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Nurse Midwives

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.
  • Summary

  • Details

  • Work Activities

    • Provide primary health care, including pregnancy and childbirth, to women.
    • Manage newborn care during the first weeks of life.
    • Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.
    • Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.
    • Instruct student nurse midwives, medical students, or residents on the birthing process.
    • Prescribe medications as permitted by state regulations.
    • Order and interpret diagnostic or laboratory tests.
    • Initiate emergency interventions to stabilize patients.
    • Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
    • Document patients' health histories, symptoms, physical conditions, or other diagnostic 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.
    • Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
    • Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
    • Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
    • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.
    • Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
    • Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
    • Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
    • Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
    • Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
    • Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.
    • 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.
    • Document findings of physical examinations.
    • Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
    • Instruct student nurse midwives, medical students, or residents on the birthing process.

    Skills

    • Complex Problem Solving
      • Noticing a problem and figuring out the best way to solve it.
    • Social Perceptiveness
      • Understanding people's reactions.
    • Coordination
      • Changing what is done based on other people's actions.
    • Management of Personnel Resources
      • Selecting and managing the best workers for a job.
    • Repairing
      • Repairing machines or systems using the right tools.
    • Mathematics
      • Using math to solve problems.
    • Writing
      • Writing things for co-workers or customers.
    • Monitoring
      • Keeping track of how well people and/or groups are doing in order to make improvements.
    • Installation
      • Installing equipment, machines, wiring, or computer programs.
    • Programming
      • Writing computer programs.
    • Management of Financial Resources
      • Making spending decisions and keeping track of what is spent.
    • Operations Monitoring
      • Watching gauges, dials, or display screens to make sure a machine is working.
    • Technology Design
      • Making equipment and technology useful for customers.
    • Quality Control Analysis
      • Testing how well a product or service works.
    • Learning Strategies
      • Using the best training or teaching strategies for learning new things.
    • Negotiation
      • Bringing people together to solve differences.
    • Active Listening
      • Listening to others, not interrupting, and asking good questions.
    • Critical Thinking
      • Thinking about the pros and cons of different ways to solve a problem.
    • Time Management
      • Managing your time and the time of other people.
    • Speaking
      • Talking to others.
    • Systems Analysis
      • Figuring out how a system should work and how changes in the future will affect it.
    • Equipment Selection
      • Deciding what kind of tools and equipment are needed to do a job.
    • Operation and Control
      • Using equipment or systems.
    • Equipment Maintenance
      • Planning and doing the basic maintenance on equipment.
    • Active Learning
      • Figuring out how to use new ideas or things.
    • Instructing
      • Teaching people how to do something.
    • Reading Comprehension
      • Reading work-related information.
    • Persuasion
      • Talking people into changing their minds or their behavior.
    • Judgment and Decision Making
      • Thinking about the pros and cons of different options and picking the best one.
    • Operations Analysis
      • Figuring out what a product or service needs to be able to do.
    • Service Orientation
      • Looking for ways to help people.
    • Management of Material Resources
      • Managing equipment and materials.
    • Troubleshooting
      • Figuring out what is causing equipment, machines, wiring, or computer programs to not work.
    • Science
      • Using scientific rules and strategies to solve problems.
    • Systems Evaluation
      • Measuring how well a system is working and how to improve it.

    Abilities

    • Speech Recognition
      • Recognizing spoken words.
    • Time Sharing
      • Doing two or more things at the same time.
    • Arm-Hand Steadiness
      • Keeping your arm or hand steady.
    • Inductive Reasoning
      • Making general rules or coming up with answers from lots of detailed information.
    • Spatial Orientation
      • Knowing where things are around you.
    • Number Facility
      • Adding, subtracting, multiplying, or dividing.
    • Explosive Strength
      • Jumping, sprinting, or throwing something.
    • Rate Control
      • Changing when and how fast you move based on how something else is moving.
    • Reaction Time
      • Quickly moving your hand, finger, or foot based on a sound, light, picture or other command.
    • Written Comprehension
      • Reading and understanding what is written.
    • Dynamic Flexibility
      • Quickly and repeatedly bending, stretching, twisting, or reaching out with your body, arms, and/or legs.
    • Peripheral Vision
      • Seeing something to your side when your are looking ahead.
    • Mathematical Reasoning
      • Choosing the right type of math to solve a problem.
    • Fluency of Ideas
      • Coming up with lots of ideas.
    • Hearing Sensitivity
      • Telling the difference between sounds.
    • Written Expression
      • Communicating by writing.
    • Visualization
      • Imagining how something will look after it is moved around or changed.
    • Trunk Strength
      • Using your lower back and stomach.
    • Control Precision
      • Quickly changing the controls of a machine, car, truck or boat.
    • Depth Perception
      • Deciding which thing is closer or farther away from you, or deciding how far away it is from you.
    • Manual Dexterity
      • Holding or moving items with your hands.
    • Selective Attention
      • Paying attention to something without being distracted.
    • Sound Localization
      • Noticing the direction that a sound came from.
    • Wrist-Finger Speed
      • Making fast, simple, repeated movements of your fingers, hands, and wrists.
    • Deductive Reasoning
      • Using rules to solve problems.
    • Oral Expression
      • Communicating by speaking.
    • Originality
      • Creating new and original ideas.
    • Night Vision
      • Seeing at night or under low light.
    • Multilimb Coordination
      • Using your arms and/or legs together while sitting, standing, or lying down.
    • Stamina
      • Exercising for a long time without getting out of breath.
    • Problem Sensitivity
      • Noticing when problems happen.
    • Perceptual Speed
      • Quickly comparing groups of letters, numbers, pictures, or other things.
    • Category Flexibility
      • Grouping things in different ways.
    • Speech Clarity
      • Speaking clearly.
    • Far Vision
      • Seeing details that are far away.
    • Gross Body Equilibrium
      • Keeping your balance or staying upright.
    • Finger Dexterity
      • Putting together small parts with your fingers.
    • Auditory Attention
      • Paying attention to one sound while there are other distracting sounds.
    • Visual Color Discrimination
      • Noticing the difference between colors, including shades and brightness.
    • Response Orientation
      • Quickly deciding if you should move your hand, foot, or other body part.
    • Memorization
      • Remembering words, numbers, pictures, or steps.
    • Speed of Closure
      • Quickly knowing what you are looking at.
    • Flexibility of Closure
      • Seeing hidden patterns.
    • Glare Sensitivity
      • Seeing something even if there is a glare or very bright light.
    • Near Vision
      • Seeing details up close.
    • Dynamic Strength
      • Exercising for a long time without your muscles getting tired.
    • Static Strength
      • Lifting, pushing, pulling, or carrying.
    • Extent Flexibility
      • Bending, stretching, twisting, or reaching with your body, arms, and/or legs.
    • Gross Body Coordination
      • Moving your arms, legs, and mid-section together while your whole body is moving.
    • Oral Comprehension
      • Listening and understanding what people say.
    • Speed of Limb Movement
      • Quickly moving your arms and legs.
    • Information Ordering
      • Ordering or arranging things.

    Knowledge

    • Building and Construction
      • Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.
    • 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.
    • Economics and Accounting
      • Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
    • Sales and Marketing
      • Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
    • Sociology and Anthropology
      • Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
    • 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.
    • Engineering and Technology
      • Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
    • Computers and Electronics
      • Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
    • Mathematics
      • Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    • Chemistry
      • Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
    • Personnel and Human Resources
      • Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
    • Administration and Management
      • Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
    • Telecommunications
      • Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
    • Biology
      • Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
    • History and Archeology
      • Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.
    • Public Safety and Security
      • Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
    • Food Production
      • Knowledge of techniques and equipment for planting, growing, and harvesting food products (both plant and animal) for consumption, including storage/handling techniques.
    • Production and Processing
      • Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
    • Geography
      • Knowledge of principles and methods for describing the features of land, sea, and air masses, including their physical characteristics, locations, interrelationships, and distribution of plant, animal, and human life.
    • 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.
    • Administrative
      • Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
    • English Language
      • Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
    • Transportation
      • Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.
    • 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.
    • 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.
    • Design
      • Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models.
    • Philosophy and Theology
      • Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
    • Physics
      • Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub-atomic structures and processes.
    • Communications and Media
      • Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.
    • Foreign Language
      • Knowledge of the structure and content of a foreign (non-English) language including the meaning and spelling of words, rules of composition and grammar, and pronunciation.
    • Fine Arts
      • Knowledge of the theory and techniques required to compose, produce, and perform works of music, dance, visual arts, drama, and sculpture.
    • Mechanical
      • Knowledge of machines and tools, including their designs, uses, repair, and maintenance.
    • Law and Government
      • Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

    Education

    Education
    Master's degree
    Work Experience
    No work experience
    Training
    No on-the-job training

    Pay

    Washington Annual Salary
    145000/yr
    Washington Hourly Wage
    69.71/hr

    Washington Employment Trends

    Currently Employed
    150
    Yearly Projected Openings
    10

    Personality

    Social: People interested in this work like activities that include helping people, teaching, and talking. They do well at jobs that need:
    • Concern for Others
    • Stress Tolerance
    • Dependability
    • Integrity
    • Cooperation
    • Self Control

    Tools

    • Acute care fetal or maternal monitoring units
    • Blood collection syringes
    • Blood pressure cuff kits
    • Clinical incubators or infant warmers
    • Colposcopes or vaginoscopes
    • Electronic medical thermometers
    • Endoscopic hemostatic balloons or needles or tubes or accessories
    • Flow sensors or regulators or components
    • Infant scales
    • Intravenous tubing with catheter administration kits
    • Irrigation or suction handpieces or cannulas or tips or catheters
    • Lancets
    • Medical acoustic stethoscopes
    • Medical aspiration or irrigation syringes
    • Medical nasal cannulas
    • Medical oxygen masks or parts
    • Medical syringes with needle
    • Medical tape measures
    • Medical ultrasound or doppler or echocardiograph probes
    • Medical ultrasound or doppler or echocardiograph transducer accessories
    • Microscope slides
    • Notebook computers
    • Oxygen concentrators
    • Patient floor scales
    • Personal computers
    • Personal digital assistant PDAs or organizers
    • Reflex hammers or mallets
    • Resuscitation masks
    • Specimen collection container
    • Surgical clamps or clips or forceps
    • Surgical gloves
    • Surgical isolation or surgical masks
    • Surgical needle holders
    • Surgical scissors
    • Suturing kits or trays or packs or sets
    • Tourniquets
    • Transcutaneous electric nerve stimulation units
    • Urinary catheterization kits
    • Vacuum blood collection tubes or containers
    • Vaginal exam speculas

    Technology

    • Medical software
    • Office suite software
    • Spreadsheet software