How to become a Midwife
Helps women give birth, advises pregnant women and new mothers, and gives health guidance to mothers and babies from pregnancy until after the birth.
Main tasks
- Explaining check-up results and things to watch out for to pregnant women
- Preparing wards and delivery rooms and getting instruments, equipment and supplies ready
- Taking set emergency measures and contacting the obstetrician if something goes wrong during pregnancy or labour
- Assisting with operations as the doctor directs
- Helping deliver babies and giving care after the birth
- Checking newborn babies' health and taking various measurements
- Recording details of the birth in the maternal and child health handbook and on the birth certificate
- Checking mothers' condition after the birth and guiding them on breastfeeding and recovery
- Checking and advising on the health of mother and baby through newborn check-ups and home parenting guidance at discharge
- Giving breast care and breastfeeding guidance during pregnancy and after the birth
- Running antenatal classes during pregnancy
- Giving one-to-one or group guidance on family planning, childbirth and parenting
- Sharing information on mothers and newborns with community services and working together to support them
- Giving expectant and new mothers information on public assistance and parenting support services
- Checking on pregnant women's mental health and supporting them
- Giving pelvic care to pregnant women and new mothers
- Giving injections and taking blood
- Carrying out the tests needed based on outpatients' main concerns and physical condition
- Supporting and caring for mothers and babies in the neonatal intensive care unit (NICU)
- Assisting with operations after miscarriage and with abortions
- Guiding and teaching other midwives and nursing and midwifery students
Workers in this job say university or vocational college (senmon gakko) is common. From job tag's survey of people in each job, who could give several answers. It shows what workers see as common, not how many workers hold each level.
How to become one
To become a midwife you must pass the national midwife exam. You must already have passed the national exam for registered nurses to be eligible, so after high school you complete three to four years of specialist study at a nursing university, tanki daigaku (junior college) or senmon gakko (vocational college) and then sit the nursing exam. Those who chose the midwifery option at a nursing university become eligible for the national midwife exam once they pass. Others become eligible after two years at a nursing graduate school, or one year of specialist study on a postgraduate or special course at a nursing university, a postgraduate course at a nursing junior college or a midwife training school. Whichever route you take, you become a midwife after passing the national midwife exam. Although the name of the job, qualification and exam has changed from "josanpu" (midwife, a term for women) to the gender-neutral "josanshi", the midwife exam is still open only to women. To keep mother and baby safe during birth, you need sound judgement and the ability to act quickly, as well as the related specialist knowledge and skills.
Ways in
- University: Nursing & Midwifery degrees, Offered by 79 universities in Japan
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 助産師. Needed to do this job (Peernovo, from job tag's entry description). English name and classification by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 看護師. Needed to do this job (Peernovo, from job tag's entry description). English name and classification by Peernovo.
Pay · Job openings · AI and this job
- Average annual income: ¥5,667,000 Private sector only: employers with 10 or more staff. Public servants, such as public school teachers and police officers, are not in these figures.
- Monthly base pay (before overtime and bonus): median ¥328,700, and the middle half earn ¥294,000 to ¥393,700 a month.
- 2.05 job openings per applicant at Hello Work (2025). A current demand signal, not a projection. It counts only the jobs and job seekers registered at Hello Work, Japan's public employment offices, and many graduate and professional hires never pass through it.
- Generative AI can do relatively little of this work, by the ILO's global estimate.
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Questions people ask
How do I become a Midwife?
To become a midwife you must pass the national midwife exam. You must already have passed the national exam for registered nurses to be eligible, so after high school you complete three to four years of specialist study at a nursing university, tanki daigaku (junior college) or senmon gakko (vocational college) and then sit the nursing exam. Those who chose the midwifery option at a nursing university become eligible for the national midwife exam once they pass. Others become eligible after two years at a nursing graduate school, or one year of specialist study on a postgraduate or special course at a nursing university, a postgraduate course at a nursing junior college or a midwife training school. Whichever route you take, you become a midwife after passing the national midwife exam. Although the name of the job, qualification and exam has changed from "josanpu" (midwife, a term for women) to the gender-neutral "josanshi", the midwife exam is still open only to women. To keep mother and baby safe during birth, you need sound judgement and the ability to act quickly, as well as the related specialist knowledge and skills.
How much does a Midwife earn in Japan?
Average annual income in the private sector, bonus included, is ¥5,667,000 (Ministry of Health, Labour and Welfare).
Do you need a degree to become a Midwife?
Not always. In this job's census occupation group, 44% of workers are university graduates. Ways in include: Nursing & Midwifery degrees.
Will AI change the work of a Midwife?
Generative AI can do relatively little of this work, by the ILO's global estimate.
Sources
- Ministry of Health, Labour and Welfare: Basic Survey on Wage Structure (賃金構造基本統計調査) 2025: earnings by occupation (2025 survey (June 2025 pay, 2024 bonus), published 2026-03-24), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Ministry of Health, Labour and Welfare: Employment Referrals for General Workers (一般職業紹介状況): Hello Work job-openings-to-applicants ratio by occupation (2025 annual (release of 2026-10-02)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Statistics Bureau of Japan (MIC): 2020 Population Census (令和2年国勢調査) detailed sample tabulation: employed by occupation, sex, age and education (2020 Census (tables 9-1 and 15-1, published 2022-12-27)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- JILPT (職業情報データベース) via MHLW job tag: job tag download data: 解説系 (descriptions, how to become, related qualifications) and 簡易版数値系 (interests, tasks, education) (解説系 ver.7.01 (2026-06-04); 簡易版数値系 ver.7.00 (2026-03-17)), retrieved 4 October 2026
- International Labour Organization, Generative AI and Jobs: A Refined Global Index of Occupational Exposure (ILO Working Paper 140, Gmyrek et al.) (ILO Working Paper 140, May 2025, Annex Table A1), CC BY 4.0, retrieved 4 October 2026
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 解説系ダウンロードデータ(IPD_DL_description_7_01.xlsx)ver.7.01 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 簡易版数値系ダウンロードデータ(IPD_DL_numeric_7_00.xlsx)ver.7.00 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
Sources: JILPT Occupational Information Database download data via job tag (解説系 ver.7.01 and 簡易版数値系 ver.7.00, downloaded 4 October 2026), processed by Peernovo; MHLW, Basic Survey on Wage Structure 2025; Statistics Bureau of Japan, 2020 Population Census; MEXT, School Basic Survey 2025; MHLW, Employment Referrals for General Workers (Hello Work statistics). Figures processed by Peernovo. English job names, translations and the matching of jobs to statistical groups, schools and degree fields by Peernovo.
Updated 4 October 2026
