Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. May provide well-woman gynecological care. Must have specialized, graduate nursing education.
Sample of reported job titles: Certified Nurse Midwife (CNM), Certified Nurse-Midwife (CNM), Nurse Midwife, Staff Certified Nurse Midwife, Staff Nurse Midwife
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Tasks | Technology Skills | Tools Used | Knowledge | Skills | Abilities | Work Activities | Detailed Work Activities | Work Context | Job Zone | Education | Credentials | Interests | Work Styles | Work Values | Related Occupations | Wages & Employment | Job Openings | Additional Information
- Provide prenatal, intrapartum, postpartum, or newborn care to patients.
- Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
- Document patients’ health histories, symptoms, physical conditions, or other diagnostic information.
- Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
- Prescribe medications as permitted by state regulations.
- Develop and implement individualized plans for health care management.
- Explain procedures to patients, family members, staff members or others.
- Order and interpret diagnostic or laboratory tests.
- Initiate emergency interventions to stabilize patients.
- Document findings of physical examinations.
- Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.
- Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
- Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
- Provide primary health care, including pregnancy and childbirth, to women.
- Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
- Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.
- Instruct student nurse midwives, medical students, or residents on the birthing process.
- Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.
- Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
- Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.
- Manage newborn care during the first weeks of life.
Find occupations related to multiple tasks
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- Medical software — Acrendo Medical Software Ob/Gyn EMR; Bizmatics PrognoCIS EMR; digiChart OB-GYN; GE Healthcare Centricity EMR (see all 20 examples)
- Office suite software — Microsoft Office
- Spreadsheet software — Microsoft Excel
Hot Technology — a technology requirement frequently included in employer job postings.
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- Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
- Psychology — Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
- Customer and Personal Service — Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- English Language — Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
- Biology — Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
- Sociology and Anthropology — Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
- Therapy and Counseling — Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
- Education and Training — Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
- Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
- Law and Government — Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
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- Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
- Social Perceptiveness — Being aware of others’ reactions and understanding why they react as they do.
- Speaking — Talking to others to convey information effectively.
- Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
- Monitoring — Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
- Reading Comprehension — Understanding written sentences and paragraphs in work-related documents.
- Complex Problem Solving — Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Coordination — Adjusting actions in relation to others’ actions.
- Service Orientation — Actively looking for ways to help people.
- Writing — Communicating effectively in writing as appropriate for the needs of the audience.
- Judgment and Decision Making — Considering the relative costs and benefits of potential actions to choose the most appropriate one.
- Instructing — Teaching others how to do something.
- Learning Strategies — Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
- Systems Analysis — Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
- Time Management — Managing one’s own time and the time of others.
- Systems Evaluation — Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
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- Written Comprehension — The ability to read and understand information and ideas presented in writing.
- Deductive Reasoning — The ability to apply general rules to specific problems to produce answers that make sense.
- Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
- Oral Expression — The ability to communicate information and ideas in speaking so others will understand.
- Problem Sensitivity — The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.
- Inductive Reasoning — The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
- Written Expression — The ability to communicate information and ideas in writing so others will understand.
- Near Vision — The ability to see details at close range (within a few feet of the observer).
- Speech Clarity — The ability to speak clearly so others can understand you.
- Speech Recognition — The ability to identify and understand the speech of another person.
- Information Ordering — The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
- Category Flexibility — The ability to generate or use different sets of rules for combining or grouping things in different ways.
- Selective Attention — The ability to concentrate on a task over a period of time without being distracted.
- Arm-Hand Steadiness — The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
- Flexibility of Closure — The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
- Fluency of Ideas — The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
- Memorization — The ability to remember information such as words, numbers, pictures, and procedures.
- Perceptual Speed — The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
- Time Sharing — The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
- Finger Dexterity — The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.
- Manual Dexterity — The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects.
- Originality — The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
- Speed of Closure — The ability to quickly make sense of, combine, and organize information into meaningful patterns.
- Visualization — The ability to imagine how something will look after it is moved around or when its parts are moved or rearranged.
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- Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
- Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
- Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
- Identifying Objects, Actions, and Events — Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
- Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time.
- Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.
- Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job.
- Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
- Monitoring Processes, Materials, or Surroundings — Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
- Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work.
- Evaluating Information to Determine Compliance with Standards — Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
- Performing for or Working Directly with the Public — Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
- Interpreting the Meaning of Information for Others — Translating or explaining what information means and how it can be used.
- Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
- Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
- Working with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
- Analyzing Data or Information — Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
- Developing and Building Teams — Encouraging and building mutual trust, respect, and cooperation among team members.
- Training and Teaching Others — Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
- Coordinating the Work and Activities of Others — Getting members of a group to work together to accomplish tasks.
- Coaching and Developing Others — Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
- Providing Consultation and Advice to Others — Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
- Scheduling Work and Activities — Scheduling events, programs, and activities, as well as the work of others.
- Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
- Judging the Qualities of Objects, Services, or People — Assessing the value, importance, or quality of things or people.
- Performing General Physical Activities — Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
- Thinking Creatively — Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.
- Communicating with People Outside the Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
- Developing Objectives and Strategies — Establishing long-range objectives and specifying the strategies and actions to achieve them.
- Handling and Moving Objects — Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
- Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
- Inspecting Equipment, Structures, or Materials — Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
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Detailed Work Activities
- Care for women during pregnancy and childbirth.
- Examine patients to assess general physical condition.
- Measure the physical or physiological attributes of patients.
- Administer basic health care or medical treatments.
- Record patient medical histories.
- Develop medical treatment plans.
- Prescribe medications.
- Explain medical procedures or test results to patients or family members.
- Analyze test data or images to inform diagnosis or treatment.
- Order medical diagnostic or clinical tests.
- Treat medical emergencies.
- Provide health and wellness advice to patients, program participants, or caregivers.
- Test patient nervous system functioning.
- Inform medical professionals regarding patient conditions and care.
- Prepare reports summarizing patient diagnostic or care activities.
- Collaborate with healthcare professionals to plan or provide treatment.
- Refer patients to other healthcare practitioners or health resources.
- Maintain medical or professional knowledge.
- Train medical providers.
- Teach medical procedures to healthcare personnel.
- Establish nursing policies or standards.
- Conduct health or safety training programs.
- Conduct research to increase knowledge about medical issues.
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- Face-to-Face Discussions — 100% responded “Every day.”
- Physical Proximity — 94% responded “Very close (near touching).”
- Contact With Others — 91% responded “Constant contact with others.”
- Electronic Mail — 88% responded “Every day.”
- Telephone — 84% responded “Every day.”
- Frequency of Decision Making — 81% responded “Every day.”
- Indoors, Environmentally Controlled — 91% responded “Every day.”
- Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets — 81% responded “Every day.”
- Consequence of Error — 78% responded “Extremely serious.”
- Freedom to Make Decisions — 67% responded “A lot of freedom.”
- Duration of Typical Work Week — 82% responded “More than 40 hours.”
- Work With Work Group or Team — 69% responded “Extremely important.”
- Exposed to Disease or Infections — 69% responded “Every day.”
- Impact of Decisions on Co-workers or Company Results — 61% responded “Very important results.”
- Deal With External Customers — 73% responded “Extremely important.”
- Importance of Being Exact or Accurate — 58% responded “Extremely important.”
- Coordinate or Lead Others — 44% responded “Extremely important.”
- Structured versus Unstructured Work — 48% responded “Some freedom.”
- Responsible for Others’ Health and Safety — 36% responded “Very high responsibility.”
- Time Pressure — 48% responded “Every day.”
- Frequency of Conflict Situations — 52% responded “Once a week or more but not every day.”
- Letters and Memos — 34% responded “Once a week or more but not every day.”
- Sounds, Noise Levels Are Distracting or Uncomfortable — 39% responded “Once a week or more but not every day.”
- Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls — 39% responded “More than half the time.”
- Deal With Unpleasant or Angry People — 44% responded “Once a month or more but not every week.”
- Exposed to Contaminants — 34% responded “Once a week or more but not every day.”
- Responsibility for Outcomes and Results — 38% responded “High responsibility.”
- Spend Time Standing — 56% responded “About half the time.”
- Importance of Repeating Same Tasks — 31% responded “Very important.”
- Cramped Work Space, Awkward Positions — 30% responded “Once a week or more but not every day.”
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|Title||Job Zone Five: Extensive Preparation Needed|
|Education||Most of these occupations require graduate school. For example, they may require a master’s degree, and some require a Ph.D., M.D., or J.D. (law degree).|
|Related Experience||Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.|
|Job Training||Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.|
|Job Zone Examples||These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include pharmacists, lawyers, astronomers, biologists, clergy, neurologists, and veterinarians.|
|SVP Range||(8.0 and above)|
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Percentage of Respondents
|Education Level Required|
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Interest code: SI Want to discover your interests? Take the O*NET Interest Profiler at My Next Move.
- Social — Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
- Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.
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- Concern for Others — Job requires being sensitive to others’ needs and feelings and being understanding and helpful on the job.
- Stress Tolerance — Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
- Dependability — Job requires being reliable, responsible, and dependable, and fulfilling obligations.
- Integrity — Job requires being honest and ethical.
- Cooperation — Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
- Self-Control — Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
- Attention to Detail — Job requires being careful about detail and thorough in completing work tasks.
- Persistence — Job requires persistence in the face of obstacles.
- Adaptability/Flexibility — Job requires being open to change (positive or negative) and to considerable variety in the workplace.
- Social Orientation — Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
- Analytical Thinking — Job requires analyzing information and using logic to address work-related issues and problems.
- Initiative — Job requires a willingness to take on responsibilities and challenges.
- Achievement/Effort — Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
- Leadership — Job requires a willingness to lead, take charge, and offer opinions and direction.
- Independence — Job requires developing one’s own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
- Innovation — Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
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- Relationships — Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
- Achievement — Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
- Independence — Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.
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Wages & Employment Trends
|Median wages (2020)||$53.43 hourly, $111,130 annual|
|Employment (2020)||7,300 employees|
|Projected growth (2020-2030)||Faster than average (10% to 15%)|
|Projected job openings (2020-2030)||500|
|Top industries (2020)||
Health Care and Social Assistance
Source: Bureau of Labor Statistics 2020 wage data and 2020-2030 employment projections . “Projected growth” represents the estimated change in total employment over the projections period (2020-2030). “Projected job openings” represent openings due to growth and replacement.
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Job Openings on the Web
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Sources of Additional Information
Disclaimer: Sources are listed to provide additional information on related jobs, specialties, and/or industries. Links to non-DOL Internet sites are provided for your convenience and do not constitute an endorsement.
- American Association of Birth Centers
- American Association of Colleges of Nursing
- American Association of Critical-Care Nurses
- American Association of Nurse Anesthetists
- American Association of Nurse Practitioners
- American College of Nurse-Midwives
- American College of Obstetricians and Gynecologists
- American Nurses Association
- American Society for Colposcopy and Cervical Pathology
- Association of Women’s Health, Obstetric and Neonatal Nurses
- Midwives Alliance of North America
- National Council of State Boards of Nursing
- National League for Nursing
- North American Menopause Society
- Occupational Outlook Handbook: Nurse anesthetists, nurse midwives, and nurse practitioners
- Sigma Theta Tau International Honor Society of Nursing
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