Midwives

Overview
Job Zone Five: Extensive Preparation Needed
Experience

Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.

Education

Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

Job Training

Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.

Examples

These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include pharmacists, lawyers, astronomers, biologists, clergy, neurologists, and veterinarians.

Provide prenatal care and childbirth assistance.

Demand
Career Demand by State Career Demand by State Legend
Core Tasks

Monitor maternal condition during labor by checking vital signs, monitoring uterine contractions, or performing physical examinations.

Identify tubal and ectopic pregnancies and refer patients for treatments.

Conduct ongoing prenatal health assessments, tracking changes in physical and emotional health.

Provide necessary medical care for infants at birth, including emergency care such as resuscitation.

Establish and follow emergency or contingency plans for mothers and newborns.

Identify, monitor, or treat pregnancy-related problems such as hypertension, gestational diabetes, pre-term labor, or retarded fetal growth.

Monitor fetal growth and well-being through heartbeat detection, body measurement, and palpation.

Evaluate patients' laboratory and medical records, requesting assistance from other practitioners when necessary.

Obtain complete health and medical histories from patients including medical, surgical, reproductive, or mental health histories.

Assess the status of post-date pregnancies to determine treatments and interventions.

Maintain documentation of all patients' contacts, reviewing and updating records as necessary.

Perform post-partum health assessments of mothers and babies at regular intervals.

Set up or monitor the administration of oxygen or medications.

Suture perineal lacerations.

Test patients' hemoglobin, hematocrit, and blood glucose levels.

Counsel women regarding the nutritional requirements of pregnancy.

Provide information about the physical and emotional processes involved in the pregnancy, labor, birth, and postpartum periods.

Assist maternal patients to find physical positions that will facilitate childbirth.

Refer patients to specialists for procedures such as ultrasounds or biophysical profiles.

Assess birthing environments to ensure cleanliness, safety, and the availability of appropriate supplies.

Estimate patients' due dates and re-evaluate as necessary based on examination results.

Incorporate research findings into practice as appropriate.

Provide comfort and relaxation measures for mothers in labor through interventions such as massage, breathing techniques, hydrotherapy, or music.

Collect specimens for use in laboratory tests.

Provide patients with contraceptive and family planning information.

Provide, or refer patients to other providers for, education or counseling on topics such as genetic testing, newborn care, contraception, or breastfeeding.

Complete birth certificates.

Inform patients of how to prepare and supply birth sites.

Respond to breech birth presentations by applying methods such as exercises or external version.

Perform annual gynecologic exams, including pap smears and breast exams.

Develop, implement, or evaluate individualized plans for midwifery care.

Recommend the use of vitamin and mineral supplements to enhance the health of patients and children.

Provide information about community health and social resources.

Compile and evaluate clinical practice statistics.

Treat patients' symptoms with alternative health care methods such as herbs or hydrotherapy.

Collaborate in research studies.

Technology Skills
Technology
Example
Hot Technology
Data base user interface and query software
AS/400 Database
Electronic mail software
Email software
Enterprise application integration software
Extensible markup language XML
Enterprise resource planning ERP software
Enterprise resource planning ERP software
Internet browser software
Web browser software
Medical software
MEDITECH software
Office suite software
Microsoft Office
Presentation software
Microsoft PowerPoint
Spreadsheet software
Microsoft Excel
Word processing software
Microsoft Word
Tools Used
Tool
Example
Computer Equipment and Accessories
Desktop computers
Emergency and field medical services products
Automated external defibrillators AED
Intravenous and arterial administration products
Intravenous IV sets
Laboratory and scientific equipment
Sterile blood lancets
Measuring and observing and testing instruments
Blood glucometers
Medical apparel and textiles
Medical examination protective gloves
Medical diagnostic imaging and nuclear medicine products
Ultrasound imaging scanners
Patient care and treatment products and supplies
Blood drawing syringes
Patient exam and monitoring products
Automated blood pressure cuffs
Respiratory and anesthesia and resuscitation products
Oxygen cylinders
Surgical products
Episiotomy scissors
Wound care products
Suture kits
Top 10 Knowledge Required
Customer and Personal Service
93%
Importance

Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Medicine and Dentistry
89%
Importance

Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.

Psychology
84%
Importance

Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.

Therapy and Counseling
78%
Importance

Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.

English Language
73%
Importance

Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Biology
70%
Importance

Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.

Education and Training
70%
Importance

Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

Sociology and Anthropology
67%
Importance

Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.

Administration and Management
61%
Importance

Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Law and Government
58%
Importance

Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

Top 10 Skills
Social Perceptiveness
83%
Importance

Being aware of others' reactions and understanding why they react as they do.

Critical Thinking
80%
Importance

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Monitoring
80%
Importance

Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Active Listening
75%
Importance

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Judgment and Decision Making
75%
Importance

Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Service Orientation
75%
Importance

Actively looking for ways to help people.

Speaking
75%
Importance

Talking to others to convey information effectively.

Coordination
73%
Importance

Adjusting actions in relation to others' actions.

Reading Comprehension
73%
Importance

Understanding written sentences and paragraphs in work related documents.

Active Learning
68%
Importance

Understanding the implications of new information for both current and future problem-solving and decision-making.

Top 10 Abilities
Deductive Reasoning
80%
Importance

The ability to apply general rules to specific problems to produce answers that make sense.

Inductive Reasoning
80%
Importance

The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Oral Comprehension
80%
Importance

The ability to listen to and understand information and ideas presented through spoken words and sentences.

Oral Expression
80%
Importance

The ability to communicate information and ideas in speaking so others will understand.

Problem Sensitivity
80%
Importance

The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Written Comprehension
78%
Importance

The ability to read and understand information and ideas presented in writing.

Speech Clarity
75%
Importance

The ability to speak clearly so others can understand you.

Information Ordering
70%
Importance

The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).

Near Vision
70%
Importance

The ability to see details at close range (within a few feet of the observer).

Speech Recognition
70%
Importance

The ability to identify and understand the speech of another person.

Top 10 Work Activities
Assisting and Caring for Others
95%
Importance

Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Documenting/Recording Information
90%
Importance

Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

Establishing and Maintaining Interpersonal Relationships
89%
Importance

Developing constructive and cooperative working relationships with others, and maintaining them over time.

Making Decisions and Solving Problems
88%
Importance

Analyzing information and evaluating results to choose the best solution and solve problems.

Getting Information
87%
Importance

Observing, receiving, and otherwise obtaining information from all relevant sources.

Identifying Objects, Actions, and Events
86%
Importance

Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

Communicating with Supervisors, Peers, or Subordinates
84%
Importance

Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Updating and Using Relevant Knowledge
82%
Importance

Keeping up-to-date technically and applying new knowledge to your job.

Performing for or Working Directly with the Public
81%
Importance

Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.

Monitor Processes, Materials, or Surroundings
80%
Importance

Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.

Detailed Work Activities

Monitor patient conditions during treatments, procedures, or activities.

Examine patients to assess general physical condition.

Diagnose medical conditions.

Refer patients to other healthcare practitioners or health resources.

Treat medical emergencies.

Evaluate patient functioning, capabilities, or health.

Care for women during pregnancy and childbirth.

Measure the physical or physiological attributes of patients.

Develop medical treatment plans.

Collect medical information from patients, family members, or other medical professionals.

Analyze test data or images to inform diagnosis or treatment.

Collaborate with healthcare professionals to plan or provide treatment.

Record patient medical histories.

Analyze patient data to determine patient needs or treatment goals.

Prepare medical supplies or equipment for use.

Operate on patients to treat conditions.

Test biological specimens to gather information about patient conditions.

Provide health and wellness advice to patients, program participants, or caregivers.

Communicate detailed medical information to patients or family members.

Position patients for treatment or examination.

Collect biological specimens from patients.

Conduct diagnostic tests to determine patient health.

Assess physical conditions of patients to aid in diagnosis or treatment.

Communicate health and wellness information to the public.

Analyze quantitative data to determine effectiveness of treatments or therapies.

Treat patients using alternative medical procedures.

Prepare official health documents or records.

Conduct research to increase knowledge about medical issues.

Work Context
Physical Proximity

To what extent does this job require the worker to perform job tasks in close physical proximity to other people?

Indoors, Environmentally Controlled

How often does this job require working indoors in environmentally controlled conditions?

Face-to-Face Discussions

How often do you have to have face-to-face discussions with individuals or teams in this job?

Deal With External Customers

How important is it to work with external customers or the public in this job?

Work With Work Group or Team

How important is it to work with others in a group or team in this job?

Telephone

How often do you have telephone conversations in this job?

Electronic Mail

How often do you use electronic mail in this job?

Consequence of Error

How serious would the result usually be if the worker made a mistake that was not readily correctable?

Freedom to Make Decisions

How much decision making freedom, without supervision, does the job offer?

Frequency of Decision Making

How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization?

Education
Majors   based on the broader career Healthcare Practitioners and Technical Workers, All Other
Major
Health and Medical Administrative Services
Health Professions Education, Ethics, and Humanities
Alternative and Complementary Medicine and Medical Systems
Energy and Biologically Based Therapies
Interests
Social
100%
Importance

Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

Realistic
53%
Importance

Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.

Enterprising
39%
Importance

Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

Investigative
39%
Importance

Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

Artistic
29%
Importance

Artistic occupations frequently involve working with forms, designs and patterns. They often require self-expression and the work can be done without following a clear set of rules.

Conventional
19%
Importance

Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

Top 10 Work Styles
Dependability
99%
Importance

Job requires being reliable, responsible, and dependable, and fulfilling obligations.

Concern for Others
98%
Importance

Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.

Integrity
97%
Importance

Job requires being honest and ethical.

Self Control
96%
Importance

Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.

Stress Tolerance
95%
Importance

Job requires accepting criticism and dealing calmly and effectively with high stress situations.

Adaptability/Flexibility
94%
Importance

Job requires being open to change (positive or negative) and to considerable variety in the workplace.

Attention to Detail
93%
Importance

Job requires being careful about detail and thorough in completing work tasks.

Leadership
90%
Importance

Job requires a willingness to lead, take charge, and offer opinions and direction.

Persistence
89%
Importance

Job requires persistence in the face of obstacles.

Cooperation
88%
Importance

Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.

Work Values
Relationships
96%
Importance

Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.

Achievement
81%
Importance

Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.

Independence
77%
Importance

Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.

Recognition
62%
Importance

Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.

Working Conditions
58%
Importance

Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.

Support
48%
Importance

Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.