply Refer a Friend Back Category: Nurse Practitioner Location: Cambridge, MA Department: Ob/Gyn Employment Type: Per Diem Union Name: TCH MNA-TCH Mass Nurses Assoc Work Days: Varied Hours/Week:...
Certified Nurse Midwife	Tri-County Health Care	Wadena, MN	12.09.2016
Position Summary: The certified nurse midwife (CNM) is an advanced practice nurse who is responsible for the assessment, plan, implementation and evaluation of nurse midwifery care delivered to antepartum, intrapartum, postpartum, and newborn...
Certified Nurse Midwife	Cape Cod Healthcare	Hyannis, MA	06.21.2017
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 - Full Time	Saint Alphonsus Health System	Boise, ID	06.21.2017
Practice Summary SAMG OB/GYN - Certified Nurse Midwife Specialty: Certified Nurse Midwife Practice Scope: Midwifery also including full-spectrum OB-GYN within a vibrant and growing multispecialty group...
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	04.22.2017
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	04.22.2017
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...
Pioneer Women's Health Certified Nurse Midwife in Greenfield, MA	Baystate Health	Springfield, MA	06.12.2017
Baystate Health, an awardwinning healthcare system and home of the University of Massachusetts Medical School-Baystate, is searching for full time full scope Certified Nurse Midwife to join our Baystate Health team in Greenfield, Massachusetts....
Certified Nurse Midwife - Piedmont GYN/OB (Lower Steele Creek) - Charlotte, NC	Carolinas HealthCare System	Charlotte, NC	02.09.2017
Job Req ID: 125125 Position Number: 00146304 Employment Type: Full Time Shift: Variable/On Call Shift Details : Day Shift; 1:8 On-Site Call (Post-Call Day Off) Standard Hours: 40.00 Department Name:...
ADVANCED PRACTICE NURSE II-DIVERSIFIED SERVICES	TriHealth	Cincinnati, OH	05.19.2017
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...
AP Nurse I	TriHealth	Cincinnati, OH	06.02.2017
The APRN I is a nurse prepared with graduate level nursing education and authorized to practice as a Clinical Nurse Specialist, Certified Nurse Practitioner or Midwife in collaboration with one or more physicians or podiatrists. Advanced clinical...

Certified Nurse Midwife Newburyport, MA Anna Jaques Hospital
Responsible for patient care to include prenatal, antepartum and postpartum care including delivery; 1st surgical assist for c-sections, annual and gyn care for midwife pts. Req licensed MA Nurse Midwife, Certified by ACNM; 3-5 yrs exp in OB/GYN...
PPG Nurse Midwife Fort Wayne, IN Parkview Health
Masters Degree Must be a graduate of an accredited school of professional nursing. Licensed to practice as a Registered Nurse. Must be eligible for certification to practice as a Nurse Midwife; and must become certified as a Nurse Midwife by...
Certified Nurse Midwife Newark, OH Licking Memorial Health Systems
In collaboration with one or more physicians, the Certified Nurse Midwife (CNM) provides for the management of preventive services and those primary care services necessary to provide health care to women antepartally, intrapartally,...
Certified Nurse Midwife Cambridge, MA Cambridge Health Alliance
Certified Nurse Midwife Apply Refer a Friend Back Category: Nurse Practitioner Location: Cambridge, MA Department: Ob/Gyn Employment Type: Per Diem Union Name: TCH MNA-TCH Mass Nurses Assoc Work Days: Cartified nurse...
Certified Nurse Midwife Cambridge, MA Cambridge Health Alliance
Certified Nurse Midwife Apply Refer a Friend Back Category: Nurse Practitioner Location: Cambridge, MA Department: Ob/Gyn Employment Type: Per Diem Union Name: TCH MNA-TCH Mass Nurses Assoc Work Days: Varied Hours/Week:...
Certified Nurse Midwife Wadena, MN Tri-County Health Care
Position Summary: The certified nurse midwife (CNM) is an advanced practice nurse who is responsible for the assessment, plan, implementation and evaluation of nurse midwifery care delivered to antepartum, intrapartum, postpartum, and newborn...
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 - Full Time Boise, ID Saint Alphonsus Health System
Practice Summary SAMG OB/GYN - Certified Nurse Midwife Specialty: Certified Nurse Midwife Practice Scope: Midwifery also including full-spectrum OB-GYN within a vibrant and growing multispecialty group...
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
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...
Pioneer Women's Health Certified Nurse Midwife in Greenfield, MA Springfield, MA Baystate Health
Baystate Health, an awardwinning healthcare system and home of the University of Massachusetts Medical School-Baystate, is searching for full time full scope Certified Nurse Midwife to join our Baystate Health team in Greenfield, Massachusetts....
Certified Nurse Midwife - Piedmont GYN/OB (Lower Steele Creek) - Charlotte, NC Charlotte, NC Carolinas HealthCare System
Job Req ID: 125125 Position Number: 00146304 Employment Type: Full Time Shift: Variable/On Call Shift Details : Day Shift; 1:8 On-Site Call (Post-Call Day Off) Standard Hours: 40.00 Department Name:...
ADVANCED PRACTICE NURSE II-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...
AP Nurse I Cincinnati, OH TriHealth
The APRN I is a nurse prepared with graduate level nursing education and authorized to practice as a Clinical Nurse Specialist, Certified Nurse Practitioner or Midwife in collaboration with one or more physicians or podiatrists. Advanced clinical...