24 February, 2026

Midwifery Careers in 2026: Growth Areas and Emerging Roles

The role of the Registered Nurse (RN) is central to the delivery of high-quality healthcare in Australia. 2026 midwifery trends show how workforce changes, evolving career pathways, and rapid technological innovation are reshaping the profession. For midwives dedicated to supporting women and babies, staying abreast of these trends is vital. It helps deliver the best care and navigate a successful career.

The landscape of maternity care is shifting towards more personalised, equitable, and technologically supported frameworks. This article explores the key trends shaping midwifery employment this year. We will examine the expanding focus on continuity of care models, the critical role midwives play in addressing health disparities, and how technology is enhancing clinical practice.

The Expansion of Continuity of Care Models

One of the most positive shifts in Australian maternity services is the increasing emphasis on continuity of care. Evidence consistently shows that when a woman is cared for by a primary midwife—or a small group of midwives—throughout pregnancy, birth, and the postnatal period, outcomes are significantly improved. In 2026, this model is moving from being a “gold standard” to a standard expectation in many services.

Growth of Midwifery Group Practice (MGP)

Hospitals and health services are actively expanding their Midwifery Group Practice (MGP) programs. For midwives, this offers a unique way of working that differs from the traditional shift-based roster. Working in an MGP model allows you to build trusting, long-term relationships with women, which is often cited as a major source of job satisfaction.

Therefore, there is a high demand for midwives who are interested in this caseload model of care. These roles often require flexibility and autonomy. They provide the opportunity to practice to the full scope of your profession. We are seeing more positions advertised that specifically seek experience in or a willingness to transition to continuity of care models.

Endorsed Midwives and Private Practice

The number of Endorsed Midwives—those qualified to prescribe scheduled medicines and access Medicare rebates—continues to grow. This endorsement is a key enabler for midwives working in private practice or community settings, allowing them to provide comprehensive care. In 2026, holding this endorsement is a significant career advantage, opening doors to diverse employment options outside the traditional hospital system.

Addressing Maternal Health Disparities

A critical focus for the Australian healthcare system is closing the gap in health outcomes, particularly for Aboriginal and Torres Strait Islander mothers and babies, as well as those in rural and remote communities. To support this goal, midwives lead these efforts.

Cultural Safety and Competence

There is a growing requirement for midwives to possess strong cultural competence. Health services are prioritising the recruitment of staff who can deliver culturally safe care that respects the traditions and needs of First Nations women. Programs such as “Birthing on Country” are gaining traction, designed to return maternity services to communities. Midwives who are skilled in working within these culturally specific frameworks are highly valued.

Rural and Remote Access

Women living in rural and remote Australia often face significant challenges in accessing maternity care. The shortage of midwives in these areas is an ongoing concern. Consequently, there is a strong demand for midwives willing to work in regional locations. These roles are critical for ensuring women can birth closer to home and support networks. For midwives, rural practice often offers a broader scope of clinical experience and the chance to be a pillar of the local community.

Technology Integrating with Maternity Care

2026 midwifery trends show that while midwifery is fundamentally hands-on, technology is playing an increasingly supportive role. Moreover, the integration of digital tools in 2026 is designed to enhance safety and improve access without compromising the personal connection between midwife and mother.

Telehealth for Antenatal and Postnatal Care

For maternity care, telehealth has become a permanent fixture, particularly for antenatal and postnatal appointments that do not require physical examination. This is a game-changer for women in remote areas or those with transport difficulties. For midwives, this means developing skills in virtual assessment and digital communication is essential. Being able to build rapport and identify potential concerns through a screen is now a key competency.

Electronic Maternity Records (EMR)

The transition from paper-based notes to fully integrated Electronic Maternity Records (EMR) continues. These systems allow the entire care team to access a woman’s health information, reducing the risk of errors and improving communication between midwives, obstetricians, and GPs. Proficiency in using these digital platforms is expected in almost all hospital settings, ensuring workflows are efficient and compliant with data standards.

Remote Monitoring Technologies

Advancements in fetal monitoring and wearable technology are allowing for more sophisticated monitoring of high-risk pregnancies.

In 2026, midwives may review data transmitted from a woman’s home device, allowing for earlier intervention if complications arise. As a result, this blend of clinical vigilance and digital literacy is becoming a hallmark of modern midwifery practice.

Compensation Trends for Midwives

Employers highly value the expertise and dedication of midwives, reflecting 2026 midwifery trends in compensation. As with other nursing roles, salaries for midwives vary based on location, years of experience, and additional qualifications. The HCA Salary Guide provides a detailed breakdown of these benchmarks.

Location and Incentives

Midwives willing to work in regional, rural, and remote areas often command higher remuneration packages. Additionally. health services in these locations frequently offer additional allowances, accommodation support, and retention bonuses to attract skilled staff. This makes rural midwifery not only a professionally rewarding choice but also a financially attractive one.

Experience and Endorsement

Salary progression is closely tied to clinical experience and grading. A graduate midwife will start at a base rate, which increases with each year of service. Furthermore, obtaining endorsement or moving into clinical leadership roles—such as Clinical Midwifery Consultant or Midwifery Unit Manager—significantly increases earning potential. The HCA Salary Guide illustrates these bands, helping you understand where your skills sit within the market and what you can expect as you advance your career.

Plan Your Career in Midwifery

The future of midwifery in 2026 is focused on connection, equity, and safety. Whether you are drawn to the autonomy of caseload midwifery, the challenge of rural practice, or the stability of a hospital role, the sector offers diverse pathways for professional fulfilment. By aligning your skills with 2026 midwifery trends, you can prepare to provide the highest standard of care. This benefits the women and families who rely on you.

To gain a comprehensive understanding of salary benchmarks for midwives across Australia, and to see how your compensation compares to industry standards, we invite you to download the complete HCA Salary Guide.

Download the HCA Salary Guide today to explore your earning potential and plan your next career move in midwifery.

 

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