Will midwives be replaced by AI?

Updated

Midwives score 37 of 100 for AI exposure. The largest share of their task time, 48%, is work AI speeds up while they stay in charge. AI can take over 15% outright, and 37% stays with people.

  • 15% AI can do it
  • 48% AI helps
  • 37% Needs a person
370100

Moderate exposure

Lower than 50% of the 923 occupations we scored.

Task by task

We graded 36 tasks, listed here from most to least exposed. AI can do 6 of them today, speeds up 17 and leaves 13 to people.

TaskAI exposure
Complete birth certificates. Structured form filling; signing and legal sign-off stay with midwife.75% AI can do it
Maintain documentation of all patients' contacts, reviewing and updating records as necessary. Ambient AI scribes can draft notes; clinician reviews them.70% AI can do it
Provide information about the physical and emotional processes involved in the pregnancy, labor, birth, and postpartum periods. AI produces clear, accurate educational material readily.70% AI can do it
Provide patients with contraceptive and family planning information. Standard contraception information is well documented and easy for AI.70% AI can do it
Compile and evaluate clinical practice statistics. Statistics compilation and evaluation is mostly data processing.70% AI can do it
Provide information about community health and social resources. AI can compile and update local resource information readily.65% AI can do it
Counsel women regarding the nutritional requirements of pregnancy. AI can draft tailored nutrition guidance; counseling stays interactive.60% AI helps
Incorporate research findings into practice as appropriate. AI can summarize research; practice change needs clinical judgment.60% AI helps
Provide, or refer patients to other providers for, education or counseling on topics such as genetic testing, newborn care, contraception, or breastfeeding. AI can draft education content; referrals and counseling need people.60% AI helps
Evaluate patients' laboratory and medical records, requesting assistance from other practitioners when necessary. AI summarizes records well; clinician requests specialist input.55% AI helps
Show the other 26 tasks
TaskAI exposure
Estimate patients' due dates and re-evaluate as necessary based on examination results. AI can compute due dates; clinician reconciles with exam findings.55% AI helps
Inform patients of how to prepare and supply birth sites. AI can draft birth-site prep guidance; patients need personal explanation.55% AI helps
Obtain complete health and medical histories from patients including medical, surgical, reproductive, or mental health histories. AI can pre-fill intake forms; interview remains in person.50% AI helps
Develop, implement, or evaluate individualized plans for midwifery care. AI can draft care plans; midwife individualizes and is responsible for them.50% AI helps
Recommend the use of vitamin and mineral supplements to enhance the health of patients and children. AI can give general supplement guidance; dosing needs clinician review.50% AI helps
Refer patients to specialists for procedures such as ultrasounds or biophysical profiles. AI can draft referral letters; clinician decides which specialist.45% AI helps
Identify, monitor, or treat pregnancy-related problems such as hypertension, gestational diabetes, pre-term labor, or retarded fetal growth. Decision support helps; clinician manages hypertension and preterm risk.40% AI helps
Collaborate in research studies. AI speeds writing and analysis; study design needs researcher judgment.40% AI helps
Identify tubal and ectopic pregnancies and refer patients for treatments. AI aids symptom triage and referral; clinician confirms diagnosis.35% AI helps
Conduct ongoing prenatal health assessments, tracking changes in physical and emotional health. AI can track questionnaires; in-person assessment remains essential.35% AI helps
Establish and follow emergency or contingency plans for mothers and newborns. AI can draft plans; clinician tailors and executes them.35% AI helps
Assess the status of post-date pregnancies to determine treatments and interventions. Interpreting NSTs and ultrasound needs clinician judgment.30% AI helps
Perform post-partum health assessments of mothers and babies at regular intervals. Physical postpartum exams stay hands-on; checklists can be AI-assisted.25% AI helps
Monitor maternal condition during labor by checking vital signs, monitoring uterine contractions, or performing physical examinations. Bedside exams and contraction monitoring need physical presence.15% Needs a person
Assess birthing environments to ensure cleanliness, safety, and the availability of appropriate supplies. Physical site inspection needs a person; checklists can be AI-aided.15% Needs a person
Treat patients' symptoms with alternative health care methods such as herbs or hydrotherapy. Herbal and hydrotherapy treatments need hands-on care and safety checks.15% Needs a person
Monitor fetal growth and well-being through heartbeat detection, body measurement, and palpation. Doppler, palpation and measurement require direct hands-on work.12% Needs a person
Test patients' hemoglobin, hematocrit, and blood glucose levels. Blood draws and point-of-care testing need physical handling.10% Needs a person
Set up or monitor the administration of oxygen or medications. Setting up oxygen and medications is hands-on clinical work.8% Needs a person
Collect specimens for use in laboratory tests. Specimen collection is a hands-on physical task.8% Needs a person
Provide necessary medical care for infants at birth, including emergency care such as resuscitation. Newborn resuscitation is urgent hands-on emergency care.5% Needs a person
Assist maternal patients to find physical positions that will facilitate childbirth. Positioning a laboring woman is physical, hands-on work.5% Needs a person
Provide comfort and relaxation measures for mothers in labor through interventions such as massage, breathing techniques, hydrotherapy, or music. Massage, breathing and hydrotherapy need in-person physical support.5% Needs a person
Respond to breech birth presentations by applying methods such as exercises or external version. Breech external version is a manual, hands-on procedure.5% Needs a person
Perform annual gynecologic exams, including pap smears and breast exams. Pelvic exams, pap smears and breast exams require hands-on work.3% Needs a person
Suture perineal lacerations. Suturing is a hands-on surgical skill.2% Needs a person

How midwives compare

All occupations (923)

Healthcare practitioners and technical (89)

Midwives score 37, marked by the dark line. Each dot is a score, darker where more occupations share it. The short marks show the averages, 37 for all occupations and 34 for healthcare practitioners and technical.

Pay and outlook in the US

Median pay
$65,790 a year, May 2025
People employed
35,010 in the US, May 2025
Projected change in jobs
+5.1% from 2024 to 2034

Skills to build

  • Suture perineal lacerations and perform newborn resuscitation
  • Assist labor positioning, breech external version and comfort measures
  • Review and sign off AI-drafted notes in Epic Systems
  • Complete birth certificate sign-off and legal documentation in EMR
  • Run clinical practice statistics checks in Microsoft Excel
  • Counsel patients on individual risk in person

Safer roles nearby

5 related occupations with lower scores.

Questions about midwives and AI

Will AI replace midwives?

Partly. About 4 in 10 working hours go to tasks AI can already do, mostly completing birth certificates and maintaining patient documentation. Hands-on care at birth, newborn resuscitation and the clinical judgment behind it stay with midwives, because those tasks need a person in the room.

Which midwife tasks is AI taking over?

Structured paperwork and education are the most exposed, with exposure scores of 75 for birth certificates and 70 for patient record maintenance. AI can fill standard forms and draft visit notes from ambient recordings, and midwives review and sign them. It also writes clear material on pregnancy, labor and contraception.

Which midwife tasks is AI taking over?

Birth certificate completion, with an exposure score of 75, is the most exposed task. AI fills structured forms from the patient record, and midwives check and sign each one. Patient record upkeep, scored 70, follows, with ambient AI scribes drafting visit notes for review.

Which midwife tasks stay human?

Suturing perineal lacerations, with an exposure score of 2, stays with midwives. So does newborn resuscitation, scored 5, since both need hands on a patient in the room. Breech external version and labor positioning, also scored 5, depend on manual skill at the bedside.

Next steps for midwives

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