2026 Nurse Midwifery Degree Coursework Explained: What Classes Can You Expect to Take?

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Prospective nurse midwifery students often face uncertainty about the specific coursework required to develop expertise in both nursing and midwifery. According to the American Association of Nurse Midwives, about 85% of accredited programs include clinical practicums that emphasize prenatal, labor, delivery, and postpartum care.

This comprehensive approach equips candidates with essential hands-on experience and advanced knowledge. Understanding the core classes helps students make informed decisions about their education and career paths. This article explains the common courses in nurse midwifery programs and shows how the curriculum builds critical skills for successful clinical practice and certification readiness.

Key Benefits of Nurse Midwifery Degree Coursework

  • Courses develop advanced clinical skills in prenatal, labor, and postpartum care, preparing graduates for autonomous patient management.
  • Curriculum emphasizes evidence-based practice and pharmacology, increasing employability in diverse healthcare settings.
  • Graduates often see salary growth due to specialized expertise, with median midwife salaries exceeding $115,000 annually in the US.

What Types of Class Do You Take in a Nurse Midwifery Degree?

Nurse midwifery degree programs structure their coursework to blend comprehensive nursing knowledge with specialized midwifery training. This approach equips students to manage the complexities of maternal and newborn care effectively. Recent trends indicate a 15% rise in graduate preparedness as programs emphasize both clinical and academic components.

Exploring the typical classes reveals a balance of foundational science, focused electives, research skills, and practical experience.

  • Core Foundational Classes: These courses cover essential subjects such as advanced anatomy, physiology, pharmacology, and pathophysiology, providing a solid scientific base critical for overseeing patient care throughout pregnancy and postpartum stages.
  • Specialization and Elective Courses: Focused on women's reproductive health, prenatal and postnatal care, and family planning, these classes allow students to deepen their expertise in midwifery-specific areas, enhancing clinical versatility.
  • Research and Methods Coursework: Designed to build evidence-based practice skills, this coursework trains students to critically evaluate medical research and apply clinical methodologies relevant to midwifery care.
  • Practicum, Internship, or Capstone Experiences: Hands-on clinical experiences are essential, offering supervised real-world training that sharpens assessment, decision-making, and patient communication abilities.

For individuals looking to expand their nursing credentials with flexible options, programs like RN to BSN online offer pathways that complement advanced studies. 

Table of contents

What Are the Core Courses in a Nurse Midwifery Degree Program?

Core classes in nurse midwifery programs are designed to build a solid foundation of essential knowledge and practical skills crucial for clinical practice. These courses develop students' clinical competency, critical thinking, and ability to apply evidence-based care in diverse healthcare environments. 

The following key core courses focus on specialized knowledge and competencies vital for effective midwifery practice:

  • Foundational Theory in Nurse Midwifery and Human Physiology: This course covers the biological and physiological principles underlying midwifery care, providing essential knowledge of maternal and fetal development and health.
  • Research Methods and Evidence-Based Practice: Students learn how to critically evaluate research and incorporate evidence-based approaches into clinical decision-making, reinforcing the importance of scholarly inquiry in quality care.
  • Professional Roles, Ethics, and Healthcare Systems: Emphasis is placed on ethical standards, professional responsibilities, and navigating healthcare policies and systems within multidisciplinary teams.
  • Advanced Health Assessment and Diagnostic Reasoning: This class develops skills in comprehensive assessment techniques and clinical reasoning necessary for accurate diagnosis and care planning.
  • Pregnancy, Labor, and Delivery Management: Focuses on the stages of pregnancy and childbirth care, teaching management of labor, delivery, and potential complications.
  • Newborn Care and Family Health Counseling: Students gain competency in newborn assessments, family education, and support to promote wellness after birth.
  • Pharmacology for Midwifery Practice: Essential pharmacological principles applied to maternal health guide safe medication use in clinical settings.

Prospective students interested in advanced nursing degrees might also explore the easiest online DNP programs for further educational opportunities.

What Elective Classes Can You Take in a Nurse Midwifery Degree?

Elective courses in a nurse midwifery program let students focus their studies on areas that match their personal interests or career objectives. Surveys show that more than 60% of students select electives to gain specialized knowledge or expand their clinical skill sets.

Below are some popular elective options often available to help tailor professional growth:

  • Perinatal Mental Health: This course emphasizes identifying emotional and psychological challenges during pregnancy and postpartum. Students refine counseling techniques and learn therapeutic interventions to support maternal mental well-being.
  • Women's Health Issues: Covering broader aspects of reproductive and gynecologic care, this elective prepares students to manage menopause, chronic health concerns, and non-maternity women's health, ideal for work in specialized clinics or private practice.
  • Neonatal Care: Focused on newborn health, this course teaches assessment and care strategies for high-risk infants. It is designed for those aiming to integrate neonatal nursing into their midwifery practice.
  • Primary Care for Women: Offering a comprehensive approach across a woman's lifespan, this elective equips midwives to provide primary care beyond maternity services, enhancing versatility in clinical settings.
  • Complementary and Alternative Therapies: Exploring treatments like acupuncture and herbal medicine, this course introduces methods that may complement conventional maternal care.

Talking with a professional who completed a nurse midwifery degree about their elective choices revealed how critical these courses were to shaping their path.

They described feeling overwhelmed initially when deciding which electives would best fit their goals, but found the process rewarding as it allowed deep exploration of less traditional areas like complementary therapies. This broadened their perspective and strengthened their confidence in offering holistic care.

They mentioned, "Choosing electives felt daunting at first, but it became exciting to carve out a unique skill set. It wasn't just about fulfilling credit requirements but about crafting a meaningful career direction, which made all the difference."

The experience demonstrated how electives can both challenge and inspire future midwives in meaningful ways.

Are Internships or Practicums Required in Nurse Midwifery Programs?

Practical experiences in nurse midwifery programs are designed to bridge theoretical knowledge with real-world clinical practice. They equip students with essential hands-on learning in diverse healthcare environments. Studies show that more than 90% of these programs require students to complete between 600 and 1,000 clinical hours to fulfill graduation standards.

The following breakdown highlights key elements of these practical components:

  • Program Requirements: Most nurse midwifery curricula mandate extensive clinical hours to ensure students gain sufficient exposure to patient care, which is vital for developing competence before independent practice.
  • Duration and Hours: Clinical training usually spans multiple semesters, allowing students to accumulate the required hours progressively while balancing coursework and supervised practice.
  • Clinical Settings: Internships take place in varied locations such as hospitals, birthing centers, and community clinics, providing experience with different patient demographics and care situations.
  • Skills Development: Students refine skills in prenatal care, labor and delivery, neonatal assessments, and family planning. Regular evaluations help track their proficiency and professional growth throughout their placements.

Is a Capstone or Thesis Required in a Nurse Midwifery Degree?

Capstone projects and theses both serve as crucial demonstrations of mastery in nurse midwifery programs, blending academic knowledge with practical or research skills. Approximately 60% of programs allow students to select either option, catering to varying career ambitions.

Below is a concise overview of key differences and considerations between these two culminating experiences:

  • Purpose and Focus: Capstone projects emphasize practical application through clinical scenarios, leadership efforts, or quality improvement initiatives, highlighting hands-on competencies. In contrast, theses concentrate on original research by identifying a question, gathering and analyzing data, and formal academic writing.
  • Typical Structure: A capstone often involves compiling case studies or portfolios, demonstrating skills relevant to clinical practice. The thesis requires a structured research paper that presents findings and contributes to evidence-based knowledge.
  • Skills Developed: Capstones strengthen clinical decision-making, project management, and professional collaboration. Theses build advanced research, critical analysis, and scholarly communication abilities essential for academic or teaching roles.
  • Time Commitment: While both usually span several months, the thesis generally demands more time due to the intensive research and data interpretation involved. Capstones are often more streamlined, focusing on synthesizing practical experience.
  • Career Alignment: Selecting a capstone supports those aiming to enhance direct clinical practice and leadership roles. Opting for a thesis may benefit individuals pursuing research, education, or potential doctoral study pathways.

To illustrate how these options impact students, I spoke with a professional who completed a nurse midwifery degree. She described how choosing her capstone project felt like a real-world challenge that connected theory with clinical practice, offering a sense of immediate accomplishment.

"It was sometimes demanding to balance clinical hours and project tasks," she shared, "but seeing direct improvements in patient care was incredibly rewarding." She reflected on how this experience deepened her confidence and prepared her for leadership roles, emphasizing that the hands-on nature suited her career goals better than a lengthy research thesis would have.

Her story highlights how program flexibility helps students tailor their final project to fit their strengths and future plans.

Is Nurse Midwifery Coursework Different Online vs On Campus?

Nurse midwifery coursework is largely consistent whether completed online or on campus. Both formats maintain the same curriculum, learning outcomes, and academic standards, covering essential subjects like advanced midwifery practice, maternal and newborn health, pharmacology, and clinical decision-making.

The essential knowledge and skills students gain do not differ significantly based on the mode of delivery. This ensures graduates from either format meet the same professional competencies required for certification and practice.

The primary differences lie in how courses are delivered and how students engage with faculty and peers. Online programs provide more flexible scheduling options and use virtual tools such as video lectures, discussion boards, and simulations, accommodating those with work or family responsibilities. Conversely, on-campus programs emphasize direct, face-to-face interaction and access to on-site resources like labs and libraries.

Hands-on clinical experiences are crucial in both settings; however, online students typically complete practicums at local healthcare facilities approved by their programs, while on-campus students often have easier access to campus-affiliated clinical sites.

How Many Hours Per Week Do Nurse Midwifery Classes Require?

Most students pursuing a nurse midwifery degree can expect to spend between 15 and 25 hours per week on their coursework. This average weekly study time for nurse midwifery programs typically includes attending lectures, completing readings, working on assignments, participating in group work, and engaging in applied learning activities like clinical practicums.

Below is a breakdown of how these hours are commonly allocated:

  • 3 to 6 hours attending lectures or engaging with online learning modules
  • 4 to 7 hours completing assigned readings and preparing for class discussions
  • 3 to 5 hours working on assignments, papers, or research projects
  • 2 to 4 hours participating in group work or study sessions
  • variable hours dedicated to applied learning, such as clinical practicums or simulation labs

The time commitment varies due to several factors that influence the workload needed to succeed in nurse midwifery programs:

  • Full-time vs. part-time enrollment: Full-time students generally dedicate more hours weekly, especially during intensive clinical practice periods that require hands-on care and reflection. Part-time students spread these hours over a longer duration but still encounter demanding weeks tied to practicum requirements.
  • Course level: Advanced courses usually require additional time due to complex case studies, in-depth research components, and higher expectations for critical analysis and reflection.
  • Online vs. on-campus format: Online programs offer scheduling flexibility but require strong time management skills since lectures and discussions are often asynchronous.
  • Number of credits per term: Heavier course loads increase weekly hours, balancing classroom learning with clinical and independent study.
  • Practicum and project requirements: Hands-on clinical experiences are essential; the hours dedicated here fluctuate based on program design and clinical site expectations.

Students interested in related health certifications may explore options like medical billing and coding certification online to complement their nurse midwifery knowledge and diversify career opportunities.

How Many Credit Hours Are Required to Complete a Nurse Midwifery Degree?

Total credit hour requirements play a crucial role in determining the length of a nurse midwifery program, the workload students will face, and how quickly they can graduate. These requirements vary depending on the degree level-undergraduate versus graduate-and the specific structure of each program. 

Typical nurse midwifery program credit hour requirements can be broken down into several components as follows:

  • Core Coursework: Graduate nurse midwifery programs usually require about 20 to 30 credit hours in core subjects such as maternal-child health, pharmacology, and advanced health assessment. Undergraduate programs generally include fewer credits but focus more on foundational nursing knowledge along with midwifery-specific courses.
  • Electives: A range of 5 to 10 credit hours is often allocated to elective courses, allowing students to tailor their education toward special interests or career goals within the field of nurse midwifery.
  • Experiential Learning: Clinical practicums, internships, capstone projects, or research theses typically account for 10 to 20 credit hours. These requirements provide essential hands-on training and prepare students for certification and professional practice.

It is sometimes useful to compare credit-hour requirements with other health administration programs; information about an affordable healthcare administration degree online might offer a perspective on credit variations in related healthcare fields.

How Does Nurse Midwifery Coursework Prepare Students for Careers?

Nurse midwifery coursework directly builds clinical skills for career readiness by merging theoretical knowledge with practical application. Through a combination of critical thinking, applied learning, and exposure to industry tools, students acquire the competencies needed to excel in healthcare settings.

Employment prospects reflect this strong foundation, with the U.S. Bureau of Labor Statistics projecting a 13% growth in nurse midwife jobs from 2022 to 2032, signaling rising demand for trained professionals.

The coursework elements that contribute to student career readiness include: 

  • Skill Development: Courses focus on enhancing clinical skills such as patient assessment, prenatal care, labor management, and postpartum monitoring. These competencies ensure students can deliver comprehensive care that meets professional standards.
  • Applied Learning Projects: Students engage in hands-on projects and simulations that replicate real-world scenarios, fostering decision-making and problem-solving abilities essential for workplace success.
  • Critical Thinking and Clinical Decision-Making: Curriculum emphasizes evidence-based practice and analytical skills, enabling graduates to make informed health decisions that improve patient outcomes.
  • Industry Tools and Technologies: Training includes familiarity with modern health technologies and electronic health records, preparing students to navigate current clinical environments efficiently.
  • Professional Networking and Collaboration: Coursework often incorporates opportunities to collaborate with peers and healthcare professionals, which builds teamwork skills and professional connections valuable for career advancement.

Prospective students who intend to shift or branch out to nursing can explore cheap RN to BSN online programs as a cost-effective way to advance their clinical education.

How Does Nurse Midwifery Coursework Affect Salary Potential After Graduation?

Nurse midwifery coursework significantly shapes graduates' salary prospects by equipping them with critical skills and credentials sought by employers. According to the most recent employment data, nurse midwives earned a median annual wage of around $129,650, well above the average registered nurse salary.

The following points highlight key ways this coursework contributes to higher income and career growth:

  • Development of Clinical Expertise: Specialized classes teach advanced reproductive health and clinical procedures, enabling graduates to perform complex tasks independently. This expertise makes them more valuable in healthcare settings, often translating into improved starting salaries.
  • Completion of Specialized Coursework: Courses targeting preparation for certification exams, such as the Certified Nurse-Midwife (CNM) credential, enhance eligibility for higher-paying roles. Mastery of this specialized content also signals professional readiness to employers, increasing negotiation power.
  • Leadership and Management Training: Classes in healthcare administration, patient advocacy, and evidence-based practice prepare students for supervisory and managerial roles. These positions typically come with elevated pay scales due to increased responsibilities.
  • Practicums and Capstone Projects: Hands-on clinical experiences embedded in the curriculum provide practical skills and real-world exposure. This applied learning not only boosts employability but also supports continuous wage growth as graduates gain experience.
  • Advanced Pharmacology and Prenatal Care Skills: Coursework covering medication management and prenatal services allows midwives to assume greater autonomy in patient care. Such autonomy is linked to higher earning capacity within healthcare teams.

What Graduates Say About Their Nurse Midwifery Degree Coursework

  • Sarah: "I was pleasantly surprised by the affordability of the nurse midwifery degree coursework, especially considering the quality of education I received. Taking the classes completely online allowed me to balance work and study efficiently. This program truly transformed my career by equipping me with both the knowledge and confidence to excel in maternal healthcare. "
  • Ximena: "Reflecting on my journey, the cost of the nurse midwifery degree program was a significant investment but well worth it for the comprehensive on-campus experience. The in-person interactions and hands-on learning deepened my understanding and professional skills. This degree paved the way for me to advance in clinical practice and advocate for patient-centered care. "
  • Tara: "Professionally, the nurse midwifery coursework was a critical step forward, delivering strong academic content at a reasonable price point. Completing the program online suited my schedule but still offered valuable engagement with instructors and peers. It enhanced my clinical abilities and opened doors to leadership roles within women's health services. "

Other Things You Should Know About Nurse Midwifery Degrees

What types of clinical skills are emphasized in nurse midwifery programs?

Nurse midwifery programs strongly emphasize hands-on clinical skills essential for caring for women across the lifespan, including prenatal, labor, delivery, and postpartum care. Students receive training in physical assessments, fetal monitoring, and managing common complications. Developing communication skills for patient education and emergency response is also a key component.

How do nurse midwifery programs integrate evidence-based practice into their curriculum?

Evidence-based practice is integrated throughout nurse midwifery coursework to ensure students apply the latest research to clinical decision-making. Courses involve critical appraisal of scientific literature and protocols to improve patient outcomes. This training helps students develop lifelong skills for incorporating research findings into midwifery care.

What classes in a 2026 nurse midwifery degree program focus on interprofessional collaboration skills?

In 2026 nurse midwifery programs, classes such as "Interprofessional Practice and Communication" and "Collaborative Care in Maternal Health" focus on developing skills for working effectively with multidisciplinary healthcare teams, ensuring comprehensive patient-centered care.

Do nurse midwifery programs cover healthcare policy and ethics?

Healthcare policy, ethics, and legal issues are important themes covered in nurse midwifery coursework. Students learn about patient rights, informed consent, and ethical considerations specific to reproductive health. This knowledge ensures midwives understand regulatory frameworks and advocacy roles within healthcare systems.

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