{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:38:15.328Z","occupation":{"soc":"29-9099.01","title":"Midwives","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":5,"jobZoneInferred":false},"framework":{"version":"v.26.05","description":"","contextCovered":"This framework covers the full scope of advanced midwifery practice from supervised entry-level clinical care through independent management of complex pregnancies and labors to organizational leadership, education, policy advocacy, and research in hospital, birth center, and community obstetric settings.","levels":{"emerging":{"label":"Emerging","statements":["Maternal vital signs and uterine contraction patterns — monitor and document under preceptor supervision during active labor in a hospital or birth center setting.","Complete patient health histories including medical, surgical, reproductive, and mental health information — obtain using structured intake tools under direct clinical guidance.","Fetal heartbeat and basic growth indicators — detect and record using Doppler and tape measurement techniques with attending midwife oversight during prenatal visits.","Prenatal health assessment findings — conduct and report systematically at scheduled intervals under supervision to track physical and emotional changes in low-risk patients.","Gestational abnormalities such as hypertension or elevated glucose — recognize early warning signs and escalate findings to supervising practitioners in an outpatient clinic.","Ectopic and tubal pregnancy indicators — identify clinical presentations and initiate referral protocols with guidance from supervising clinical staff.","Emergency response plans for labor complications — follow established protocols and assist senior midwives during urgent maternal or neonatal events.","Newborn status at birth — perform initial assessment and assist with basic care measures, including positioning and airway clearance, under direct supervision in a delivery room.","Electronic medical records and clinical documentation software — enter patient data accurately and retrieve health histories using approved midwifery practice management systems.","Patient communication and active listening techniques — apply during prenatal counseling sessions to gather relevant psychosocial information under structured mentorship."]},"developing":{"label":"Developing","statements":["Maternal vital signs, contraction frequency, and labor progression — monitor and interpret independently across routine low- to moderate-risk labors in a hospital birth unit.","Comprehensive health histories including reproductive, surgical, and mental health domains — obtain and analyze routinely to inform individualized care plans with reduced oversight.","Fetal well-being through heartbeat auscultation, fundal height measurement, and Leopold's palpation — assess and document findings across a full prenatal caseload in community or clinic settings.","Gestational diabetes, pre-term labor, and mild hypertensive disorders — identify, initiate evidence-based monitoring protocols, and coordinate management within a multidisciplinary team.","Ectopic and tubal pregnancies — recognize clinical presentations, complete diagnostic workup, and arrange timely specialist referrals in ambulatory obstetric care environments.","Newborn resuscitation and stabilization procedures — perform confidently using NRP guidelines when neonatal compromise is identified at delivery.","Contingency and emergency care plans for labor and postpartum complications — establish and activate in response to evolving clinical situations with limited supervisory input.","Prenatal emotional and psychological changes — monitor through standardized screening tools and coordinate referrals to counseling or social services when risk is identified.","Clinical and administrative software including ERP and medical record platforms — utilize proficiently to manage scheduling, documentation, and continuity of care across a patient panel.","Patient education regarding birth options, risk reduction, and postpartum recovery — deliver clearly and adapt communication style to diverse health literacy levels in group or individual sessions."]},"proficient":{"label":"Proficient","statements":["Complex maternal conditions including severe hypertension, gestational diabetes with complications, and retarded fetal growth — diagnose, manage autonomously, and coordinate interdisciplinary responses in high-acuity obstetric settings.","Full-scope labor monitoring encompassing vital signs, contraction dynamics, cervical progression, and fetal status — integrate and interpret holistically to guide real-time clinical decisions without supervisory input.","Non-routine fetal growth and well-being concerns identified through palpation, Doppler, and biophysical assessment — evaluate, formulate differential diagnoses, and arrange appropriate escalation pathways.","Ectopic and tubal pregnancies presenting atypically — identify through advanced clinical reasoning, order confirmatory diagnostics, and manage referral and follow-up across the care continuum.","Emergency and contingency protocols for maternal hemorrhage, shoulder dystocia, cord prolapse, and neonatal resuscitation — lead execution independently and debrief team performance post-event.","Individualized prenatal care plans for patients with complex medical, surgical, or mental health histories — develop, implement, and adjust across all trimesters in collaboration with physicians and specialists.","Newborn care at birth including advanced resuscitation, thermoregulation, and early neonatal assessment — provide with clinical authority and integrate findings into postnatal management plans.","Psychosocial and cultural determinants affecting pregnancy outcomes — assess systematically, integrate into care planning, and advocate for patient-centered adaptations within organizational care pathways.","Clinical data trends across a patient population — analyze using spreadsheet and medical software tools to identify care gaps, risk patterns, and opportunities for outcome improvement.","Evidence-based guidelines and emerging research in midwifery practice — critically appraise, synthesize, and translate into updated clinical protocols applied across a full independent caseload."]},"advanced":{"label":"Advanced","statements":["Midwifery practice standards and clinical competency frameworks — design, implement, and evaluate at the organizational or systems level to drive measurable improvements in maternal and neonatal outcomes.","Emergency and high-acuity obstetric response capabilities — lead development of institution-wide protocols, conduct simulation-based training, and oversee quality assurance audits for labor and delivery units.","Complex prenatal risk stratification systems — architect and champion adoption of population-level screening programs for hypertensive disorders, gestational diabetes, and fetal growth restriction across care networks.","Interprofessional obstetric teams including physicians, nurses, and allied health staff — coordinate and lead in high-stakes clinical environments, modeling advanced judgment and decision-making under pressure.","Midwifery education curricula and clinical supervision programs — design and lead to develop the next generation of advanced practice midwives in academic, hospital, or community health settings.","Health policy and regulatory advocacy for midwifery scope of practice — represent the profession at institutional, state, or national forums to expand equitable access to midwife-led care.","Organizational performance data and patient outcome metrics — evaluate using enterprise-level analytics tools and translate findings into strategic quality improvement and resource allocation decisions.","Research initiatives and evidence-generation projects in maternal-fetal health — lead as principal investigator or co-investigator, contributing original findings to peer-reviewed literature and professional guidelines.","Patient safety culture and incident review processes within midwifery and obstetric services — lead root-cause analyses, implement systemic corrective actions, and disseminate learning organization-wide.","Mentorship and professional development ecosystems for emerging and developing midwives — establish structured programs, provide expert clinical coaching, and foster reflective practice across the full workforce pipeline."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}