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Midwives

SOC 29-9099.01Job Zone 5 · Extensive Preparationv.26.05

Context coveredThis 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.

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. Maternal vital signs and uterine contraction patterns — monitor and document under preceptor supervision during active labor in a hospital or birth center setting.
  2. Complete patient health histories including medical, surgical, reproductive, and mental health information — obtain using structured intake tools under direct clinical guidance.
  3. Fetal heartbeat and basic growth indicators — detect and record using Doppler and tape measurement techniques with attending midwife oversight during prenatal visits.
  4. Prenatal health assessment findings — conduct and report systematically at scheduled intervals under supervision to track physical and emotional changes in low-risk patients.
  5. Gestational abnormalities such as hypertension or elevated glucose — recognize early warning signs and escalate findings to supervising practitioners in an outpatient clinic.
  6. Ectopic and tubal pregnancy indicators — identify clinical presentations and initiate referral protocols with guidance from supervising clinical staff.
  7. Emergency response plans for labor complications — follow established protocols and assist senior midwives during urgent maternal or neonatal events.
  8. 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.
  9. Electronic medical records and clinical documentation software — enter patient data accurately and retrieve health histories using approved midwifery practice management systems.
  10. Patient communication and active listening techniques — apply during prenatal counseling sessions to gather relevant psychosocial information under structured mentorship.
Developing
Mid-level / Established
  1. Maternal vital signs, contraction frequency, and labor progression — monitor and interpret independently across routine low- to moderate-risk labors in a hospital birth unit.
  2. Comprehensive health histories including reproductive, surgical, and mental health domains — obtain and analyze routinely to inform individualized care plans with reduced oversight.
  3. 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.
  4. Gestational diabetes, pre-term labor, and mild hypertensive disorders — identify, initiate evidence-based monitoring protocols, and coordinate management within a multidisciplinary team.
  5. Ectopic and tubal pregnancies — recognize clinical presentations, complete diagnostic workup, and arrange timely specialist referrals in ambulatory obstetric care environments.
  6. Newborn resuscitation and stabilization procedures — perform confidently using NRP guidelines when neonatal compromise is identified at delivery.
  7. Contingency and emergency care plans for labor and postpartum complications — establish and activate in response to evolving clinical situations with limited supervisory input.
  8. Prenatal emotional and psychological changes — monitor through standardized screening tools and coordinate referrals to counseling or social services when risk is identified.
  9. Clinical and administrative software including ERP and medical record platforms — utilize proficiently to manage scheduling, documentation, and continuity of care across a patient panel.
  10. 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
Senior / Expert IC
  1. 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.
  2. 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.
  3. Non-routine fetal growth and well-being concerns identified through palpation, Doppler, and biophysical assessment — evaluate, formulate differential diagnoses, and arrange appropriate escalation pathways.
  4. Ectopic and tubal pregnancies presenting atypically — identify through advanced clinical reasoning, order confirmatory diagnostics, and manage referral and follow-up across the care continuum.
  5. Emergency and contingency protocols for maternal hemorrhage, shoulder dystocia, cord prolapse, and neonatal resuscitation — lead execution independently and debrief team performance post-event.
  6. 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.
  7. Newborn care at birth including advanced resuscitation, thermoregulation, and early neonatal assessment — provide with clinical authority and integrate findings into postnatal management plans.
  8. Psychosocial and cultural determinants affecting pregnancy outcomes — assess systematically, integrate into care planning, and advocate for patient-centered adaptations within organizational care pathways.
  9. 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.
  10. 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
Lead / Principal / Executive
  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. Organizational performance data and patient outcome metrics — evaluate using enterprise-level analytics tools and translate findings into strategic quality improvement and resource allocation decisions.
  8. 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.
  9. 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.
  10. 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.

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.
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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 intake — uses AI tools to transcribe and organize prenatal visit notes and patient-reported symptom histories, freeing attention for direct patient interaction Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Clinical reference lookup — queries AI assistants for evidence-based guidelines on routine prenatal care protocols, then verifies outputs against institutional standards before applying them.
Developing
  1. Fetal growth trend analysis — directs AI tools to flag deviations in serial biometric measurements across prenatal visits, then interprets flagged patterns through physical examination and clinical judgment 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..
  2. Risk stratification support — uses AI-generated summaries of patient vitals and history to prioritize which labor patients require immediate assessment, while retaining final triage authority Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  3. Patient education content generation — delegates drafting of prenatal education materials to an AI assistant, then reviews and personalizes the content for each patient's literacy level and cultural context Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Proficient
  1. Labor monitoring augmentation — integrates AI-assisted contraction and fetal heart rate pattern analysis into intrapartum workflows, applying Social Perceptiveness to contextualize algorithmic alerts within the full clinical picture 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. Ectopic pregnancy decision support — runs clinical presentations through AI differential-diagnosis tools to surface ectopic or tubal pregnancy indicators early, then confirms through examination and diagnostic referral before acting Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  3. Handoff communication synthesis — directs AI tools to generate structured handoff summaries from raw documentation, then edits for clinical accuracy and emotional nuance before transferring care to colleagues Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  4. Time-intensive administrative compression — consolidates charting, coding, and correspondence tasks through AI drafting tools, reclaiming clinical bandwidth for hands-on patient monitoring Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Advanced
  1. Human-AI workflow governance — designs unit-level protocols specifying which midwifery tasks are routed to AI tools and which remain exclusively human-directed, anchoring the framework in the Q2 augmented-care model appropriate for Social Perceptiveness-dominant practice 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. Emergency triage boundary setting — establishes clear escalation criteria that prevent AI autonomy from encroaching on time-critical decisions such as neonatal resuscitation or hemorrhage management, where embodied clinical skill is irreplaceable Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. AI output quality evaluation — audits AI-generated prenatal risk assessments and patient summaries for bias, hallucination, and contextual fit, then feeds corrective feedback into institutional AI governance reviews WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  4. Mentorship in critical AI use — trains junior midwives and students to interrogate AI-generated recommendations using clinical reasoning, ensuring the Human-Technology Interaction cluster is grounded in professional judgment rather than passive acceptance 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..
Evidence pack
AEI usage
Task observations: 45
Augment share: 4.5%
Time saved: 76.9%
AI autonomy: 3.49
SAFI positioning
Top skill: Social Perceptiveness
Score: 51.5 / 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.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.

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.

1Communication12 statements
Emerging
  1. Patient history intake — elicits basic reproductive, surgical, and mental health histories using structured interview questions during prenatal visits 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. Birth plan discussion — explains routine labor and delivery procedures to expectant mothers using accessible, non-clinical language Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Clinical documentation — records patient vital signs and examination findings in written notes with guidance from supervising clinicians O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Prenatal counseling — delivers health education on gestational diabetes, hypertension risks, and fetal development to patients across varied literacy levels 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. Interdisciplinary reporting — communicates maternal and fetal status updates to obstetric physicians and nursing staff during care handoffs 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. Emergency communication — relays urgent maternal or neonatal findings to care teams using standardized clinical terminology under supervision O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Labor monitoring communication — describes uterine contraction patterns, fetal heart rate findings, and cervical progress to patients and families in real time during active labor 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. Referral documentation — prepares clear written referrals for ectopic pregnancy, high-risk obstetric conditions, and specialist consultations with complete clinical rationale O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Postpartum debriefing — conducts structured conversations with patients about birth experiences, recovery expectations, and infant feeding plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Multidisciplinary case presentation — leads complex maternal case reviews with obstetricians, neonatologists, and social workers, synthesizing clinical and psychosocial data into coherent care narratives 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 health communication — develops and delivers public education programs on prenatal care, birth options, and maternal mental health for diverse community populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Clinical guideline authorship — produces written protocols and patient education materials for midwifery practice that integrate current evidence and regulatory standards O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
2Leadership10 statements
Emerging
  1. Birth setting preparation — takes initiative in organizing supplies and establishing emergency equipment readiness prior to anticipated deliveries Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Student orientation — accompanies supervising midwives during clinical rounds, observing team coordination and decision hierarchies in labor and delivery settings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Care plan ownership — assumes primary responsibility for coordinating prenatal visit schedules, monitoring timelines, and referral pathways for assigned patient caseloads 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. Emergency response initiation — activates contingency plans for maternal or neonatal emergencies and directs support staff actions while awaiting physician backup 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. Labor team coordination — directs nursing staff, doulas, and support personnel during active labor to ensure synchronized execution of the birth plan and emergency 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. Neonatal resuscitation leadership — leads immediate newborn stabilization procedures at delivery, assigning roles and directing interventions with calm authority O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Student and apprentice mentorship — guides student midwives and nursing students through clinical skill development, providing structured feedback during prenatal and intrapartum care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Practice protocol leadership — authors and implements updated clinical standards for fetal monitoring, emergency escalation, and high-risk prenatal care across a midwifery 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.
  2. Interdisciplinary team leadership — convenes and chairs perinatal quality improvement committees, driving systemic changes that reduce maternal and neonatal adverse outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Community midwifery advocacy — leads professional and public advocacy initiatives advancing scope-of-practice legislation, access to midwifery care, and equitable birth outcomes 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 targeted learning resources Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Procedural reflection — reviews own performance during practice simulations of neonatal resuscitation or pelvic examination to identify areas for improvement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Case debriefing — analyzes own clinical decision-making after challenging births or emergency interventions to identify reasoning errors and refine future judgment 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. Learning strategy adaptation — adjusts study and supervision-seeking approaches in response to feedback on prenatal assessment accuracy or documentation quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Diagnostic reasoning audit — evaluates own pattern-recognition process when identifying atypical fetal growth curves or signs of pre-eclampsia to ensure systematic, evidence-based 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.
  2. Continuing education planning — constructs individualized professional development plans targeting emerging competency gaps in high-risk obstetric management or neonatal care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Cognitive load management — recognizes personal decision-making limitations during high-acuity labor situations and proactively seeks consultation before proceeding Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Reflective practice modeling — facilitates structured debriefing sessions with midwifery colleagues after adverse events, normalizing metacognitive review as a team learning practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Epistemological self-assessment — critically examines own assumptions about normal birth variation versus pathology, integrating new evidence to recalibrate clinical thresholds 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. Vital sign interpretation — identifies deviations from normal ranges in maternal blood pressure, heart rate, and temperature during supervised prenatal assessments O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Risk factor recognition — applies basic knowledge of gestational diabetes and hypertension indicators to flag patients for closer monitoring under supervision O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Differential diagnosis formation — distinguishes between pregnancy-induced hypertension, pre-eclampsia, and chronic hypertension using clinical presentation data 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. Fetal assessment analysis — integrates heartbeat detection, fundal measurement, and palpation findings to evaluate fetal growth adequacy and positioning O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Ectopic pregnancy identification — applies clinical reasoning to distinguish tubal and ectopic pregnancy presentations from intrauterine pregnancy complications and initiates appropriate referral O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Intrapartum decision-making — evaluates fetal heart rate tracings, maternal vital trends, and labor progress simultaneously to determine when to escalate care to obstetric emergency 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. Complication risk stratification — analyzes cumulative prenatal data to stratify patients by risk level for pre-term labor, fetal growth restriction, or gestational complications and adjusts care intensity accordingly O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Evidence appraisal — critically evaluates clinical research on birth interventions, pain management options, and monitoring technologies to inform evidence-based midwifery practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Complex case synthesis — integrates obstetric, surgical, psychological, and social history data to construct comprehensive risk profiles for patients with multi-system complications during pregnancy 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. Quality outcomes analysis — examines practice-level maternal and neonatal outcome data to identify systemic decision-making patterns that contribute to preventable adverse events Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Clinical guideline critique — evaluates emerging obstetric evidence against existing protocols, recommending evidence-based updates to institutional and professional practice 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.
5Collaboration9 statements
Emerging
  1. Care team participation — contributes accurate patient observations during prenatal care team huddles alongside nurses, physicians, and support staff 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. Referral coordination — assists in coordinating transfers of care for high-risk pregnancies to obstetric specialists, communicating relevant clinical information clearly O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Interprofessional care planning — collaborates with obstetricians, perinatologists, and social workers to develop individualized care plans for patients with complex prenatal 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.
  2. Birth support team coordination — partners with doulas, labor nurses, and anesthesiology staff to align birth environment, pain management options, and patient preferences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Neonatal team collaboration — coordinates with neonatologists and NICU nurses during high-risk deliveries, executing defined roles within the resuscitation team efficiently 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. Multidisciplinary postpartum care — participates in joint care conferences addressing maternal mental health, lactation support, and newborn follow-up with psychology, nutrition, and pediatric colleagues 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. Community health partnership — collaborates with public health workers, community health centers, and culturally specific support organizations to extend prenatal care access to underserved populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. System-level collaboration — co-develops perinatal safety protocols with hospital administration, obstetric departments, and patient advocacy groups, aligning diverse stakeholder priorities Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Research collaboration — partners with academic institutions and public health agencies on maternal outcomes research, contributing clinical expertise and patient data to multi-site studies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
6Character10 statements
Emerging
  1. Patient confidentiality — maintains strict privacy standards when handling sensitive reproductive, mental health, and surgical history information obtained during intake 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. Professional boundary adherence — demonstrates appropriate clinical boundaries with patients and families in emotionally intense birth and pregnancy loss situations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Informed consent practice — ensures patients receive complete, unbiased information about interventions, risks, and alternatives before consenting to procedures throughout prenatal and intrapartum 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.
  2. Cultural humility — approaches patients' birth preferences, family structures, and cultural practices without judgment, adapting care delivery to honor diverse value systems Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Accountability in error — reports clinical near-misses and errors transparently to supervising practitioners and quality improvement processes without deflection Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Ethical advocacy — prioritizes patient autonomy in birth plan decisions, advocating for patient preferences within multidisciplinary teams when clinical safety allows Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Professional accountability — accepts full responsibility for clinical judgments made during independent midwifery care, including documentation accuracy, referral timeliness, and follow-up completion 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. Trauma-informed care — recognizes signs of reproductive trauma, intimate partner violence, or perinatal mental health crisis and responds with ethical, compassionate, and protocol-aligned 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.
Exceeding
  1. Ethical leadership — guides institutional ethics discussions on contested birth interventions, maternal autonomy, and resource allocation, modeling principled reasoning for colleagues Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Professional standard-setting — serves on licensing boards, professional associations, or ethics committees, shaping the integrity standards that govern midwifery practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity9 statements
Emerging
  1. Comfort measure innovation — adapts positioning, breathing, and environmental modifications during early labor when standard approaches are not achieving patient comfort Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Patient education tailoring — creates individualized prenatal education approaches for patients with low health literacy, language barriers, or specific learning needs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Non-pharmacological pain management — designs individualized intrapartum comfort strategies combining hydrotherapy, movement, counterpressure, and breathing techniques based on patient response 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. Birth plan co-creation — collaborates with patients to develop flexible, creative birth plans that integrate clinical safety requirements with deeply held personal and cultural birth preferences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Emergency problem-solving — generates rapid, improvised solutions during unexpected delivery complications such as shoulder dystocia or cord prolapse when standard protocols require adaptation to the specific presentation 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 outreach design — develops innovative prenatal education programs tailored to specific underserved populations, incorporating peer support models and culturally resonant formats Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Care model innovation — proposes and pilots new midwifery care delivery models such as group prenatal visits or home visit integration that improve access and patient experience Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Practice transformation — designs and evaluates novel midwifery care pathways for complex populations including adolescents, high-risk multiples, or patients with prior traumatic births, translating innovations into replicable 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. Research design contribution — contributes creative methodological approaches to midwifery and perinatal research, identifying unstudied clinical questions and proposing feasible study designs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
8Growth Mindset9 statements
Emerging
  1. Supervision receptivity — actively incorporates feedback from supervising midwives and obstetricians on clinical technique, documentation, and patient communication without defensiveness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Skill gap acknowledgment — openly identifies and communicates personal learning needs in fetal monitoring interpretation or high-risk prenatal assessment to supervisors Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Complication learning — analyzes outcomes from difficult births or clinical errors through structured reflection, identifying specific skills or knowledge to develop in response 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 integration — consistently updates clinical practice in response to new perinatal research, professional guideline revisions, and continuing education content Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. High-stakes persistence — maintains clinical focus and systematic problem-solving during prolonged labor emergencies or multi-day on-call periods without reducing care quality 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. Peer feedback seeking — proactively requests peer review of clinical documentation, referral decisions, and care plans to identify blind spots in independent midwifery practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Specialty expansion — pursues advanced training in high-risk obstetric management, neonatal resuscitation certification, or additional clinical competencies beyond baseline licensure requirements Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Learning culture cultivation — establishes peer learning communities, case conference series, and reflective practice structures within midwifery teams that institutionalize growth mindset behaviors Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Failure-informed leadership — publicly shares lessons learned from clinical adverse events in professional forums, modeling vulnerability and growth orientation for the broader midwifery community Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
9Mindfulness9 statements
Emerging
  1. Attentional focus — maintains sustained concentration during fetal heart rate monitoring and uterine contraction assessment, resisting distraction in busy labor and delivery environments 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 regulation awareness — recognizes personal emotional responses to patient grief, birth trauma, or neonatal emergencies and employs basic self-regulation strategies before re-engaging clinically Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Present-moment clinical attention — directs full sensory and cognitive attention to palpation, auscultation, and physical examination findings during fetal and maternal assessments without anticipatory distraction 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 — reads nonverbal cues of fear, pain, or emotional distress in laboring patients and adjusts communication tone and intervention approach in real time 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 emotional regulation — maintains calm, decisive demeanor during neonatal resuscitation, precipitous deliveries, and maternal hemorrhage events, modeling composure for the care team 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 monitoring — practices intentional recovery strategies between high-acuity deliveries and grief-laden clinical encounters to sustain empathic presence across a full practice caseload Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Intentional decision pacing — pauses before acting on ambiguous clinical findings during labor to ensure assessment completeness rather than reacting impulsively to urgency cues Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Team mindfulness facilitation — introduces structured mindfulness and stress-regulation practices into midwifery team workflows, reducing burnout and improving collective clinical attentiveness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Traumatic event response modeling — guides colleagues and students through emotionally processing perinatal loss events with intentional, regulated engagement that balances grief acknowledgment with continued clinical function Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
10Fortitude9 statements
Emerging
  1. Extended shift endurance — maintains basic clinical accuracy and patient attentiveness during long labor support shifts and overnight on-call assignments Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Emotional challenge navigation — remains present and functional when accompanying families through pregnancy loss, fetal anomaly diagnosis, or neonatal death with foundational emotional resilience Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. High-acuity persistence — sustains systematic clinical monitoring and decision-making across multi-hour complicated labors without reducing assessment frequency or thoroughness 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. Uncertainty tolerance — continues providing structured, protocol-driven care for patients with ambiguous fetal presentations or unclear gestational diagnoses while awaiting specialist consultation 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. Emergency resilience — executes neonatal resuscitation, postpartum hemorrhage response, and maternal emergency protocols with sustained effectiveness under acute time pressure and emotional intensity 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. Repeated adversity recovery — returns to full clinical effectiveness following consecutive difficult birth outcomes, grief experiences, or high-stress call periods without sustained performance degradation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Advocacy persistence — continues pursuing appropriate referrals, specialist consultations, and care escalations for high-risk patients when systemic barriers or institutional resistance are encountered 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. Systemic resilience modeling — remains engaged and solution-focused through sustained institutional challenges such as staffing crises, scope-of-practice disputes, or healthcare system failures, sustaining team morale and patient care quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Moral distress perseverance — continues ethical advocacy for patient-centered care and professional standards in organizational environments where midwifery values face institutional resistance, sustaining principled practice over time 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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Related titles
APC (Advanced Practice Clinician) · APP (Advanced Practice Provider) · Birth Center Midwife · Birth Doula · Certified Direct-Entry Midwife · Certified Midwife · Certified Professional Midwife (CPM) · Direct-Entry Midwife · Doula · Homebirth Midwife · Lay Midwife · Licensed and Certified Midwife
RAPIDS apprenticeships
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O*NET skills
Social PerceptivenessCritical ThinkingMonitoringActive ListeningSpeakingService OrientationJudgment and Decision MakingCoordinationReading ComprehensionActive LearningComplex Problem SolvingLearning StrategiesInstructingWritingSystems EvaluationTime ManagementPersuasionSystems Analysis
Knowledge domains
Customer and Personal ServiceMedicine and DentistryPsychologyTherapy and CounselingEnglish LanguageBiologyEducation and TrainingSociology and AnthropologyAdministration and Management
Abilities
Oral ExpressionProblem SensitivityDeductive ReasoningOral ComprehensionInductive ReasoningWritten ComprehensionSpeech ClarityWritten ExpressionNear VisionSpeech Recognition
Work styles
EmpathyAttention to DetailDependabilityStress ToleranceCooperationSelf-Control
Technology
Data base user interface and query softwareElectronic mail softwareEnterprise resource planning ERP softwareMedical softwareEnterprise application integration softwareSpreadsheet softwareOffice suite softwarePresentation softwareWord processing softwareInternet browser software
Tasks · seed anchors for statements
  1. Monitor maternal condition during labor by checking vital signs, monitoring uterine contractions, or performing physical examinations.
  2. Identify tubal and ectopic pregnancies and refer patients for treatments.
  3. Provide necessary medical care for infants at birth, including emergency care such as resuscitation.
  4. Conduct ongoing prenatal health assessments, tracking changes in physical and emotional health.
  5. Monitor fetal growth and well-being through heartbeat detection, body measurement, and palpation.
  6. Establish and follow emergency or contingency plans for mothers and newborns.
  7. Identify, monitor, or treat pregnancy-related problems such as hypertension, gestational diabetes, pre-term labor, or retarded fetal growth.
  8. Obtain complete health and medical histories from patients including medical, surgical, reproductive, or mental health histories.
CIP education codes
51.071151.320151.330251.3702

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.