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Nurse Midwives

SOC 29-1161.00Job Zone 5 · Extensive Preparationv.26.05

Context coveredThis framework covers nurse midwifery practice across prenatal, intrapartum, postpartum, newborn, and family planning care settings, from supervised entry-level clinical roles through organizational leadership in hospital, birth center, and community health environments.

Sources:O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.SkillsCrosswalkSkillsCrosswalk — O*NET enrichment + adjacency index. Opens in new tab.
Emerging
Entry / Apprentice
  1. Prenatal patient health histories and symptom documentation — collect and record under clinical supervision in a hospital or birth center setting.
  2. Fetal heartbeat and uterine measurements — monitor and report findings to supervising midwife or physician during routine prenatal visits.
  3. Diagnostic and laboratory test orders — submit and retrieve results under direct guidance of a preceptor in an outpatient obstetric clinic.
  4. Individualized care plans — contribute structured input to development activities under the direction of a senior nurse midwife.
  5. Clinical procedures and examination steps — explain clearly to patients and family members using approved protocols in a supervised labor and delivery unit.
  6. Oral contraceptive dispensing and basic family planning instructions — provide to patients following established clinical protocols under close oversight.
  7. Electronic medical software and patient record systems — enter, retrieve, and organize patient data accurately in a supervised clinical environment.
  8. Fetal position identification and estimated fetal size — assess using external palpation techniques under direct preceptor observation in a prenatal clinic.
  9. Evidence-based clinical guidelines and professional literature — read and summarize to support patient care decisions under mentorship guidance.
  10. Intrapartum patient status changes — recognize and escalate promptly to supervising clinicians during monitored labor support rotations.
Developing
Mid-level / Established
  1. Prenatal, intrapartum, and postpartum care across routine presentations — deliver with reduced oversight in a community birth center or hospital-based midwifery practice.
  2. Fetal development progression — monitor across successive prenatal visits by integrating heartbeat auscultation, fundal height measurements, and position assessment in an outpatient setting.
  3. Comprehensive patient health histories and physical condition records — document accurately and completely in electronic medical software within established clinical workflows.
  4. Intrauterine device insertion and cervical barrier fitting — perform competently using sterile technique in a family planning or women's health clinic with periodic peer review.
  5. Medications permitted under state regulations — prescribe appropriately for routine obstetric and gynecologic conditions while coordinating with collaborative physician partners.
  6. Individualized health care management plans — develop and implement for low-to-moderate-risk patients by integrating assessment findings and patient preferences in a midwifery-led practice.
  7. Diagnostic and laboratory test results — interpret and communicate findings to patients with clarity and appropriate clinical follow-up in a busy obstetric outpatient setting.
  8. Active listening and social perceptiveness — apply consistently during patient encounters to identify psychosocial factors affecting maternal or newborn health outcomes.
  9. Care coordination activities — manage across prenatal, birth, and postpartum phases by collaborating with nursing, neonatal, and social work teams in a hospital setting.
  10. Family planning counseling conversations — conduct with cultural sensitivity and evidence-based guidance for patients across diverse demographic backgrounds in a community health setting.
Proficient
Senior / Expert IC
  1. Full-scope prenatal, intrapartum, postpartum, and newborn care — deliver autonomously for routine and moderately complex cases in a hospital or freestanding birth center.
  2. Fetal development anomalies and deviations from normal growth patterns — identify and manage through timely diagnostic escalation and collaborative consultation in a high-volume obstetric unit.
  3. Complex patient health records involving co-morbidities and high-risk factors — document, analyze, and synthesize to inform individualized care decisions in an integrated health system.
  4. Full range of family planning services including IUD insertion, oral contraceptive management, and barrier fitting — provide to patients with varied clinical histories in a comprehensive women's health practice.
  5. Pharmacological treatment regimens for obstetric and gynecologic conditions — prescribe and adjust within the full scope permitted by state regulation, applying clinical judgment to individual patient needs.
  6. Individualized care plans for high-risk or complex pregnancies — develop, implement, and revise based on evolving diagnostic findings and patient-centered goals in a multidisciplinary care setting.
  7. Advanced diagnostic laboratory tests including genetic screening, fetal surveillance, and maternal labs — order, interpret, and integrate into care management decisions across a diverse patient caseload.
  8. Non-routine clinical events such as labor dystocia, postpartum hemorrhage, or neonatal compromise — assess rapidly and manage or escalate with precision in a hospital labor and delivery unit.
  9. Clinical education sessions and procedure explanations — deliver to patients, family members, and junior staff in ways that build understanding and support informed consent across varied literacy levels.
  10. Systems analysis of care delivery gaps or workflow inefficiencies — conduct and recommend evidence-based improvements within a midwifery practice or maternal health department.
Advanced
Lead / Principal / Executive
  1. Midwifery practice standards and clinical protocols — author, implement, and evaluate at an organizational level to elevate safety and quality across a health system's maternal care continuum.
  2. Emerging evidence in prenatal, intrapartum, and neonatal care — synthesize and translate into updated institutional guidelines, leading policy adoption across multidisciplinary teams.
  3. Strategic family planning program development — design and oversee at scale, integrating service delivery models that address population health needs and health equity goals in a regional or system-wide context.
  4. Prescribing authority frameworks and scope-of-practice regulations — interpret, advocate for, and apply strategically to expand nurse midwifery capabilities within legal and institutional structures.
  5. Mentorship and clinical supervision of emerging and developing nurse midwives — lead systematically through structured preceptorship programs that build workforce competency across a practice or health system.
  6. Quality improvement and patient safety initiatives for maternal-newborn outcomes — lead cross-functional teams in designing, piloting, and measuring evidence-based interventions at the organizational level.
  7. Complex ethical, legal, and psychosocial cases in midwifery practice — resolve through principled decision-making frameworks that balance patient autonomy, clinical risk, and institutional accountability.
  8. Interdisciplinary collaboration with obstetrics, neonatology, social work, and public health — lead at an executive or program director level to integrate midwifery into comprehensive women's health service lines.
  9. Health data analytics and outcome metrics for midwifery-managed patient populations — oversee collection, analysis, and reporting using medical and spreadsheet software to drive strategic care improvements.
  10. Workforce development curricula, clinical education programs, and learning strategies for advanced midwifery practice — design and champion across academic-practice partnership settings to shape the next generation of practitioners.

AI-at-Work Competency Framework

Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.
Subscriber feature

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. AI-assisted documentation drafting — uses AI tools to generate initial drafts of patient health histories and symptom narratives from structured inputs, then reviews and corrects clinical detail before submission Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Clinical decision support orientation — recognizes where AI-generated alerts or risk flags appear in prenatal monitoring workflows and escalates unusual outputs to supervising clinicians rather than acting on them independently WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Developing
  1. Prenatal record summarization — directs an AI assistant to consolidate visit notes, fetal measurement trends, and lab results into a coherent longitudinal summary, verifying accuracy against source documentation before sharing with the care team Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Medication reference delegation — hands off drug-interaction and dosage queries to an AI tool when prescribing within state scope, then cross-checks output against clinical pharmacopeia before finalizing orders Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  3. Active listening support — applies AI transcription tools to capture patient-reported symptoms and birth preferences during intake interviews, retaining full clinical judgment over interpretation and care planning Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Proficient
  1. Intrapartum monitoring augmentation — integrates AI-assisted fetal heart rate pattern analysis alongside direct auscultation and external uterine measurement, using AI output as a secondary signal while anchoring decisions in physical assessment Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. Family planning workflow efficiency — leverages AI-generated patient education drafts for contraceptive counseling, adapting language, tone, and clinical emphasis to each patient's literacy level and cultural context before delivery Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Postpartum care coordination — uses AI tools to flag patients at elevated risk for postpartum depression or hemorrhage based on documented indicators, then designs individualized follow-up plans that AI alone cannot determine Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  4. Documentation throughput optimization — structures AI-assisted charting to achieve time savings on administrative tasks, redirecting recovered time toward direct patient interaction and hands-on assessment Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Advanced
  1. AI capability boundary arbitration — evaluates new AI clinical tools entering the midwifery practice against the occupation's Q2 augmentation profile, identifying which tasks benefit from AI collaboration and which require exclusively human perceptual and relational skill Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. Care protocol co-development — leads interdisciplinary teams in designing AI-assisted prenatal and intrapartum monitoring protocols, establishing validation checkpoints that preserve midwife accountability for all clinical judgments Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  3. AI output quality stewardship — audits patterns in AI-generated documentation and decision-support outputs across the practice, identifying systematic errors or demographic biases before they propagate into patient care decisions Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  4. Advanced scope AI integration — aligns AI tool deployment with evolving state regulatory boundaries on prescribing and procedural authority, ensuring automated recommendations stay within the midwife's legally sanctioned scope of practice WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Evidence pack
AEI usage
Task observations: 119
Augment share: 11.9%
Time saved: 79.7%
AI autonomy: 3.36
SAFI positioning
Top skill: Active Listening
Score: 42.2 / 100
Quadrant: Q2_ai_augmented
precision: exact
WEF cluster
Human-Technology Interaction
human_technology_interaction
Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.

Pathsmith Durable Skills Framework

Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Subscriber feature

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication11 statements
Emerging
  1. Patient intake communication — elicits basic prenatal symptoms and obstetric history through structured interview while maintaining empathetic rapport Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Procedure explanation — describes routine prenatal assessments to patients and family members using plain, accessible language O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Diagnostic communication — conveys laboratory and ultrasound results to patients with clarity, addressing questions about fetal development and maternal health Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Interprofessional reporting — communicates patient status, risk indicators, and care plan updates to obstetricians, nurses, and consulting physicians during handoffs O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Health literacy adaptation — adjusts explanation of contraceptive options and family planning services to match patient educational background and cultural context Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Intrapartum communication — delivers calm, directive guidance to laboring patients and support persons during active labor and delivery, adapting tone to evolving clinical urgency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical documentation — authors comprehensive, precise health histories, physical findings, and diagnostic interpretations in patient records that support continuity of care O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Informed consent dialogue — facilitates structured conversations about procedural risks, benefits, and alternatives for interventions such as IUD insertion or cervical barrier fitting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Patient advocacy communication — translates complex perinatal risk assessments into actionable, culturally sensitive care narratives that empower patient decision-making across diverse populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Institutional communication leadership — develops standardized communication protocols for prenatal care teams that reduce information gaps and improve patient safety outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Community health education — designs and delivers reproductive health education programs for community groups, staff, and student midwives that build population-level health literacy Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
2Leadership10 statements
Emerging
  1. Care plan initiation — takes ownership of developing basic individualized prenatal care plans under supervision, demonstrating initiative in patient health management Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Team participation — contributes to interprofessional care team discussions by sharing clinical observations and patient concerns proactively Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Care coordination leadership — leads the coordination of patient-centered care across prenatal, intrapartum, and postpartum phases, directing the sequencing of services and referrals Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Student and staff mentorship — guides nursing students or junior midwifery staff through clinical procedures and patient interaction protocols in supervised practice settings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Clinical decision authority — assumes accountable leadership during labor and delivery, directing care team actions, escalating to obstetric consultation when clinical thresholds are met Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Protocol ownership — leads implementation of evidence-based prenatal screening and newborn care protocols within a practice setting, monitoring adherence and outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Patient empowerment leadership — motivates patients to engage actively in birth planning and postpartum recovery through goal-setting and shared decision-making frameworks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Practice transformation leadership — drives systemic improvements in midwifery care delivery models, championing policy changes that expand access to family planning and perinatal services Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Interdisciplinary team development — builds and sustains high-functioning perinatal care teams by establishing trust, resolving conflict, and cultivating collaborative clinical culture Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Profession advocacy — represents midwifery perspectives in institutional governance, regulatory bodies, or professional organizations to advance scope-of-practice standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
3Metacognition9 statements
Emerging
  1. Clinical self-monitoring — identifies gaps in knowledge of obstetric pharmacology or fetal assessment techniques and seeks guidance from supervising practitioners Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Learning strategy awareness — reflects on which clinical learning methods—simulation, observation, or case review—best accelerate skill acquisition in midwifery procedures Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Diagnostic reasoning review — evaluates own clinical reasoning process after interpreting lab results or fetal monitoring strips to identify systematic errors or knowledge gaps Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Continuing education planning — constructs a self-directed learning plan aligned with evolving state prescribing regulations and evidence updates in perinatal care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Intrapartum decision audit — retrospectively analyzes own intrapartum management decisions against clinical outcomes to calibrate future judgment under similar conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cognitive bias recognition — identifies and corrects anchoring or confirmation bias when assessing atypical presentations of labor complications or postpartum conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Practice pattern evaluation — monitors own prescribing and referral patterns against current guidelines to ensure alignment with best practices Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Reflective practice modeling — structures formal case debriefs and reflective practice sessions for midwifery teams that institutionalize metacognitive habits and improve collective clinical reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Epistemic humility in innovation — evaluates own assumptions when integrating emerging perinatal technologies or protocols, distinguishing evidence-based confidence from premature adoption Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
4Critical Thinking11 statements
Emerging
  1. Symptom pattern recognition — identifies common prenatal warning signs such as hypertensive symptoms or abnormal fetal movement and links them to appropriate next assessment steps Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Data interpretation initiation — reads and interprets standard prenatal laboratory values against reference ranges under supervision to support diagnostic conclusions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Differential diagnosis construction — generates and systematically evaluates competing explanations for atypical maternal or fetal findings using clinical evidence and patient history Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Diagnostic test justification — determines the clinical necessity and appropriate interpretation of ordered tests such as GBS cultures, non-stress tests, or glucose tolerance screens Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Risk stratification analysis — applies evidence-based criteria to categorize patients by perinatal risk level, adjusting monitoring frequency and referral decisions accordingly Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Intrapartum complication analysis — evaluates fetal heart rate tracings, labor progress data, and maternal vitals simultaneously to identify emerging complications and determine intervention priority Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Evidence-based protocol evaluation — critically appraises clinical guidelines for prenatal screening, medication prescribing, and family planning to distinguish strong evidence from expert opinion Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Care plan logic validation — tests individualized care plan assumptions against patient-specific biological, psychosocial, and cultural factors before implementation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Complex case synthesis — integrates multisystem clinical data across high-risk pregnancies involving comorbidities to construct comprehensive, defensible clinical management decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. System-level critical analysis — evaluates institutional care pathways and referral criteria for logical gaps or biases that contribute to adverse perinatal outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Research translation — critically evaluates perinatal research methodology and effect sizes to determine applicability of new findings to specific patient populations in practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
5Collaboration10 statements
Emerging
  1. Care team integration — participates constructively in perinatal care team meetings, sharing patient observations and deferring appropriately to senior clinicians on complex cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Referral initiation — identifies when patient needs exceed midwifery scope and initiates timely referral communication with obstetricians or specialist providers Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Interprofessional care coordination — collaborates with labor and delivery nurses, anesthesiologists, and pediatricians to execute unified intrapartum care plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Community resource navigation — works with social workers, lactation consultants, and mental health providers to address the full spectrum of patient postpartum needs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Family inclusion in care — integrates patient family members or birth partners as active collaborators in prenatal education and birth planning processes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Shared decision-making facilitation — co-constructs individualized care management plans with patients, incorporating patient values alongside clinical evidence and team input Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Conflict navigation — mediates differing clinical perspectives between midwifery and obstetric team members regarding labor management approach, maintaining patient-centered focus Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Cross-setting continuity — coordinates handoffs between prenatal clinic, labor and delivery, postpartum unit, and outpatient follow-up to ensure seamless information transfer and care consistency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Collaborative practice model development — designs and implements collaborative practice agreements with physician partners that optimize scope-of-practice boundaries and improve care access Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Multidisciplinary team leadership — convenes and facilitates high-risk perinatal case conferences integrating obstetrics, neonatology, maternal-fetal medicine, and social services around unified patient goals Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
6Character10 statements
Emerging
  1. Professional accountability — accepts responsibility for clinical decisions and documentation accuracy, promptly disclosing errors to supervising practitioners and patients Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Patient dignity maintenance — upholds respectful, non-judgmental interaction with patients across diverse reproductive choices and cultural backgrounds during all care encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Ethical boundary observance — maintains clear professional boundaries in therapeutic relationships with patients across extended prenatal care episodes without supervisory prompting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Confidentiality stewardship — protects patient reproductive health information in documentation, communication, and care transitions with consistent adherence to privacy standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Scope-of-practice integrity — exercises clinical judgment within legally defined midwifery scope, transparently escalating cases that exceed competence without ego-defensive delay Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Ethical dilemma navigation — works through conflicts between patient autonomy, clinical safety, and institutional policy in birth plan or treatment refusal scenarios using structured ethical reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Cultural humility practice — acknowledges personal cultural assumptions and adjusts care delivery to honor patient cultural, religious, and familial values in reproductive health decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Ethical leadership modeling — establishes team norms for ethical practice, accountability, and patient-centered integrity that shape the professional culture of a midwifery practice or unit Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Advocacy under pressure — openly advocates for patient rights and evidence-based care standards in institutional or interprofessional settings even when facing hierarchical resistance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Moral courage in systemic inequity — identifies and actively challenges structural barriers—including racial and socioeconomic disparities—in perinatal care access and outcomes within the practice setting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity9 statements
Emerging
  1. Individualized care adaptation — modifies standard prenatal education materials to address unique patient literacy, language, or cultural needs when standard approaches are insufficient Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Problem-solving exploration — generates alternative explanations or assessment approaches when a patient's clinical presentation does not fit typical patterns Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Birth plan co-design — collaborates with patients to craft creative, personalized birth plans that honor individual preferences while maintaining clinical safety parameters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient engagement innovation — designs novel approaches to increase patient adherence to prenatal visit schedules and health monitoring in underserved or high-barrier populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Care pathway redesign — develops innovative care coordination workflows that reduce unnecessary prenatal interventions while improving maternal and neonatal outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical teaching creativity — creates scenario-based learning experiences for midwifery students and new staff that replicate high-stakes intrapartum decision-making in safe environments Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Family planning counseling innovation — develops individualized contraceptive counseling frameworks that integrate patient life goals, health history, and preference in non-formulaic ways Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Program innovation leadership — conceives and pilots new midwifery care delivery models—such as group prenatal care or telehealth perinatal monitoring—that expand access and improve outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Research-to-practice translation — creatively applies emerging perinatal research findings to generate testable practice improvements within the clinical environment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
8Growth Mindset10 statements
Emerging
  1. Feedback receptivity — accepts clinical performance feedback from supervising midwives and obstetricians without defensiveness and incorporates corrections into subsequent patient encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Challenge embracement — approaches unfamiliar clinical presentations—such as breech presentations or rare fetal complications—as learning opportunities rather than threats to competence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Continuing competency pursuit — proactively engages in continuing education on evolving prescribing guidelines, diagnostic technologies, and evidence-based perinatal protocols Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Error-driven learning — analyzes adverse or near-miss clinical events to extract specific, actionable lessons that modify future clinical practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Scope expansion initiative — voluntarily pursues additional credentialing or supervised practice in emerging midwifery competencies such as advanced newborn assessment or menopause management Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Resilient adaptation to change — integrates revised institutional protocols, new regulatory requirements, or updated clinical guidelines into practice with minimal disruption and maximum fidelity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Peer learning engagement — seeks peer consultation and case discussion as a routine strategy for professional growth rather than only when formally required Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Growth culture cultivation — creates learning environments within midwifery teams where clinical mistakes are examined openly as improvement data rather than sources of shame Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Professional evolution modeling — publicly shares own professional growth journey—including past clinical errors and resulting competency gains—to normalize growth mindset across the midwifery profession Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Innovation adoption leadership — leads the evaluation and integration of new perinatal care technologies and methodologies, managing team learning curves and resistance throughout adoption Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
9Mindfulness9 statements
Emerging
  1. Attentional focus in assessment — maintains focused, undistracted attention during fetal heart tone auscultation and fundal measurement to ensure accurate clinical data collection Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Emotional self-awareness — recognizes own stress responses during high-acuity labor situations and applies basic regulation strategies before interacting with patients or team members Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Present-moment clinical presence — sustains full attentional engagement with the laboring patient during prolonged intrapartum care, resisting distraction from competing demands Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient emotional attunement — detects and responds to subtle shifts in patient affect, anxiety, or pain expression during prenatal and postpartum encounters through sustained social perceptiveness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Intentional communication in crisis — maintains measured, calm verbal and nonverbal communication during obstetric emergencies, preventing personal distress from escalating patient or team anxiety Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Compassion fatigue awareness — monitors own emotional depletion signals across high-volume or high-loss clinical periods and implements self-care strategies to sustain clinical effectiveness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Deliberate decision pacing — creates intentional cognitive pauses before high-stakes decisions—such as escalation timing or medication prescribing—to prevent reactive clinical errors Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Team mindfulness promotion — introduces structured mindfulness practices—such as pre-shift briefings or post-event debriefs—that improve collective attentiveness and emotional regulation in perinatal care teams Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Trauma-informed presence — applies deep situational awareness and intentional emotional attunement when caring for patients with trauma histories, adjusting clinical approach moment-to-moment based on patient cues Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
10Fortitude10 statements
Emerging
  1. Adverse outcome endurance — maintains professional composure and continued patient care responsibilities following difficult clinical outcomes such as fetal loss or maternal complications Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Uncertainty tolerance — continues systematic clinical assessment when fetal or maternal status is ambiguous, resisting premature closure under diagnostic uncertainty Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. High-acuity persistence — sustains focused, effective clinical performance throughout prolonged labor management extending over multiple hours without deterioration in assessment rigor Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Advocacy perseverance — continues to advocate for patient care needs and safety concerns through institutional barriers or hierarchical pushback without abandoning the patient's best interest Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Crisis stabilization under pressure — executes emergency obstetric response protocols—such as management of shoulder dystocia or postpartum hemorrhage—with precision and composure under acute time pressure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Sustained caseload management — maintains clinical quality and patient safety standards across high patient volumes and complex caseloads without sacrificing thoroughness of care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Moral distress resilience — navigates ethically distressing situations—such as late pregnancy loss or patient refusal of lifesaving intervention—without allowing personal distress to compromise clinical duty Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Systemic adversity leadership — leads midwifery teams through sustained organizational challenges—such as staffing crises, regulatory change, or public health emergencies—while preserving team morale and care quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Courageous patient advocacy — takes professional risk to challenge unsafe clinical practices, institutional inequities, or system failures in perinatal care when patient welfare is at stake Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Professional resilience modeling — shares strategies for managing the cumulative emotional weight of perinatal grief, loss, and high-stakes care with peers and trainees in ways that build profession-wide resilience Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
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Source anchors that ground each statement

Related titles
Certified Nurse-Midwife (CNM) · Direct-Entry Midwife · Nurse Midwife · Postpartum Nurse · Postpartum RN (Postpartum Registered Nurse) · Registered Nurse Midwife · Staff Certified Nurse Midwife · Staff Nurse Midwife
RAPIDS apprenticeships
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O*NET skills
Active ListeningCritical ThinkingSocial PerceptivenessSpeakingActive LearningMonitoringReading ComprehensionCoordinationService OrientationComplex Problem SolvingWritingJudgment and Decision MakingInstructingLearning StrategiesSystems AnalysisTime ManagementSystems Evaluation
Knowledge domains
Medicine and DentistryPsychologyCustomer and Personal ServiceEnglish LanguageBiologySociology and AnthropologyTherapy and CounselingEducation and TrainingMathematicsLaw and Government
Abilities
Written ComprehensionProblem SensitivityOral ExpressionOral ComprehensionDeductive ReasoningInductive ReasoningWritten ExpressionNear VisionSpeech RecognitionSpeech Clarity
Work styles
EmpathyAttention to DetailDependabilityCautiousnessCooperationStress Tolerance
Technology
Medical softwareSpreadsheet softwareOffice suite software
Tasks · seed anchors for statements
  1. Provide prenatal, intrapartum, postpartum, or newborn care to patients.
  2. Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
  3. Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
  4. Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
  5. Prescribe medications as permitted by state regulations.
  6. Develop and implement individualized plans for health care management.
  7. Explain procedures to patients, family members, staff members or others.
  8. Order and interpret diagnostic or laboratory tests.
CIP education codes
51.3807

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.