Gini Loh System Tools

AI Automation Index

Will AI Replace Nurse Midwives?

Task-level automation exposure for Nurse Midwives: 21 O*NET tasks scored against their work activities, plus the simulator.

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Developed & audited by Gini Loh

Automation Exposure

36% weighted task index

21 of 21 tasks scored

Median Salary

$134,040 / year

BLS OEWS, May 2025 — this exact occupation

Employment Level

Low

7,920 people hold this job — size, not growth

Projected 2025–35

+11.5% employment change

400 openings a year · BLS line item

Pay by state

BLS OEWS publishes 39 state estimates for this occupation. Each is its own survey estimate, not the national median adjusted for local prices.

$72,630 – $203,840

Highest medians

California $203,840
Hawaii $170,110
Massachusetts $159,800
Washington $158,970
New Jersey $153,970

Lowest medians

North Dakota $72,630
District of Columbia $101,450
Indiana $101,630
Georgia $105,510
Tennessee $116,980

State figures come from the 29-1161 row in the May 2025 state panel. States where the estimate was suppressed or too small to publish are absent.

What the score is made of

Each task is mapped to its work activities, scored for AI automation potential, and weighted by how important those activities are to the job. These are the components.

Automation potential 36%

Importance-weighted mean of the scored tasks. This is the headline index.

Physical work 0%

Share of weighted tasks in hands-on or machine-operating work activities.

Judgment & influence 55%

Share in analysis, decisions, teaching, directing, advising, or caring for others.

Routine administration 17%

Share in documenting, recording, and administrative activities.

Rewritten by O*NET 0%

Share of weighted tasks O*NET rewrote in a recent update. Reported, not folded into the score.

Consequence of error 78/100 High

O*NET's own rating of how serious an uncorrectable mistake would be here — respondents, not us. Deliberately not in the index: the score measures what AI can do with the task content, and multiplying it by stakes would be our judgment dressed as data.

Constituent Task Mix

21 tasks for this occupation, weighted by work-activity importance. Shares below are of total task weight, not task count.

High exposure (≥ 60% of the task is automatable) 16%

3 tasks

Medium exposure (≥ 35%) 41%

9 tasks

Low exposure (below 35%) 43%

9 tasks

How would you survive?

Move your week away from the high-exposure tasks and toward the ones that need judgment. The simulator recalculates the index as you shift the mix.

Simulate Upskilling →

Emerging & rewritten tasks

Tasks O*NET added or rewrote for this occupation in its recent updates (05/2025 – 08/2026), with who proposed them. Additions are not in the scored task inventory — they are new work O*NET is still measuring, so they appear here and nowhere in the index. A Revision replaces a task that is scored, which is why only those move the "Rewritten by O*NET" share.

  • New 08/2021 · Occupational Expert

    Evaluate mental health of patients.

  • New 08/2021 · Occupational Expert

    Screen patients for gynecologic conditions such as infections.

Constituent Tasks

#18442 · Core · 5% automatable

Provide prenatal, intrapartum, postpartum, or newborn care to patients.

physical manipulation — Pregnancy and childbirth care is physical clinical presence

Care for women during pregnancy and childbirth.
#18444 · Core · 14% automatable

Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.

physical manipulation — Measuring physiological attributes needs hands-on devices

Examine patients to assess general physical condition. Measure the physical or physiological attributes of patients.
#18443 · Core · 62% automatable

Document patients' health histories, symptoms, physical conditions, or other diagnostic information.

interpersonal — Patient history requires live elicitation and judgment

Record patient medical histories.
#18455 · Core · 8% automatable

Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.

physical manipulation — Basic health care treatments are hands-on patient work

Administer basic health care or medical treatments.
#18454 · Core · 22% automatable

Prescribe medications as permitted by state regulations.

decision support — Prescribing medications is licensed high-stakes judgment

Prescribe medications.
#18447 · Core · 38% automatable

Develop and implement individualized plans for health care management.

decision support — Medical plans need exam, liability, and clinical judgment

Develop medical treatment plans.
#18449 · Core · 40% automatable

Explain procedures to patients, family members, staff members or others.

interpersonal — Results delivery needs empathy and clinical judgment

Explain medical procedures or test results to patients or family members.
#18453 · Core · 52% automatable

Order and interpret diagnostic or laboratory tests.

visual inspection — Image interpretation assists; radiologist owns diagnosis

Analyze test data or images to inform diagnosis or treatment. Order medical diagnostic or clinical tests.
#18450 · Core · 18% automatable

Initiate emergency interventions to stabilize patients.

physical manipulation — Hands-on emergency resuscitation and physical intervention

Treat medical emergencies.
#18448 · Core · 62% automatable

Document findings of physical examinations.

interpersonal — Patient history requires live elicitation and judgment

Record patient medical histories.
#18441 · Core · 55% automatable

Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.

decision support — Wellness advice needs tailoring and clinical accountability

Provide health and wellness advice to patients, program participants, or caregivers.
#18445 · Core · 14% automatable

Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.

physical manipulation — Nervous system testing is hands-on clinical exam

Test patient nervous system functioning. Examine patients to assess general physical condition.
#18456 · Core · 56% automatable

Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.

text generation — Summarize diagnostic and care activities into reports

Prepare reports summarizing patient diagnostic or care activities. Inform medical professionals regarding patient conditions and care.
#18452 · Core · 5% automatable

Provide primary health care, including pregnancy and childbirth, to women.

physical manipulation — Pregnancy and childbirth care is physical clinical presence

Care for women during pregnancy and childbirth.
#18446 · Core · 48% automatable

Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.

decision support — Clinical referral judgment needs licensed human accountability

Collaborate with healthcare professionals to plan or provide treatment. Refer patients to other healthcare practitioners or health resources.
#18459 · Core · 75% automatable

Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.

information retrieval — AI summarizes medical updates; human retains judgment

Maintain medical or professional knowledge.
#23919 · Core · 30% automatable

Instruct student nurse midwives, medical students, or residents on the birthing process.

interpersonal — Provider training is clinical, hands-on, accountable

Train medical providers. Teach medical procedures to healthcare personnel.
#18458 · Core · 55% automatable

Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.

text generation — AI drafts nursing policies; clinical board approves

Establish nursing policies or standards.
#18460 · Core · 38% automatable

Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.

interpersonal — Safety training content aided, live delivery human

Conduct health or safety training programs. Train medical providers.
#18457 · Core · 40% automatable

Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.

information retrieval — Literature review aided; wet-lab and clinical research human

Conduct research to increase knowledge about medical issues.
#18451 · Supplemental · 8% automatable

Manage newborn care during the first weeks of life.

physical manipulation — Basic health care treatments are hands-on patient work

Administer basic health care or medical treatments.
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Community Sentiment

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Method

How this was scored

  1. 1. Tasks. O*NET task statements for this occupation, from a release whose newest record is dated 08/2026.
  2. 2. Work activities. Each task maps to 1–5 Detailed Work Activities; each activity belongs to one of 41 Generalized Work Activities that O*NET rates for importance (1–5) in this occupation.
  3. 3. Automation potential. Every work activity carries one score for how far current AI can perform it end-to-end. Tasks inherit the mean of their activities.
  4. 4. Weighting. Task weight = 0.35 + 0.65 × (importance − 1)/4, scaled by how often the task is performed and by 0.7 for Supplemental tasks. Importance is the task's own O*NET rating where it exists (18,369 of 18,838 tasks); the rest inherit their work activities' importance. The index is the weighted mean.

Check: across the 910 occupations where O*NET also rates how far machine speed sets the pace, this index moves opposite to it (Spearman ρ = -0.49). The more a job is paced by equipment, the less of its task content AI can address — the relationship you would expect if the scoring is working.

Sources · O*NET 31.0 (task records to 08/2026) · BLS OEWS May 2025 · BLS projections 2025-2035 · rubric v2.1 · tasks for O*NET, not a forecast

See the full method →

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