Here's How to Become a Missionary Midwife in 5 Steps

Learning how to become a midwife can feel overwhelming—but if you feel called to serve in global missions, there’s a path forward. Whether or not you hold a nursing degree, midwifery can open doors to help vulnerable women and children—and to live out the gospel in a deeply practical way.

From training to long-term service, here’s a step-by-step guide to help you take your first steps toward becoming a missionary midwife.

Key Takeaways

• Becoming a missionary midwife starts with a willing heart and a desire to serve, not a flawless background or perfect timing.

• There are multiple ways to pursue midwifery, including non-nursing routes, but all require a solid understanding of how to care for mothers and babies.

• Practical, hands-on training in real-world settings is essential for preparing to serve in global maternal health missions.

• Midwifery on the mission field is about more than childbirth—it’s a way to walk with women through vulnerable seasons and help families thrive.

• Once equipped, midwives have the opportunity to bring life-saving care to places where it’s most needed, serving as both a clinical and spiritual presence.

1. Start with a Willing Heart and a Clear Call

The path to midwifery isn’t always direct. Some feel drawn to it early in life; others feel the call after years in another profession. Either way, becoming a missionary midwife begins with the desire to serve, not a perfect résumé.

In one OB ministry in Soddo, Ethiopia, a visiting missionary named Allison helped develop reusable postpartum pads for patients using donated surgical towels. At first, the local midwives were skeptical. But after working with Dutch partners and seeing the results, the same team requested 200 more. Sometimes being a midwife on the mission field requires improvisation, but at its core, willingness and a servant heart are what’s needed. 

As 1 Peter 4:10 reminds us, “As each has received a gift, use it to serve one another, as good stewards of God's varied grace....”

2. Understand the Education Requirements for Midwifery

If you’re wondering how to become a midwife, start by exploring the midwife education requirements in your region. In the U.S., there are generally two pathways:

• Certified Nurse-Midwife (CNM): You become a registered nurse (RN) first, then complete a graduate program in midwifery.
• Certified Professional Midwife (CPM): This route doesn’t require a nursing degree and is often more apprenticeship-based.

If you're wondering how to become a midwife without a nursing degree, the CPM path might offer a more flexible option, especially for those looking to serve in under-resourced areas.

While licensing and clinical requirements vary by country, the essential foundation is the same: learn to care well for mothers and babies, both medically and relationally.

3. Train for the Field, Not Just the Exam

Knowing how to be a midwife in a classroom is different from practicing in a mission hospital or rural clinic. Training in low-resource environments prepares you for the unique challenges of global maternal care.

In many places, maternal health systems are limited, and skilled birth attendants are rare. The crucial 1,000 days, from pregnancy to a child’s second birthday, can determine long-term health and even survival. And when mothers receive proper care, their children are far more likely to thrive.

Your education is important, but real-world preparation matters just as much. That might mean:

• Volunteering in a maternal health program

• Working with midwives already on the mission field

• Learning from missionaries who’ve served as midwives

Hands-on experience not only strengthens your skills—it shapes your mindset and builds confidence.

4. Learn the Deeper Why Behind Midwifery Missions

Becoming a missionary midwife is not just about delivering babies. It’s about walking with women through some of the most vulnerable, life-defining moments they’ll ever face.

In many communities, family planning and birth spacing can change the trajectory of entire households. Healthy timing and spacing of pregnancies has become a vital part of maternal, newborn, and child health (MNCH) strategies around the world.

As a midwife on the mission field, you won’t just be catching babies—you’ll be caring for mothers, equipping families, and helping communities flourish. You’ll also have daily opportunities to show the love of Christ in deeply tangible ways.

5. Take the Next Step Toward Long-Term Missions

Once you’ve completed your training, the next question is: where will you go?

If you’re serious about long-term impact, look for opportunities that allow you to work within local systems, learn from national midwives, and adapt to cross-cultural dynamics. Many organizations are eager for trained midwives who want to serve not just for a week—but for a season.

'You don’t have to figure out every detail right now. That said, finding long-term mission opportunities and connecting with sending agencies can help you decide on the right path to go down.

Related Questions

How long does it take to become a midwife in the US?

It typically takes six to eight years for the nurse to midwife path, including undergraduate study and graduate-level midwifery training.

Is it harder to be a nurse or a midwife?

Both are demanding, but midwifery requires deeper specialization in women’s health, childbirth, and prenatal/postnatal care.

What is the quickest way to become a midwife?

The Certified Professional Midwife (CPM) path is often quicker, especially if you’re not already a registered nurse.

What skills are needed to be a midwife?

Midwives need clinical knowledge, steady hands, emotional resilience, communication skills, and deep compassion.