[Core] [33% incumbents] Provide prenatal, intrapartum, postpartum, or newborn care to patients.
  DWAs: Care for women during pregnancy and childbirth.

[Core] [33% incumbents] Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
  DWAs: Examine patients to assess general physical condition. | Measure the physical or physiological attributes of patients.

[Core] [33% incumbents] Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
  DWAs: Record patient medical histories.

[Core] [33% incumbents] Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
  DWAs: Administer basic health care or medical treatments.

[Core] [33% incumbents] Prescribe medications as permitted by state regulations.
  DWAs: Prescribe medications.

[Core] [33% incumbents] Develop and implement individualized plans for health care management.
  DWAs: Develop medical treatment plans.

[Core] [33% incumbents] Explain procedures to patients, family members, staff members or others.
  DWAs: Explain medical procedures or test results to patients or family members.

[Core] [33% incumbents] Order and interpret diagnostic or laboratory tests.
  DWAs: Analyze test data or images to inform diagnosis or treatment. | Order medical diagnostic or clinical tests.

[Core] [33% incumbents] Initiate emergency interventions to stabilize patients.
  DWAs: Treat medical emergencies.

[Core] [33% incumbents] Document findings of physical examinations.
  DWAs: Record patient medical histories.

[Core] [33% incumbents] Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.
  DWAs: Provide health and wellness advice to patients, program participants, or caregivers.

[Core] [33% incumbents] Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
  DWAs: Test patient nervous system functioning. | Examine patients to assess general physical condition.

[Core] [33% incumbents] Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
  DWAs: Prepare reports summarizing patient diagnostic or care activities. | Inform medical professionals regarding patient conditions and care.

[Core] [33% incumbents] Provide primary health care, including pregnancy and childbirth, to women.
  DWAs: Care for women during pregnancy and childbirth.

[Core] [33% incumbents] Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
  DWAs: Collaborate with healthcare professionals to plan or provide treatment. | Refer patients to other healthcare practitioners or health resources.

[Core] [33% incumbents] Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.
  DWAs: Maintain medical or professional knowledge.

[Core] [33% incumbents] Instruct student nurse midwives, medical students, or residents on the birthing process.
  DWAs: Train medical providers. | Teach medical procedures to healthcare personnel.

[Core] [33% incumbents] Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.
  DWAs: Establish nursing policies or standards.

[Core] [33% incumbents] Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
  DWAs: Conduct health or safety training programs. | Train medical providers.

[Core] [33% incumbents] Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.
  DWAs: Conduct research to increase knowledge about medical issues.

[Supplemental] [33% incumbents] Manage newborn care during the first weeks of life.
  DWAs: Administer basic health care or medical treatments.

[EMERGING:New] Evaluate mental health of patients.

[EMERGING:New] Screen patients for gynecologic conditions such as infections.

--- SKILLS ---
  Active Listening (imp:4.12 lvl:4.12) — Giving full attention to what other people are saying, taking time to understand
  Speaking (imp:4.12 lvl:4.12) — Talking to others to convey information effectively.
  Critical Thinking (imp:4.12 lvl:4.38) — Using logic and reasoning to identify the strengths and weaknesses of alternativ
  Reading Comprehension (imp:4.00 lvl:4.12) — Understanding written sentences and paragraphs in work-related documents.
  Active Learning (imp:4.00 lvl:4.12) — Understanding the implications of new information for both current and future pr
  Monitoring (imp:4.00 lvl:4.12) — Monitoring/Assessing performance of yourself, other individuals, or organization
  Writing (imp:3.88 lvl:4.00) — Communicating effectively in writing as appropriate for the needs of the audienc
  Learning Strategies (imp:3.25 lvl:3.38) — Selecting and using training/instructional methods and procedures appropriate fo
  Science (imp:2.88 lvl:3.25) — Using scientific rules and methods to solve problems.
  Mathematics (imp:2.62 lvl:2.62) — Using mathematics to solve problems.

--- KNOWLEDGE ---
  Medicine and Dentistry (imp:4.82 lvl:5.73) — Knowledge of the information and techniques needed to diagnose and treat human i
  Psychology (imp:4.33 lvl:5.42) — Knowledge of human behavior and performance; individual differences in ability, 
  Customer and Personal Service (imp:4.19 lvl:5.44) — Knowledge of principles and processes for providing customer and personal servic
  English Language (imp:4.18 lvl:4.64) — Knowledge of the structure and content of the English language including the mea
  Biology (imp:4.06 lvl:4.67) — Knowledge of plant and animal organisms, their tissues, cells, functions, interd
  Sociology and Anthropology (imp:3.81 lvl:4.97) — Knowledge of group behavior and dynamics, societal trends and influences, human 
  Therapy and Counseling (imp:3.73 lvl:5.15) — Knowledge of principles, methods, and procedures for diagnosis, treatment, and r
  Education and Training (imp:3.67 lvl:5.00) — Knowledge of principles and methods for curriculum and training design, teaching
  Mathematics (imp:3.12 lvl:3.61) — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their appl
  Law and Government (imp:3.06 lvl:3.24) — Knowledge of laws, legal codes, court procedures, precedents, government regulat
  Computers and Electronics (imp:2.91 lvl:3.42) — Knowledge of circuit boards, processors, chips, electronic equipment, and comput
  Chemistry (imp:2.90 lvl:3.82) — Knowledge of the chemical composition, structure, and properties of substances a
  Administration and Management (imp:2.82 lvl:3.36) — Knowledge of business and management principles involved in strategic planning, 
  Public Safety and Security (imp:2.76 lvl:2.79) — Knowledge of relevant equipment, policies, procedures, and strategies to promote
  Administrative (imp:2.66 lvl:3.38) — Knowledge of administrative and office procedures and systems such as word proce
  Personnel and Human Resources (imp:2.66 lvl:3.38) — Knowledge of principles and procedures for personnel recruitment, selection, tra
  Philosophy and Theology (imp:2.61 lvl:3.67) — Knowledge of different philosophical systems and religions. This includes their 
  Communications and Media (imp:2.61 lvl:2.64) — Knowledge of media production, communication, and dissemination techniques and m
  Foreign Language (imp:2.52 lvl:2.42) — Knowledge of the structure and content of a foreign (non-English) language inclu
  Telecommunications (imp:2.12 lvl:1.03) — Knowledge of transmission, broadcasting, switching, control, and operation of te
  Economics and Accounting (imp:2.09 lvl:1.67) — Knowledge of economic and accounting principles and practices, the financial mar
  Sales and Marketing (imp:2.09 lvl:2.73) — Knowledge of principles and methods for showing, promoting, and selling products
  Physics (imp:1.88 lvl:1.53) — Knowledge and prediction of physical principles, laws, their interrelationships,
  History and Archeology (imp:1.79 lvl:1.52) — Knowledge of historical events and their causes, indicators, and effects on civi
  Transportation (imp:1.78 lvl:1.44) — Knowledge of principles and methods for moving people or goods by air, rail, sea
  Geography (imp:1.64 lvl:1.55) — Knowledge of principles and methods for describing the features of land, sea, an
  Production and Processing (imp:1.61 lvl:1.19) — Knowledge of raw materials, production processes, quality control, costs, and ot
  Mechanical (imp:1.48 lvl:0.97) — Knowledge of machines and tools, including their designs, uses, repair, and main
  Engineering and Technology (imp:1.45 lvl:0.76) — Knowledge of the practical application of engineering science and technology. Th
  Design (imp:1.21 lvl:0.48) — Knowledge of design techniques, tools, and principles involved in production of 
  Fine Arts (imp:1.18 lvl:0.36) — Knowledge of the theory and techniques required to compose, produce, and perform
  Food Production (imp:1.16 lvl:0.42) — Knowledge of techniques and equipment for planting, growing, and harvesting food
  Building and Construction (imp:1.06 lvl:0.13) — Knowledge of materials, methods, and the tools involved in the construction or r

--- ABILITIES ---
  Written Comprehension (imp:4.25 lvl:4.50) — The ability to read and understand information and ideas presented in writing.
  Oral Comprehension (imp:4.12 lvl:4.75) — The ability to listen to and understand information and ideas presented through 
  Oral Expression (imp:4.12 lvl:4.62) — The ability to communicate information and ideas in speaking so others will unde
  Problem Sensitivity (imp:4.12 lvl:5.12) — The ability to tell when something is wrong or is likely to go wrong. It does no
  Deductive Reasoning (imp:4.12 lvl:4.38) — The ability to apply general rules to specific problems to produce answers that 
  Written Expression (imp:4.00 lvl:4.00) — The ability to communicate information and ideas in writing so others will under
  Inductive Reasoning (imp:4.00 lvl:4.25) — The ability to combine pieces of information to form general rules or conclusion
  Near Vision (imp:3.75 lvl:3.88) — The ability to see details at close range (within a few feet of the observer).
  Speech Recognition (imp:3.75 lvl:3.88) — The ability to identify and understand the speech of another person.
  Speech Clarity (imp:3.75 lvl:3.88) — The ability to speak clearly so others can understand you.
  Information Ordering (imp:3.62 lvl:4.00) — The ability to arrange things or actions in a certain order or pattern according
  Category Flexibility (imp:3.38 lvl:3.88) — The ability to generate or use different sets of rules for combining or grouping
  Selective Attention (imp:3.38 lvl:3.12) — The ability to concentrate on a task over a period of time without being distrac
  Fluency of Ideas (imp:3.12 lvl:3.25) — The ability to come up with a number of ideas about a topic (the number of ideas
  Memorization (imp:3.12 lvl:3.00) — The ability to remember information such as words, numbers, pictures, and proced
  Flexibility of Closure (imp:3.12 lvl:3.12) — The ability to identify or detect a known pattern (a figure, object, word, or so
  Perceptual Speed (imp:3.12 lvl:3.12) — The ability to quickly and accurately compare similarities and differences among
  Time Sharing (imp:3.12 lvl:3.00) — The ability to shift back and forth between two or more activities or sources of
  Arm-Hand Steadiness (imp:3.12 lvl:3.12) — The ability to keep your hand and arm steady while moving your arm or while hold
  Originality (imp:3.00 lvl:3.00) — The ability to come up with unusual or clever ideas about a given topic or situa
  Speed of Closure (imp:3.00 lvl:3.12) — The ability to quickly make sense of, combine, and organize information into mea
  Visualization (imp:3.00 lvl:2.88) — The ability to imagine how something will look after it is moved around or when 
  Manual Dexterity (imp:3.00 lvl:3.00) — The ability to quickly move your hand, your hand together with your arm, or your
  Finger Dexterity (imp:3.00 lvl:3.12) — The ability to make precisely coordinated movements of the fingers of one or bot
  Trunk Strength (imp:2.88 lvl:2.88) — The ability to use your abdominal and lower back muscles to support part of the 
  Far Vision (imp:2.88 lvl:2.88) — The ability to see details at a distance.
  Mathematical Reasoning (imp:2.75 lvl:2.75) — The ability to choose the right mathematical methods or formulas to solve a prob
  Multilimb Coordination (imp:2.75 lvl:2.75) — The ability to coordinate two or more limbs (for example, two arms, two legs, or
  Static Strength (imp:2.75 lvl:2.38) — The ability to exert maximum muscle force to lift, push, pull, or carry objects.
  Visual Color Discrimination (imp:2.75 lvl:2.88) — The ability to match or detect differences between colors, including shades of c
  Number Facility (imp:2.62 lvl:2.88) — The ability to add, subtract, multiply, or divide quickly and correctly.
  Control Precision (imp:2.50 lvl:2.88) — The ability to quickly and repeatedly adjust the controls of a machine or a vehi
  Auditory Attention (imp:2.38 lvl:2.25) — The ability to focus on a single source of sound in the presence of other distra
  Extent Flexibility (imp:2.25 lvl:2.25) — The ability to bend, stretch, twist, or reach with your body, arms, and/or legs.
  Stamina (imp:2.12 lvl:2.00) — The ability to exert yourself physically over long periods of time without getti
  Hearing Sensitivity (imp:2.12 lvl:2.00) — The ability to detect or tell the differences between sounds that vary in pitch 
  Response Orientation (imp:2.00 lvl:1.12) — The ability to choose quickly between two or more movements in response to two o
  Dynamic Strength (imp:2.00 lvl:1.88) — The ability to exert muscle force repeatedly or continuously over time. This inv
  Gross Body Coordination (imp:2.00 lvl:1.75) — The ability to coordinate the movement of your arms, legs, and torso together wh
  Depth Perception (imp:2.00 lvl:1.88) — The ability to judge which of several objects is closer or farther away from you
  Gross Body Equilibrium (imp:1.88 lvl:1.12) — The ability to keep or regain your body balance or stay upright when in an unsta
  Reaction Time (imp:1.62 lvl:0.75) — The ability to quickly respond (with the hand, finger, or foot) to a signal (sou
  Wrist-Finger Speed (imp:1.50 lvl:0.62) — The ability to make fast, simple, repeated movements of the fingers, hands, and 
  Explosive Strength (imp:1.38 lvl:0.38) — The ability to use short bursts of muscle force to propel oneself (as in jumping
  Spatial Orientation (imp:1.12 lvl:0.12) — The ability to know your location in relation to the environment or to know wher
  Rate Control (imp:1.00) — The ability to time your movements or the movement of a piece of equipment in an
  Speed of Limb Movement (imp:1.00) — The ability to quickly move the arms and legs.
  Dynamic Flexibility (imp:1.00) — The ability to quickly and repeatedly bend, stretch, twist, or reach out with yo
  Night Vision (imp:1.00) — The ability to see under low-light conditions.
  Peripheral Vision (imp:1.00) — The ability to see objects or movement of objects to one's side when the eyes ar
  Glare Sensitivity (imp:1.00) — The ability to see objects in the presence of a glare or bright lighting.
  Sound Localization (imp:1.00) — The ability to tell the direction from which a sound originated.

--- WORK ACTIVITIES ---
  Assisting and Caring for Others (imp:4.94 lvl:6.21) — Providing personal assistance, medical attention, emotional support, or other pe
  Documenting/Recording Information (imp:4.82 lvl:5.42) — Entering, transcribing, recording, storing, or maintaining information in writte
  Getting Information (imp:4.79 lvl:5.91) — Observing, receiving, and otherwise obtaining information from all relevant sour
  Identifying Objects, Actions, and Events (imp:4.67 lvl:5.91) — Identifying information by categorizing, estimating, recognizing differences or 
  Making Decisions and Solving Problems (imp:4.61 lvl:5.70) — Analyzing information and evaluating results to choose the best solution and sol
  Updating and Using Relevant Knowledge (imp:4.59 lvl:5.67) — Keeping up-to-date technically and applying new knowledge to your job.
  Establishing and Maintaining Interpersonal Relationships (imp:4.58 lvl:5.64) — Developing constructive and cooperative working relationships with others, and m
  Communicating with Supervisors, Peers, or Subordinates (imp:4.52 lvl:5.31) — Providing information to supervisors, co-workers, and subordinates by telephone,
  Monitoring Processes, Materials, or Surroundings (imp:4.30 lvl:5.88) — Monitoring and reviewing information from materials, events, or the environment,
  Organizing, Planning, and Prioritizing Work (imp:4.19 lvl:5.55) — Developing specific goals and plans to prioritize, organize, and accomplish your
  Evaluating Information to Determine Compliance with Standards (imp:4.15 lvl:4.94) — Using relevant information and individual judgment to determine whether events o
  Performing for or Working Directly with the Public (imp:4.15 lvl:5.06) — Performing for people or dealing directly with the public. This includes serving
  Interpreting the Meaning of Information for Others (imp:4.10 lvl:4.70) — Translating or explaining what information means and how it can be used.
  Processing Information (imp:4.06 lvl:5.12) — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying
  Working with Computers (imp:4.00 lvl:3.47) — Using computers and computer systems (including hardware and software) to progra
  Resolving Conflicts and Negotiating with Others (imp:4.00 lvl:5.24) — Handling complaints, settling disputes, and resolving grievances and conflicts, 
  Developing and Building Teams (imp:3.97 lvl:4.03) — Encouraging and building mutual trust, respect, and cooperation among team membe
  Analyzing Data or Information (imp:3.94 lvl:4.65) — Identifying the underlying principles, reasons, or facts of information by break
  Training and Teaching Others (imp:3.91 lvl:5.15) — Identifying the educational needs of others, developing formal educational or tr
  Coordinating the Work and Activities of Others (imp:3.82 lvl:4.30) — Getting members of a group to work together to accomplish tasks.
  Coaching and Developing Others (imp:3.72 lvl:4.91) — Identifying the developmental needs of others and coaching, mentoring, or otherw
  Providing Consultation and Advice to Others (imp:3.64 lvl:4.94) — Providing guidance and expert advice to management or other groups on technical,
  Scheduling Work and Activities (imp:3.59 lvl:4.42) — Scheduling events, programs, and activities, as well as the work of others.
  Judging the Qualities of Objects, Services, or People (imp:3.50 lvl:4.33) — Assessing the value, importance, or quality of things or people.
  Performing General Physical Activities (imp:3.50 lvl:4.06) — Performing general physical activities includes doing activities that require co
  Guiding, Directing, and Motivating Subordinates (imp:3.50 lvl:4.24) — Providing guidance and direction to subordinates, including setting performance 
  Thinking Creatively (imp:3.48 lvl:4.15) — Developing, designing, or creating new applications, ideas, relationships, syste
  Developing Objectives and Strategies (imp:3.44 lvl:3.97) — Establishing long-range objectives and specifying the strategies and actions to 
  Communicating with People Outside the Organization (imp:3.44 lvl:4.18) — Communicating with people outside the organization, representing the organizatio
  Handling and Moving Objects (imp:3.26 lvl:4.50) — Using hands and arms in handling, installing, positioning, and moving materials,
  Performing Administrative Activities (imp:3.21 lvl:3.64) — Performing day-to-day administrative tasks such as maintaining information files
  Inspecting Equipment, Structures, or Materials (imp:3.16 lvl:3.58) — Inspecting equipment, structures, or materials to identify the cause of errors o
  Staffing Organizational Units (imp:2.91 lvl:3.67) — Recruiting, interviewing, selecting, hiring, and promoting employees in an organ
  Estimating the Quantifiable Characteristics of Products, Events, or Information (imp:2.81 lvl:3.00) — Estimating sizes, distances, and quantities; or determining time, costs, resourc
  Monitoring and Controlling Resources (imp:2.50 lvl:3.12) — Monitoring and controlling resources and overseeing the spending of money.
  Selling or Influencing Others (imp:2.44 lvl:3.00) — Convincing others to buy merchandise/goods or to otherwise change their minds or
  Controlling Machines and Processes (imp:2.38 lvl:2.47) — Using either control mechanisms or direct physical activity to operate machines 
  Operating Vehicles, Mechanized Devices, or Equipment (imp:1.56 lvl:0.91) — Running, maneuvering, navigating, or driving vehicles or mechanized equipment, s
  Repairing and Maintaining Mechanical Equipment (imp:1.55 lvl:0.91) — Servicing, repairing, adjusting, and testing machines, devices, moving parts, an
  Repairing and Maintaining Electronic Equipment (imp:1.53 lvl:0.79) — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines,
  Drafting, Laying Out, and Specifying Technical Devices, Parts, and Equipment (imp:1.24 lvl:0.55) — Providing documentation, detailed instructions, drawings, or specifications to t

--- WORK STYLES ---
  Integrity (imp:10.00) — A tendency to be honest and ethical at work.
  Cautiousness (imp:9.00) — A tendency to be careful, deliberate, and risk-avoidant when making work-related
  Cooperation (imp:8.00) — A tendency to be pleasant, helpful, and willing to assist others at work.
  Social Orientation (imp:7.00) — A tendency to seek out, enjoy, and be energized by social interaction at work.
  Self-Control (imp:6.00) — A tendency to remain calm and composed and to manage emotions effectively in res
  Stress Tolerance (imp:5.00) — A tendency to cope and function effectively in stressful situations at work.
  Empathy (imp:4.00) — A tendency to show concern for others and be sensitive to others' needs and feel
  Adaptability (imp:3.00) — A tendency to be open to and comfortable with change, new experiences, or ideas 
  Empathy (imp:3.00) — A tendency to show concern for others and be sensitive to others' needs and feel
  Attention to Detail (imp:3.00) — A tendency to be detail-oriented, organized, and thorough in completing work.
  Dependability (imp:2.93) — A tendency to be reliable, responsible, and consistent in meeting work-related o
  Cautiousness (imp:2.62) — A tendency to be careful, deliberate, and risk-avoidant when making work-related
  Cooperation (imp:2.60) — A tendency to be pleasant, helpful, and willing to assist others at work.
  Stress Tolerance (imp:2.55) — A tendency to cope and function effectively in stressful situations at work.
  Integrity (imp:2.51) — A tendency to be honest and ethical at work.
  Self-Control (imp:2.50) — A tendency to remain calm and composed and to manage emotions effectively in res
  Sincerity (imp:2.38) — A tendency to be genuine and sincere in interactions with others at work, withou
  Social Orientation (imp:2.26) — A tendency to seek out, enjoy, and be energized by social interaction at work.
  Perseverance (imp:2.12) — A tendency to exhibit determination and resolve to perform or complete tasks in 
  Adaptability (imp:2.05) — A tendency to be open to and comfortable with change, new experiences, or ideas 
  Perseverance (imp:2.00) — A tendency to exhibit determination and resolve to perform or complete tasks in 
  Achievement Orientation (imp:1.98) — A tendency to establish and maintain personally challenging work-related goals, 
  Optimism (imp:1.90) — A tendency to exhibit a positive attitude and positive emotions at work, even un
  Intellectual Curiosity (imp:1.89) — A tendency to seek out and acquire new work-related knowledge and obtain a deep 
  Leadership Orientation (imp:1.84) — A tendency to lead, take charge, offer opinions, and provide direction at work.
  Self-Confidence (imp:1.73) — A tendency to believe in one's work-related capabilities and ability to control 
  Initiative (imp:1.69) — A tendency to be proactive and take on extra responsibilities and tasks that may
  Tolerance for Ambiguity (imp:1.53) — A tendency to be comfortable with ambiguity and uncertainty at work.
  Humility (imp:1.28) — A tendency to be modest and humble when interacting with others at work.
  Innovation (imp:1.17) — A tendency to be inventive, to be imaginative, and to adopt new perspectives on 
  Sincerity (imp:1.00) — A tendency to be genuine and sincere in interactions with others at work, withou
  Innovation () — A tendency to be inventive, to be imaginative, and to adopt new perspectives on 
  Achievement Orientation () — A tendency to establish and maintain personally challenging work-related goals, 
  Intellectual Curiosity () — A tendency to seek out and acquire new work-related knowledge and obtain a deep 
  Tolerance for Ambiguity () — A tendency to be comfortable with ambiguity and uncertainty at work.
  Initiative () — A tendency to be proactive and take on extra responsibilities and tasks that may
  Self-Confidence () — A tendency to believe in one's work-related capabilities and ability to control 
  Leadership Orientation () — A tendency to lead, take charge, offer opinions, and provide direction at work.
  Humility () — A tendency to be modest and humble when interacting with others at work.
  Optimism () — A tendency to exhibit a positive attitude and positive emotions at work, even un
  Attention to Detail () — A tendency to be detail-oriented, organized, and thorough in completing work.
  Dependability () — A tendency to be reliable, responsible, and consistent in meeting work-related o

--- TRANSFERABLE SKILLS ---
  Social Perceptiveness (imp:4.12 lvl:4.12) — Being aware of others' reactions and understanding why they react as they do.
  Coordination (imp:3.88 lvl:3.75) — Adjusting actions in relation to others' actions.
  Service Orientation (imp:3.88 lvl:4.12) — Actively looking for ways to help people.
  Complex Problem Solving (imp:3.88 lvl:3.75) — Identifying complex problems and reviewing related information to develop and ev
  Judgment and Decision Making (imp:3.75 lvl:3.88) — Considering the relative costs and benefits of potential actions to choose the m
  Instructing (imp:3.25 lvl:3.75) — Teaching others how to do something.
  Systems Analysis (imp:3.12 lvl:3.00) — Determining how a system should work and how changes in conditions, operations, 
  Time Management (imp:3.12 lvl:3.25) — Managing one's own time and the time of others.
  Systems Evaluation (imp:3.00 lvl:3.25) — Identifying measures or indicators of system performance and the actions needed 
  Persuasion (imp:2.75 lvl:2.88) — Persuading others to change their minds or behavior.
  Negotiation (imp:2.75 lvl:2.62) — Bringing others together and trying to reconcile differences.
  Management of Personnel Resources (imp:2.62 lvl:2.88) — Motivating, developing, and directing people as they work, identifying the best 
  Operations Analysis (imp:2.38 lvl:2.25) — Analyzing needs and product requirements to create a design.
  Operations Monitoring (imp:2.38 lvl:2.12) — Watching gauges, dials, or other indicators to make sure a machine is working pr
  Quality Control Analysis (imp:2.12 lvl:2.00) — Conducting tests and inspections of products, services, or processes to evaluate
  Management of Material Resources (imp:1.88 lvl:1.38) — Obtaining and seeing to the appropriate use of equipment, facilities, and materi
  Technology Design (imp:1.75 lvl:0.88) — Generating or adapting equipment and technology to serve user needs.
  Operation and Control (imp:1.75 lvl:1.00) — Controlling operations of equipment or systems.
  Management of Financial Resources (imp:1.75 lvl:0.88) — Determining how money will be spent to get the work done, and accounting for the
  Programming (imp:1.62 lvl:0.62) — Writing computer programs for various purposes.
  Troubleshooting (imp:1.50 lvl:0.62) — Determining causes of operating errors and deciding what to do about it.
  Equipment Selection (imp:1.25 lvl:0.25) — Determining the kind of tools and equipment needed to do a job.
  Installation (imp:1.00) — Installing equipment, machines, wiring, or programs to meet specifications.
  Equipment Maintenance (imp:1.00) — Performing routine maintenance on equipment and determining when and what kind o
  Repairing (imp:1.00) — Repairing machines or systems using the needed tools.

--- NATIONAL WAGES ---
  total_employment : 7,920
  annual_median    : $134,040
  annual_pct10     : $93,620
  annual_pct25     : $116,510
  annual_pct75     : $157,400
  annual_pct90     : $188,320
  annual_mean      : $136,980
  hourly_median    : $64.44

--- GEOGRAPHIC DISPERSION ---
  highest_state    : California ($203,840)
  lowest_state     : North Dakota ($72,630)
  dispersion_ratio : 2.807x

--- TOP STATES BY WAGE (39 total) ---
  Health Care and Social Assistance        emp:    7,720  median: $ 134,150
  Educational Services                     emp:      110  median: $ 133,830

--- TOP INDUSTRIES BY EMPLOYMENT (2 total) ---
  Health Care and Social Assistance        emp:    7,720  median: $ 134,150
  Educational Services                     emp:      110  median: $ 133,830

exact_match_status : found
matched_title      : Nurse midwife
match_score        : 0.8889
wikidata_qid       : Q85790021
word_count         : 304
wikipedia_url      : https://en.wikipedia.org/wiki/Nurse_midwife
license            : CC BY-SA 4.0
fetched_at         : 2026-06-02T21:36:35.043561Z

--- WIKIPEDIA FULL TEXT ---
A nurse midwife is both a nurse (usually a registered nurse) and a midwife, having completed nursing and midwifery education leading to practice as a nurse midwife and sometimes credentialed in the specialty. Nurse midwives provide care of women across the lifespan, including during pregnancy and the postpartum period, and well woman care and birth control.


== Practice ==
Nurse midwives can function as primary healthcare providers for women and most often provide medical care for relatively healthy women, whose health and births are considered uncomplicated rather than high risk, as well as their neonates. Women with high risk pregnancies can often receive the benefits of midwifery care from a nurse midwife in collaboration with a physician. The nurse midwife may work closely or in collaboration with an obstetrician & gynecologist, who provides consultation and assistance to patients who develop complications or have complex medical histories or disease(s). They provide health care for sexual health, as they also see women for routine exams and are able to initiate all types of contraception.
Nurse midwives practice in hospitals and private practice medical clinics and may also deliver babies in birthing centers and attend at-home births. Some work with academic institutions as professors. They are able to prescribe medications, treatments, medical devices, therapeutic and diagnostic measures. They are also able to provide medical care to women from puberty through menopause, including care for their newborn (neonatology), antepartum, intrapartum, postpartum and nonsurgical gynecological care. In some cases, nurse midwives may also provide care to the male partner of their female patient in areas of sexually transmitted diseases and reproductive health. In the United States, less than one percent of nurse midwives are men.


== See also ==
Mary Breckinridge, Founder of Frontier Nursing Service
Certified Nurse‐Midwife (United States)
Childbirth
Doula
Nurse practitioner
Obstetrical nursing


== References ==

--- SEMANTIC NEIGHBORS (5) ---

  Title: Certified nurse-midwife (similarity: 0.5946)
  URL: https://en.wikipedia.org/wiki/Certified_nurse-midwife
  QID: Q7070208
  Extract: In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives' essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as

  Title: Midwife (similarity: 0.5714)
  URL: https://en.wikipedia.org/wiki/Midwife
  QID: Q185196
  Extract: A midwife is a health professional who cares for mothers and newborns around childbirth, a specialisation known as midwifery.

  Title: Midwives in the United States (similarity: 0.3721)
  URL: https://en.wikipedia.org/wiki/Midwives_in_the_United_States
  QID: Q17000890
  Extract: Midwives in the United States assist childbearing women during pregnancy, labor and birth, and the postpartum period. Some midwives also provide primary care for women including well-woman exams, health promotion, and disease prevention, family planning options, and care for common gynecological con

  Title: Advanced practice nurse (similarity: 0.2703)
  URL: https://en.wikipedia.org/wiki/Advanced_practice_nurse
  QID: Q12615130
  Extract: An advanced practice nurse (APN) is a nurse with post-graduate education and training in nursing. Nurses practising at this level may work in either a specialist or generalist capacity. APNs are prepared with advanced didactic and clinical education, knowledge, skills, and scope of practice in nursi

  Title: Certified Midwife (similarity: 0.5806)
  URL: https://en.wikipedia.org/wiki/Certified_Midwife
  QID: Q135177631
  Extract: A Certified Midwife (CM) is a professional midwifery credential in the United States issued by the American Midwifery Certification Board (AMCB). Certified Midwives are trained to provide full-scope midwifery care, including prenatal, birth, postpartum, newborn, and well-person gynecologic care. CMs

model_pass1          : claude-sonnet-4-20250514
model_pass2          : claude-haiku-4-5-20251001
inference_confidence : high
confidence_notes     : High confidence supported by comprehensive O*NET data, exact Wikipedia match, detailed wage information, and clear educational requirements. The occupation has well-defined scope of practice and professional standards.
inferred_at          : 2026-06-03T19:02:11.066164+00:00
tokens_input         : 4,714
tokens_output        : 4,630
cost_usd             : $0.051771
wikipedia_used       : True
wikipedia_title      : Nurse midwife
wikipedia_note       : The Wikipedia entry confirms that nurse midwives are dual-credentialed professionals who provide comprehensive women's healthcare across the lifespan. The definition aligns with O*NET data showing their role in pregnancy care, postpartum support, and well-woman services.

--- PROSE FIELDS ---

ROLE SUMMARY:
Nurse Midwives are advanced practice nurses who diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team, requiring specialized graduate nursing education. They provide comprehensive care throughout pregnancy, childbirth, and the postpartum period, with many also offering well-woman gynecological services. These healthcare professionals combine nursing expertise with specialized midwifery training to deliver evidence-based maternal care.

DAY IN THE LIFE:
A Nurse Midwife begins their day reviewing patient charts and documenting health histories, symptoms, and diagnostic information in electronic health records like Epic Systems. They monitor fetal development by listening to fetal heartbeats, taking external uterine measurements, and identifying fetal positions during prenatal visits. Throughout the day, they prescribe medications as permitted by state regulations and order diagnostic or laboratory tests to assess maternal and fetal wellbeing. They provide direct family planning services, such as inserting intrauterine devices and dispensing oral contraceptives. When emergencies arise, they initiate interventions to stabilize patients and coordinate with other healthcare team members. They spend significant time explaining procedures to patients and family members, developing individualized care plans, and establishing therapeutic relationships with expectant mothers.

WHO THRIVES:
Individuals who excel as Nurse Midwives possess strong social orientation and integrity, as evidenced by the work styles emphasizing these traits at importance levels of 7.0 and 10.0 respectively. They demonstrate exceptional active listening skills and critical thinking abilities, necessary for making complex clinical decisions during childbirth. The role attracts people with high problem sensitivity and deductive reasoning capabilities, as they must quickly identify potential complications and implement appropriate interventions. Successful practitioners exhibit cautiousness (importance 9.0) balanced with the confidence to work independently, often serving as primary care providers for low-risk pregnancies. They thrive on meaningful interpersonal relationships and find fulfillment in supporting women through transformative life experiences.

CAREER ENTRY:
Entry into this profession requires extensive preparation, beginning with earning a Bachelor of Science in Nursing (BSN) and becoming a licensed Registered Nurse. Candidates must then complete a Master's degree in Nurse-Midwifery (81.2% of practitioners) or obtain a Post-Master's Certificate (15.6%), with some pursuing Post-Baccalaureate Certificates (3.1%). The educational program includes advanced coursework in maternal-child health, pharmacology, and clinical rotations in obstetrics and gynecology. Following graduation, aspiring Nurse Midwives must pass the national certification examination administered by the American Midwifery Certification Board to become Certified Nurse-Midwives (CNM).

CAREER TRAJECTORY:
Nurse Midwives can advance into leadership roles within birth centers, hospitals, or private practice settings, potentially becoming department directors or opening independent midwifery practices. Many pursue additional certifications in specialized areas such as family planning or lactation consulting to expand their scope of practice. Some transition into academia, teaching in nursing or midwifery programs, while others move into healthcare administration or policy development. The strong foundation in advanced practice nursing also provides pathways to other nurse practitioner specialties or doctoral-level positions in nursing leadership.

MARKET INTELLIGENCE:
According to BLS OEWS May 2025 data, Nurse Midwives earn a median annual salary of $134,040, with employment concentrated among 7,920 professionals nationwide. The salary range spans from $93,620 (10th percentile) to $188,320 (90th percentile), reflecting variations in experience, geographic location, and practice setting. California offers the highest compensation at $203,840 annually, while North Dakota provides the lowest at $72,630, creating a significant 2.81x geographic wage differential. Employment is overwhelmingly concentrated in Health Care and Social Assistance (7,720 positions) with minimal representation in Educational Services (110 positions). The specialized nature of this role and growing emphasis on patient-centered care suggests stable demand, particularly in areas with limited access to obstetric services.

AUTOMATION OUTLOOK:
Nurse Midwives face low automation risk due to their work activities emphasizing human interaction, clinical judgment, and hands-on patient care that cannot be easily replicated by technology. The core functions of assisting and caring for others (importance 4.9, level 6.2) and establishing interpersonal relationships (importance 4.6, level 5.6) require emotional intelligence and adaptive response capabilities beyond current AI capabilities. While technology may enhance documentation efficiency and diagnostic accuracy, the fundamental aspects of providing prenatal care, attending births, and offering emotional support remain inherently human-centered activities requiring professional discretion and therapeutic presence.

--- REASONED EDGES ---
  [skill_overlap] Nurse Practitioners (29-1171.00) — confidence:high
    reasoning: Both roles share identical top skills including Active Listening (4.1), Speaking (4.1), and Critical Thinking (4.1), indicating strong skill transferability between advanced practice nursing specialties.
    data: Active Listening imp:4.1
    data: Speaking imp:4.1
    data: Critical Thinking imp:4.1
  [career_pathway] Registered Nurses (29-1141.00) — confidence:high
    reasoning: Nurse Midwives build upon RN foundation with both roles emphasizing Assisting and Caring for Others and Documenting Information as primary work activities, representing a natural career progression.
    data: Assisting and Caring for Others imp:4.9
    data: Documenting/Recording Information imp:4.8
    data: Graduate nursing education requirement
  [knowledge_overlap] Obstetricians and Gynecologists (29-1218.00) — confidence:high
    reasoning: Both roles require extensive Medicine and Dentistry knowledge (imp:4.8) and focus on women's reproductive health, with overlapping responsibilities in prenatal care and childbirth management.
    data: Medicine and Dentistry imp:4.8, lvl:5.7
    data: Prenatal care tasks
    data: Gynecological services
  [task_similarity] Midwives (29-9099.01) — confidence:high
    reasoning: Direct task overlap in providing prenatal, intrapartum, and postpartum care, with both roles monitoring fetal development and coordinating birthing processes.
    data: Provide prenatal, intrapartum, postpartum care
    data: Monitor fetal development
    data: Coordinate birthing process
  [riasec_cluster] Clinical Nurse Specialists (29-1141.04) — confidence:medium
    reasoning: Both roles exhibit strong Social orientation in their RIASEC profiles, emphasizing patient care, interpersonal relationships, and service-oriented work environments.
    data: Social orientation S:5.96
    data: Social Perceptiveness imp:4.1
    data: Service Orientation imp:3.9

--- NORMALIZER SIGNALS ---
  match_keywords   : ['nurse midwife', 'certified nurse-midwife', 'CNM', 'midwifery', 'prenatal care', 'childbirth', 'obstetrics', 'maternal health']
  exclude_keywords : ['medical assistant', 'doula', 'labor coach', 'birthing coach', 'childbirth educator']
  title_patterns   : ['Nurse Midwife', 'Certified Nurse-Midwife', 'CNM', 'Staff Nurse Midwife', 'Registered Nurse Midwife']
  common_variations: ['Nurse-Midwife', 'Nurse Midwife', 'CNM', 'Certified Nurse Midwife', 'Staff CNM', 'Postpartum Nurse', 'Maternal Health Nurse', 'Birth Center Nurse']

total_terms    : 40
top_words      : ['care', 'tendency', 'others', 'nurse', 'health', 'midwives', 'equipment', 'medical', 'patients', 'midwifery', 'principles', 'women', 'practice', 'nursing', 'midwife', 'control', 'includes', 'physical', 'services', 'procedures']
source_layers  : onet_tasks | onet_dimensions | dwas | wikipedia | inference

TERM                    COUNT     FREQ  DOMINANT SOURCE      SOURCE BREAKDOWN
──────────────────────────────────────────────────────────────────────────────────────────
care                       44  0.01412  wikipedia            wikipedia:34%  onet_tasks:27%  inference:20%
tendency                   42  0.01348  onet_dimensions      onet_dimensions:100%
others                     41  0.01316  onet_dimensions      onet_dimensions:93%  inference:5%  onet_tasks:2%
nurse                      35  0.01123  wikipedia            wikipedia:63%  inference:34%  onet_tasks:3%
health                     25  0.00802  onet_tasks           onet_tasks:32%  wikipedia:28%  dwas:20%
midwives                   24  0.00770  wikipedia            wikipedia:62%  inference:33%  onet_tasks:4%
equipment                  23  0.00738  onet_dimensions      onet_dimensions:100%
medical                    22  0.00706  dwas                 dwas:64%  wikipedia:23%  onet_tasks:9%
patients                   19  0.00610  onet_tasks           onet_tasks:47%  dwas:32%  inference:11%
midwifery                  17  0.00546  wikipedia            wikipedia:65%  inference:29%  onet_tasks:6%
principles                 16  0.00513  onet_dimensions      onet_dimensions:100%
women                      15  0.00481  wikipedia            wikipedia:60%  onet_tasks:13%  dwas:13%
practice                   15  0.00481  wikipedia            wikipedia:53%  inference:33%  onet_tasks:13%
nursing                    15  0.00481  wikipedia            wikipedia:47%  inference:40%  onet_tasks:7%
midwife                    15  0.00481  wikipedia            wikipedia:93%  inference:7%
control                    14  0.00449  onet_dimensions      onet_dimensions:86%  wikipedia:14%
includes                   13  0.00417  onet_dimensions      onet_dimensions:92%  inference:8%
physical                   12  0.00385  onet_dimensions      onet_dimensions:50%  onet_tasks:25%  dwas:25%
services                   12  0.00385  onet_dimensions      onet_dimensions:50%  inference:42%  onet_tasks:8%
procedures                 12  0.00385  onet_dimensions      onet_dimensions:67%  dwas:17%  onet_tasks:8%
objects                    12  0.00385  onet_dimensions      onet_dimensions:100%
activities                 12  0.00385  onet_dimensions      onet_dimensions:75%  inference:17%  dwas:8%
ideas                      11  0.00353  onet_dimensions      onet_dimensions:100%
identifying                10  0.00321  onet_dimensions      onet_dimensions:80%  onet_tasks:10%  inference:10%
patient                    10  0.00321  dwas                 dwas:50%  inference:30%  onet_tasks:10%
techniques                 10  0.00321  onet_dimensions      onet_dimensions:100%
standards                  10  0.00321  onet_dimensions      onet_dimensions:80%  dwas:10%  wikipedia:10%
resources                  10  0.00321  onet_dimensions      onet_dimensions:90%  dwas:10%
materials                  10  0.00321  onet_dimensions      onet_dimensions:100%
quickly                    10  0.00321  onet_dimensions      onet_dimensions:90%  inference:10%
body                       10  0.00321  onet_dimensions      onet_dimensions:100%
orientation                10  0.00321  onet_dimensions      onet_dimensions:90%  inference:10%
postpartum                  9  0.00289  wikipedia            wikipedia:56%  onet_tasks:22%  inference:22%
family                      9  0.00289  onet_tasks           onet_tasks:44%  inference:33%  dwas:11%
performing                  9  0.00289  onet_dimensions      onet_dimensions:89%  onet_tasks:11%
problems                    9  0.00289  onet_dimensions      onet_dimensions:100%
human                       9  0.00289  onet_dimensions      onet_dimensions:78%  inference:22%
developing                  9  0.00289  onet_dimensions      onet_dimensions:89%  inference:11%
healthcare                  9  0.00289  inference            inference:56%  dwas:33%  wikipedia:11%
fetal                       8  0.00257  onet_tasks           onet_tasks:50%  inference:50%