Practicing as a midwife requires much more than a diploma. Daily work demands both strong medical expertise and great personal stability.
From a technical standpoint, a midwife must be able to provide complete follow-up for an uncomplicated pregnancy, monitor labor, perform a delivery, and provide the newborn’s first care. They must be able to quickly interpret clinical signs, analyze test results, and identify a high-risk situation.
Decision-making ability is essential. In the delivery room, some situations can evolve within minutes. The midwife must remain calm, act with precision, and, when necessary, immediately alert the medical team.
Beyond medical skills, the relational dimension is central. Supporting a patient during pregnancy or childbirth requires listening, teaching skills, and empathy. A midwife must know how to reassure, clearly explain the procedures being performed, and build a climate of trust.
Finally, stamina and stress management are essential. Hours may be irregular, shifts can be long, and situations can be intense. The profession requires real adaptability and a strong sense of responsibility.
What studies are required to become a midwife?
Choosing to become a midwife means committing to a demanding path. The training is long, selective, and rooted in the medical field.
It all begins with a first year of health studies, through the PASS pathway or a degree program with a health option. This year is decisive: admission to midwifery schools depends on the results obtained. Selection is competitive because the number of places is limited.
Once admitted, students complete four additional years in a midwifery school. In total, this represents five years of study after high school.
The training combines theoretical courses and clinical placements. Very early on, students are exposed to real-life practice: prenatal consultations, delivery rooms, and postnatal follow-up. Placements play a major role in the curriculum because the profession is also learned through direct contact with patients and medical teams.
At the end of these five years, the State Diploma of Midwife is awarded. It allows graduates to practice in hospitals, clinics, or private practice, after registering with the professional regulatory body.
What is a midwife’s salary?
A midwife’s salary varies significantly depending on the sector, seniority, type of contract, and practice model (employee or self-employed/private practice):
In the public hospital system, pay is defined by a salary scale that increases with seniority and grade. At the beginning of their career, a midwife earns around €2,000 to €2,300 gross per month, with gradual increases based on step progression. With several years of experience, this amount can reach around €3,000 to €3,500 gross per month or more depending on grade and responsibilities.
In the private sector or in clinics, salaries may be slightly higher, especially if the institution offers shift allowances for on-call duty, nights, or weekends.
For a self-employed/private-practice midwife, income is more variable because it depends on the number of consultations, practice location, and patient base. Early in a career, earnings are often comparable to hospital salaries, but they may increase over time with a stable patient base.
Where do midwives work?
Midwives can work in different environments, depending on their career choices and practice model.
The majority work in maternity units, within a public hospital or a private clinic. They work in delivery rooms, prenatal consultations, or postnatal wards.
The work pace can be demanding, with night shifts, weekend shifts, or public holiday duty.
Some choose private practice. They may open their own office or share a practice with other healthcare professionals. They provide pregnancy follow-up consultations, birth preparation sessions, home visits after childbirth, and preventive gynecological care. Work organization is more autonomous, but it also involves managing the administrative side of the practice.
Midwives can also work in maternal and child health services (PMI), health centers, or take part in prevention and health education initiatives.
The choice of workplace influences the pace of work, the level of responsibility, and day-to-day working conditions.