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How to Become a Nurse Midwife in Michigan - Midwife Schooling Requirements for 2025

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Michigan faces a shortage of qualified nurse midwives, with only 1.2 nurse midwives per 10,000 residents serving the state's diverse population. So it goes without saying that pursuing nurse midwifery in Michigan offers a stable and rewarding career, with the state's projected healthcare employment growth outpacing the national average.

This article explores the educational pathways, certification requirements, and emerging trends in midwifery education. Prepared by career planning experts, it provides clear guidance to help you navigate your journey towards becoming a certified nurse midwife in Michigan. 

Key Points About Becoming a Nurse Midwife in Michigan

  • Complete a graduate nursing program accredited by the American Midwifery Certification Board (ACMB) to meet Michigan’s licensure standards.
  • Pass the national certification exam to become a certified nurse midwife (CNM), a credential essential for practice and recognized across the state.
  • Stay informed on evolving healthcare policies in Michigan that may expand nurse midwife roles, especially in rural areas facing maternal care shortages.

Table of Contents

  1. What is the minimum degree requirement to become a nurse midwife in Michigan?
  2. What are the admission requirements for nurse midwife programs in Michigan?
  3. What courses are included in nurse midwife programs in Michigan?
  4. What are the clinical training requirements for nurse midwife programs in Michigan?
  5. How long does it take to become a certified nurse midwife in Michigan?
  6. How much does it cost to attend nurse midwife school in Michigan?
  7. What financial aid options are available for nurse midwife students in Michigan?
  8. How do nurse midwifery programs compare with nurse practitioner programs in Michigan?
  9. What are the top accredited nurse midwife schools in Michigan?
  10. Which advanced degrees support career advancement for CNMs in Michigan?
  11. What organizations accredit nurse midwife programs in Michigan?
  12. Other Things You Need to Know About Becoming a Nurse Midwife in Michigan

What is the minimum degree requirement to become a nurse midwife in Michigan?

To become a nurse midwife in Michigan, the minimum educational requirement is a Master of Science in Nursing (MSN) with a specialization in nurse midwifery. This advanced degree includes both didactic coursework—typically 40 to 60 semester credits—and approximately 1,000 hours of supervised clinical training.

The curriculum covers essential topics such as advanced pharmacology, reproductive health, prenatal and postpartum care, and the legal and ethical aspects of midwifery. This foundation ensures that graduates are equipped to manage the full scope of maternal and newborn care in a variety of clinical settings.

Earning an MSN also qualifies graduates to sit for the national certification exam administered by AMCB, a requirement for state licensure in Michigan. The degree prepares future CNMs to integrate evidence-based practice, collaborate across disciplines, and provide patient-centered care that adapts to the evolving needs of women and families.

As midwifery continues to grow in recognition and demand, the MSN remains a key credential for those entering the field, aligning with Michigan’s emphasis on holistic, high-quality care in maternal health.

What are the admission requirements for nurse midwife programs in Michigan?

Admission to nurse midwife programs in Michigan is becoming increasingly multifaceted, reflecting the evolving demands of the profession. Future trends suggest greater emphasis on diverse clinical backgrounds and expanded competencies.

  • Minimum Degree Requirement: A Bachelor of Science in Nursing (BSN) from a regionally accredited institution is generally required, though some programs may accept a non-nursing bachelor’s with additional prerequisites.
  • Minimum GPA: Most programs expect a cumulative undergraduate GPA of at least 3.0, ensuring academic readiness for advanced clinical training.
  • RN License: A current, unrestricted Michigan Registered Nurse (RN) license is mandatory and must be maintained throughout the program.
  • Clinical Experience: At least one year of full-time nursing experience in labor and delivery, mother-baby, or OB/GYN settings is typically necessary; emerging trends might expand acceptable experience to related maternal-child health roles, including doula work.
  • Letters of Recommendation: Three letters are usually required, including one from a supervisor, one peer nurse, and one advanced practice nurse with graduate-level credentials.
  • Personal Statement: Applicants must articulate their commitment to nurse-midwifery and suitability for advanced practice roles through a written statement.
  • Background Check: A fingerprint-based background check is required post-admission as part of licensure procedures.
  • Transcripts: Official transcripts from all postsecondary institutions must be submitted to verify academic history.
  • International Students: Must demonstrate English proficiency, have foreign nursing education evaluated for equivalency, and show eligibility for Michigan RN licensure; additional program-specific requirements may apply.
  • Unique Michigan Requirements: Graduates must obtain national certification through the American Midwifery Certification Board and secure APRN licensure with a nurse-midwife specialty, adhering to state scope of practice laws including limited prescriptive authority under collaborative agreements.
  • No GRE/MAT Requirement: Most programs do not require GRE or MAT scores, signaling a shift toward holistic admissions processes.

Given these challenging requirements, it's not surprising that being a nurse midwife is one of the highest paying nursing careers, especially considering the maternal mortality rate in the country, as shown below.

What is the maternal mortality rate in the US?

What courses are included in nurse midwife programs in Michigan?

Nurse midwife programs in Michigan are evolving to meet both national standards and the unique health needs of local populations. The curriculum is designed not only to build strong clinical skills but also to prepare students for the dynamic and specialized roles nurse midwives will encounter in the future.

Core courses in the nurse midwife program curriculum in Michigan typically include:

  • Advanced Health Assessment: Teaches comprehensive evaluation techniques for women throughout their lifespan, essential for identifying normal and abnormal health indicators in diverse clinical settings.
  • Advanced Pathophysiology: Focuses on complex bodily processes and disease mechanisms related to reproductive and perinatal health, enabling students to manage both routine and complicated cases.
  • Pharmacology for Advanced Practice Nurses: Covers medication management with special attention to drugs used in women’s health, pregnancy, and newborn care, ensuring safe pharmacotherapeutic decisions.
  • Reproductive and Sexual Health: Addresses contraception, infertility, sexually transmitted infections, and gynecologic care, equipping students to provide comprehensive reproductive health services.
  • Antepartum, Intrapartum, and Postpartum Care: Offers clinical experience and evidence-based knowledge in prenatal care, labor and delivery, and postpartum support tailored to Michigan’s population needs.
  • Newborn Assessment and Care: Prepares students to assess and manage newborn health, focusing on early intervention and common neonatal conditions.
  • Primary Care of Women: Emphasizes diagnosis and management of acute and chronic conditions in women, promoting health across the lifespan.
  • Evidence-Based Practice and Research: Develops skills in critical appraisal of research and applying findings to improve clinical midwifery practice.
  • Professional Issues and Role Development: Explores the legal and ethical responsibilities specific to Michigan’s regulations, fostering professional growth within the state’s healthcare framework.
  • Clinical Practicum/Experience: Provides hands-on training in diverse Michigan healthcare environments, ensuring comprehensive competency in all facets of nurse midwifery care.

Future trends suggest these courses will increasingly integrate interprofessional collaboration and cultural competence to serve Michigan’s diverse communities better. For those wondering how long does it take to become a family nurse practitioner, understanding the depth of these courses in Michigan nurse midwifery schools helps clarify the commitment necessary for advanced practice roles.

What are the clinical training requirements for nurse midwife programs in Michigan?

In Michigan, nurse midwife students are typically required to complete approximately 1,000 supervised clinical hours, distributed across multiple semesters. These hours take place in a range of healthcare environments—including labor and delivery units in hospitals, birthing centers, OB/GYN practices, and women’s health or primary care clinics. This diverse clinical exposure allows students to gain experience with various models of care, from high-acuity hospital births to community-based, low-intervention settings.

During training, students develop essential clinical competencies such as prenatal assessments, labor and birth management, postpartum recovery, newborn evaluations, and gynecological care. Skills in patient safety, documentation, medication administration, and aseptic techniques are also emphasized. This hands-on experience is key to preparing students for the full scope of midwifery practice, including recognizing complications and collaborating with other healthcare professionals.

Preceptors—usually certified nurse midwives or OB/GYN physicians—supervise and evaluate student performance, providing guidance and feedback throughout clinical placements. Michigan requires all CNM candidates to complete an ACME-accredited program and submit proof of clinical competency for licensure.

While clinical training aligns with national standards, Michigan’s requirement for a collaborative agreement with a physician adds an additional layer of real-world coordination, influencing how midwives prepare for practice in the state.

How long does it take to become a certified nurse midwife in Michigan?

Becoming a certified nurse midwife in Michigan begins with earning a Bachelor of Science in Nursing, which typically takes about four years of full-time study. After graduation, candidates must pass the NCLEX-RN exam to become licensed registered nurses in the state.

While not always mandatory, gaining one to two years of clinical experience as an RN is often recommended or required by some graduate programs and employers before moving on to advanced study.

The next phase involves completing a graduate nurse midwifery program accredited by the Accreditation Commission for Midwifery Education (ACME), usually an MSN or Doctor of Nursing Practice (DNP). MSN programs generally require two to three years, while DNP programs can take three to four years, depending on the curriculum and study format. These programs combine classroom learning with extensive clinical training, often requiring several hundred clinical hours in diverse maternity care settings, which can vary based on program and state guidelines.

After graduation, candidates must pass the Certified Nurse-Midwife (CNM) exam administered by the American Midwifery Certification Board (AMCB). In Michigan, additional steps include applying for Advanced Practice Registered Nurse (APRN) licensure with specialty certification in nurse-midwifery, submitting transcripts, proof of certification, undergoing a background check, and paying a processing fee. The state mandates human trafficking training before initial licensure and continuing education in areas like pain management and cultural awareness for renewals.

Overall, the process from starting a BSN to full CNM licensure usually spans seven to ten years, though state-specific clinical hour requirements or administrative delays may extend this timeline slightly in the future. Emerging trends in flexible graduate programs and telehealth clinical opportunities might shorten these durations over time.

How much does it cost to attend nurse midwife school in Michigan?

The nurse midwife program tuition in Michigan varies significantly depending on the type of institution and residency status. For graduate-level programs, public universities typically charge around $17,789 for in-state students, while out-of-state tuition can rise to approximately $30,782.

Private and specialized institutions, including well-known programs like Frontier Nursing University, often have tuition costs ranging from $29,610 for post-graduate certificates up to $38,775 or more for full MSN Nurse-Midwifery degrees. These figures generally cover tuition only and do not include additional required expenses.

When considering the cost of nurse midwifery school Michigan, students should also anticipate mandatory fees such as application, matriculation, clinical lab, and graduation fees, which can collectively add several hundred to over a thousand dollars. Textbooks and course materials may cost between $1,000 and $2,000 over the duration of the program, while clinical supplies and uniforms typically add another $300 to $700.

After graduation, ongoing costs include licensure fees, with Michigan’s advanced practice RN (APRN) biennial renewal fee ranging from $60 to $80. Obtaining national certification through the American Midwifery Certification Board is also necessary but not included in tuition or fees.

Looking ahead, the tuition and other costs associated with nurse midwife education may continue to evolve with emerging trends such as increased online program offerings and potential shifts in credit-hour pricing. Prospective students should stay informed about these changes as they consider their investment in education and career.

For those exploring career pathways, understanding requirements like licensure and certification is essential, and resources explaining the advanced practice registered nurse how to become process can provide valuable guidance. This broader context also helps illustrate the growing role of CNMs in maternal healthcare, as shown in the image below, highlighting the percentage of births attended by certified nurse midwives.

What percentage of births in the U.S. are attended by CNMs?

What financial aid options are available for nurse midwife students in Michigan?

Financial aid for nurse midwife students in Michigan is evolving, with new opportunities emerging to address the growing need for advanced practice nurses. Future trends suggest increased collaboration between state initiatives and federal programs to better support students committed to serving underserved communities.

  • Federal Student Loans: Graduate students can access Direct Unsubsidized and Graduate PLUS Loans by submitting the FAFSA, helping cover tuition with manageable interest rates.
  • State Grants and Workforce Incentives: Although Michigan lacks specific grants for graduate nursing, targeted funds occasionally assist those pledging to work in shortage areas.
  • University Scholarships and Assistantships: Local institutions often provide tailored scholarships and graduate assistantships aimed at nurse midwifery students.
  • National and Private Scholarships: Competitive awards like the Nurses Educational Funds and Wood-Bond Legacy Scholarships support academic excellence and commitment to women’s health.
  • Loan Repayment Programs: Programs such as the NHSC offer loan forgiveness for service in federally designated shortage areas, encouraging graduates to serve critical populations.
  • Federal Work-Study: Part-time campus jobs related to healthcare allow students to earn income while gaining experience without increasing debt.

When discussing financial aid options with a nurse midwife from Michigan who graduated locally, she reflected on the balancing act between navigating multiple aid sources and the emotional strain of funding her education. “It was overwhelming at first,” she shared, “but combining university scholarships with federal loans and a work-study position made it manageable.”

She emphasized the importance of early FAFSA submission and staying in close contact with her school’s financial aid office to uncover less-publicized state incentives. Her journey highlighted how persistence and strategic planning unlock vital resources, ultimately enabling her to focus on her studies and future patients with confidence.

How do nurse midwifery programs compare with nurse practitioner programs in Michigan?

Nurse midwifery programs focus on maternal and newborn care with an emphasis on clinical competencies related to pregnancy, childbirth, and postpartum management. In contrast, nurse practitioner programs build broad clinical foundations that span various patient populations and disease management protocols. Evaluating these distinct educational pathways can help professionals determine which advanced practice role aligns best with their career goals. For a side-by-side insight into related fields, consider exploring the top nurse practitioner programs in Michigan to understand differences in curriculum focus, clinical training opportunities, and long-term career trajectories.

What are the top accredited nurse midwife schools in Michigan?

Choosing an accredited nurse midwifery program in Michigan is vital for those aiming to become CNMs, as graduation from an ACME-accredited program is required to qualify for national certification and licensure. Future trends suggest growing innovation in clinical training and flexible learning models to meet the increasing demand for skilled nurse midwives across diverse healthcare settings.

Here are some of the best nurse midwifery programs in Michigan, each offering unique strengths that prepare students for advanced practice roles:

  • University of Michigan – Nurse-Midwifery Program: This highly ranked program offers MSN, DNP, and post-graduate certificate tracks with individualized clinical placements. Its world-class faculty focus on clinical readiness and leadership in midwifery education, making it a top choice for those seeking comprehensive preparation.
  • Wayne State University – DNP in Nurse-Midwifery: Accredited by ACME, Wayne State provides a Doctor of Nursing Practice pathway emphasizing urban women's health. Students benefit from strong Detroit-area hospital partnerships, gaining diverse, hands-on experience in real-world clinical environments.
  • Frontier Nursing University (Michigan-based clinical sites): Offering a flexible, distance-based model, Frontier allows students to complete coursework online while accessing clinical placements at Michigan hospitals. This format suits working nurses and those outside metropolitan areas seeking accredited nurse midwife schools Michigan.
  • Michigan State University – DNP Nurse-Midwifery Program: Known for its interprofessional education, this ACME-accredited program integrates rural healthcare delivery with women’s health expertise. It prepares graduates to lead in both clinical practice and community health settings.
  • Eastern Michigan University – Collaborative Nurse-Midwifery Program: This program partners with other accredited institutions to provide tailored support and advising. It offers a unique pathway for students who prefer partnership-based or non-traditional education routes within Michigan.

Alongside rigorous academic preparation, prospective nurse midwives in Michigan should also consider factors such as clinical diversity, faculty expertise, and flexible learning options.

For those curious about career prospects, exploring what is a average salary for nurse by state offers valuable insight into future earning potential across nursing specialties. To better understand workforce trends and demographics, the chart below shows the typical age range of practicing nurse midwives.

Which advanced degrees support career advancement for CNMs in Michigan?

Advanced degrees play a pivotal role in expanding the career horizons for CNMs in Michigan, enabling them to take on specialized and leadership roles. As the healthcare landscape evolves, these qualifications offer pathways to influence clinical practice, education, and policy.

  • MSN Nurse-Midwifery Focus: This foundational degree qualifies CNMs to practice clinically across diverse settings and opens doors to roles like clinical preceptor or department lead, establishing a base for future growth.
  • Doctor of Nursing Practice: With a focus on advanced clinical skills and leadership, a DNP prepares CNMs for executive positions such as director of midwifery services or clinical program manager, driving innovation in healthcare delivery.
  • PhD in Nursing or Related Field: Ideal for those aiming at research and academia, a PhD enables CNMs to become nurse scientists or policy experts, leading studies that address critical maternal and infant health challenges in Michigan.
  • Post-Master’s Certificate in a Related APRN Specialty: Adding credentials like Women’s Health Nurse Practitioner expands scope and eligibility for specialized roles within multidisciplinary healthcare teams.

What organizations accredit nurse midwife programs in Michigan?

The Accreditation Commission for Midwifery Education (ACME) stands as the sole nationally recognized body responsible for accrediting nurse midwife programs in Michigan and across the United States. Its role is pivotal in ensuring that educational programs meet rigorous standards necessary for preparing competent CNMs.

Looking ahead, ACME’s accreditation process may evolve to incorporate emerging healthcare technologies and interdisciplinary training modules, reflecting the growing complexity of midwifery care.

Programs accredited by ACME must demonstrate excellence in areas such as curriculum, faculty qualifications, and student outcomes, which collectively ensure that graduates are well-prepared for clinical practice and certification. This emphasis on quality is critical as prospective students consider nurse midwife program tuition in Michigan, seeking value alongside educational rigor.

While some institutions hold additional accreditation from bodies like the Commission on Collegiate Nursing Education (CCNE), these do not replace ACME’s essential endorsement for midwifery licensure and certification.

As healthcare demands shift, the cost of nurse midwifery school Michigan may reflect new curricular innovations and training technologies mandated by ACME standards. Graduates must pass the American Midwifery Certification Board exam to attain CNM status, underscoring the seamless link between accreditation and professional readiness.

Prospective students exploring questions like "Is there a difference between nursing degrees?" will find that ACME accreditation uniquely positions nurse midwifery programs for future growth, ensuring that midwives are prepared for evolving patient needs and healthcare environments.

What do nurse midwives in Michigan say about their career?

  • Completing my nurse midwifery program at Wayne State University was a turning point in my life. The hands-on experience I gained allowed me to confidently serve diverse communities across Michigan, where maternal care is both a challenge and a privilege. Starting my teaching career at a local school has been incredibly rewarding, as I get to inspire the next generation of nurse midwives while staying connected to my passion for clinical work. Michigan’s unique blend of urban and rural populations offers endless learning opportunities that have enriched my professional journey. I feel deeply fulfilled knowing that my work positively impacts families and strengthens community health. Abby
  • Graduating from the University of Michigan’s nurse midwifery program opened doors I never imagined. The rigorous curriculum combined with Michigan’s supportive healthcare environment gave me a strong foundation to start teaching at a local school. I’ve grown immensely, not just professionally but personally, as I witness the profound effect we have on young mothers and families in our state. The balance between clinical practice and education fuels my passion every day, and I take pride in contributing to healthier communities. The state’s dedication to maternal health makes this career path both stable and rewarding. Susanna
  • My journey began at Grand Valley State University, where I completed my nurse midwifery education and developed a deep appreciation for Michigan’s natural environment and its influence on well-being. Transitioning into teaching at a local school has been a unique challenge, blending academic rigor with practical skills development. The opportunity to guide students through both personal and professional growth has been a fulfilling experience. Michigan’s cultural diversity and changing healthcare needs keep my work dynamic and meaningful, encouraging me to continuously advance my expertise. This career has allowed me to make a tangible difference while pursuing lifelong learning. Louise

Other Things You Need to Know About Becoming a Nurse Midwife in Michigan

Can I be a midwife without a nursing degree in Michigan?

No, you cannot become a CNM in Michigan without a nursing degree. The role of a nurse midwife requires an RN license, which mandates completing an accredited nursing program. After obtaining an RN license, aspiring midwives must pursue graduate-level education in nurse-midwifery, usually a master's or doctoral degree from an accredited program.

In Michigan, the certification to practice as a nurse midwife is granted by AMCB, which requires both an RN license and graduation from an accredited nurse-midwifery program. Direct-entry midwifery routes, which do not require nursing credentials, exist but lead to different certification paths and are not recognized as nurse midwives under this title.

Therefore, if you want to practice specifically as a CNM in Michigan, you must first earn a nursing degree and RN licensure before advancing to nurse-midwifery education and certification.

What is the difference between a nurse midwife and a midwife in Michigan?

A nurse midwife is a registered nurse with advanced training in midwifery, typically holding a master’s degree in nurse-midwifery. In Michigan and across the U.S., nurse midwives are certified as CNMs and are licensed healthcare providers authorized to offer a wide range of services, including prenatal care, labor and delivery support, postpartum care, and general women’s health services. They often work in hospitals, clinics, and birthing centers, and can prescribe medications.

In contrast, a midwife without nursing credentials, often called a Certified Professional Midwife (CPM) or traditional midwife, generally focuses on out-of-hospital births and may not have formal nursing training. Their education varies, and their scope of practice is more limited in many states, including Michigan, where CPMs are not licensed to practice independently. Globally, midwives without nursing backgrounds are more common and may have broader autonomy depending on the country’s healthcare system. The key differences are in education, licensure, and scope of practice, with nurse midwives having a more medicalized and regulated role.

Is a midwife in Michigan higher than an RN?

In Michigan, a midwife is not considered "higher" than a registered nurse in terms of general nursing hierarchy, as their roles and scopes of practice differ significantly. CNMs are advanced practice registered nurses who have completed graduate-level education and specialized training in midwifery. According to the Michigan Board of Nursing, CNMs must hold an active RN license before obtaining certification in midwifery, indicating that midwifery is a specialized extension rather than a higher rank than nursing itself.

Midwives in Michigan focus primarily on pregnancy, childbirth, and postpartum care, often providing more personalized care during these periods. The American College of Nurse-Midwives reports that CNMs attend approximately 10% of all births in the U.S., reflecting their specialized role. Meanwhile, RNs have a broader scope, working in various healthcare settings beyond maternal care.

Salary data from the U.S. Bureau of Labor Statistics (2023) shows median annual wages of $77,600 for RNs and $115,540 for nurse midwives nationally, highlighting higher compensation linked to advanced education and specialization but not necessarily indicating a hierarchical superiority within nursing ranks in Michigan.

Is becoming a nurse midwife in Michigan hard?

Becoming a nurse midwife in Michigan can be challenging but achievable with dedication and proper planning. The process requires obtaining a registered nursing license, earning a graduate degree from an accredited nurse-midwifery program, and passing the national certification exam. Michigan’s licensing standards align with national requirements, ensuring consistent professional expectations.

The academic path involves rigorous coursework and clinical experience, which demands strong time management and commitment. Clinical rotations provide hands-on training in diverse healthcare settings, preparing candidates for real-world scenarios. Additionally, applicants must meet state-specific licensing requirements, including submitting an application to the Michigan Board of Nursing and completing a background check.

While the journey is demanding, resources such as accredited programs and professional organizations support candidates throughout the process. Success depends on motivation, academic preparation, and clinical competence. Overall, becoming a nurse midwife in Michigan is a structured but manageable path for those committed to maternal and newborn health care.

References:

  • Aldrich, G. (2023, August 12). How to Become a Midwife Without a Nursing Degree. OnlineDegree.com.
  • All Nursing Schools. (n.d.). What You’ll Study in a Nurse Midwife Program. allnursingschools.com.
  • American Midwifery Certification Board. (n.d.). Our mission: To protect and serve the public by leading the certification standards in midwifery. AMCB.
  • Chapel Hill. (2025, July 7). What Training is Required to be a Certified Nurse Midwife? chapelhillobgyn.com.
  • Gustafson, K. (2025, April 21). Become a Certified Nurse Midwife (CNM)- Education, Licensure & Salary. Nursing Colleges.
  • Jividen, S. (2025, May 30). Midwife vs Nurse Midwife: What Are the Differences? Nurse.org.
  • Midwife Schooling. (n.d.) How to Become a Nurse Midwife in Michigan (CNM Licensing & Programs). midwifeschooling.com.
  • Morris, G. (2025, July 9). Guide to Financial Aid and Scholarships for Nurses. Nurse Journal.
  • Nurse.com Higher Education Guide. (n.d.). APRN Certifications | Become a Certified Nurse-Midwife. nurse.com.
  • Nurse Midwifery. (n.d.). Become a Certified Nurse Midwife. nursemidwifery.org.
  • Nursing License Map. (n.d.). Certified Nurse-Midwife (CNM). nursinglicensemap.com.
  • United States Bureau of Labor Statistics. (2024, April 3). Occupational Employment and Wage Statistics | 29-1161 Nurse Midwives. BLS.

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