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Balam Labs
ISCO-08 3222

Midwifery associate professionals

47.2%
ADI · 195th of 433 · 95% interval 35.1–58.8

An AI agent can at least partly carry out 47.2% of the task time of midwifery associate professionals, and finish 0.0% alone. The barrier that holds most of the rest back is access to the systems the work runs on.

ADI · partial or full47.2%

195th of 433 · interval 35.1–58.8

ADI3 · full delegation0.0%

201st of 433 · interval 0.0–0.0

ADIs · share of time35.5%

213th of 433 · interval 29.3–41.2

Evidence80

task statements rated by two models and weighted by importance and frequency. World employment: 0.2 million.

Task weight by level

How the tasks rate

33%
20%
47%
L0No meaningful role · 33.1%L1Augmentation · 19.7%L2Partial delegation · 47.1%L3Full delegation · 0.0%
Barriers

What stops the agent

Physical presence56%
Accountability76%
Trust and care57%
Access to systems74%

Share of task weight flagged by each barrier; a task can carry several.

80 task statements, heaviest first
Task statement (O*NET occupation)WeightLevelSonnet · HaikuShareHuman timeBarriers
Conduct ongoing prenatal health assessments, tracking changes in physical and emotional health.Midwives2.1%L1L1L235%38 minPhysical presence, Accountability, Trust and care, Access to systems
Monitor fetal growth and well-being through heartbeat detection, body measurement, and palpation.Midwives2.1%L0L0L112%25 minPhysical presence, Accountability, Trust and care, Access to systems
Maintain documentation of all patients' contacts, reviewing and updating records as necessary.Midwives2.0%L2L2L260%22 minAccountability, Access to systems
Evaluate patients' laboratory and medical records, requesting assistance from other practitioners when necessary.Midwives1.9%L2L2L260%28 minAccountability, Access to systems
Provide information about the physical and emotional processes involved in the pregnancy, labor, birth, and postpartum periods.Midwives1.8%L2L2L260%30 minAccountability, Trust and care
Counsel women regarding the nutritional requirements of pregnancy.Midwives1.8%L2L2L255%30 minAccountability, Trust and care, Access to systems
Monitor maternal condition during labor by checking vital signs, monitoring uterine contractions, or performing physical examinations.Midwives1.7%L1L1L115%30 minPhysical presence, Accountability, Trust and care, Access to systems
Obtain complete health and medical histories from patients including medical, surgical, reproductive, or mental health histories.Midwives1.6%L2L2L258%42 minAccountability, Trust and care, Access to systems
Collect specimens for use in laboratory tests.Midwives1.6%L0L0L18%12 minPhysical presence, Accountability, Trust and care, Access to systems
Facilitate and promote activities, such as lunches, seminars, or tours, to foster healthcare information privacy or security awareness within the organization.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L250%4.5 hPhysical presence, Trust and care, Access to systems
Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L270%4.0 hAccess to systems
Protect the security of medical records to ensure that confidentiality is maintained.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L252%3.0 hAccountability, Access to systems
Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L262%3.0 hAccountability, Access to systems
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L252%22 minAccountability, Trust and care, Access to systems
Retrieve patient medical records for physicians, technicians, or other medical personnel.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L378%12 minAccountability, Access to systems
Show the other 65 tasks
Task statement (O*NET occupation)WeightLevelSonnet · HaikuShareHuman timeBarriers
Evaluate and recommend upgrades or improvements to existing computerized healthcare systems.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L258%6.0 hAccountability, Trust and care, Access to systems
Train medical records staff.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L258%4.0 hTrust and care, Access to systems
Monitor changes in legislation and accreditation standards that affect information security or privacy in the computerized healthcare system.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L272%2.0 hAccess to systems
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L272%22 minAccountability, Access to systems
Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.Health Information Technologists and Medical Registrars · supplemental task1.6%L1L1L235%5.0 hAccountability, Trust and care, Access to systems
Identify, compile, abstract, and code patient data, using standard classification systems.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L270%30 minAccountability, Access to systems
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L372%4.0 hAccountability, Access to systems
Write or maintain archived procedures, procedural codes, or queries for applications.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L265%2.3 hAccountability, Access to systems
Design databases to support healthcare applications, ensuring security, performance and reliability.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L268%7.0 hAccountability, Access to systems
Develop in-service educational materials.Health Information Technologists and Medical Registrars · supplemental task1.6%L2L2L375%4.0 h–
Test patients' hemoglobin, hematocrit, and blood glucose levels.Midwives1.6%L0L0L05%12 minPhysical presence, Accountability, Trust and care, Access to systems
Recommend the use of vitamin and mineral supplements to enhance the health of patients and children.Midwives1.5%L2L2L258%20 minAccountability, Trust and care, Access to systems
Estimate patients' due dates and re-evaluate as necessary based on examination results.Midwives1.5%L2L2L250%18 minPhysical presence, Accountability, Trust and care, Access to systems
Perform post-partum health assessments of mothers and babies at regular intervals.Midwives1.5%L1L1L222%40 minPhysical presence, Accountability, Trust and care, Access to systems
Refer patients to specialists for procedures such as ultrasounds or biophysical profiles.Midwives1.4%L2L2L258%20 minAccountability, Trust and care, Access to systems
Provide patients with contraceptive and family planning information.Midwives1.4%L2L2L258%28 minAccountability, Trust and care, Access to systems
Identify, monitor, or treat pregnancy-related problems such as hypertension, gestational diabetes, pre-term labor, or retarded fetal growth.Midwives1.4%L1L1L230%38 minPhysical presence, Accountability, Trust and care, Access to systems
Inform patients of how to prepare and supply birth sites.Midwives1.4%L2L2L255%30 minPhysical presence, Accountability, Trust and care
Establish and follow emergency or contingency plans for mothers and newborns.Midwives1.4%L1L1L232%1.0 hPhysical presence, Accountability, Trust and care, Access to systems
Incorporate research findings into practice as appropriate.Midwives1.4%L2L2L255%2.0 hAccountability, Trust and care, Access to systems
Develop, implement, or evaluate individualized plans for midwifery care.Midwives1.4%L1L1L245%52 minPhysical presence, Accountability, Trust and care, Access to systems
Provide, or refer patients to other providers for, education or counseling on topics such as genetic testing, newborn care, contraception, or breastfeeding.Midwives1.4%L2L2L240%30 minPhysical presence, Accountability, Trust and care, Access to systems
Assess birthing environments to ensure cleanliness, safety, and the availability of appropriate supplies.Midwives1.3%L1L1L120%30 minPhysical presence, Accountability, Access to systems
Assist maternal patients to find physical positions that will facilitate childbirth.Midwives1.3%L0L0L16%30 minPhysical presence, Accountability, Trust and care, Access to systems
Monitor and maintain aseptic technique throughout procedures.Surgical Assistants1.3%L0L0L04%2.0 hPhysical presence, Accountability, Trust and care, Access to systems
Set up or monitor the administration of oxygen or medications.Midwives1.3%L0L0L110%18 minPhysical presence, Accountability, Trust and care, Access to systems
Assess the status of post-date pregnancies to determine treatments and interventions.Midwives1.3%L1L1L228%52 minPhysical presence, Accountability, Trust and care, Access to systems
Provide information about community health and social resources.Midwives1.3%L2L2L262%30 minTrust and care
Provide comfort and relaxation measures for mothers in labor through interventions such as massage, breathing techniques, hydrotherapy, or music.Midwives1.3%L0L0L16%2.3 hPhysical presence, Accountability, Trust and care
Perform annual gynecologic exams, including pap smears and breast exams.Midwives1.3%L0L0L112%35 minPhysical presence, Accountability, Trust and care, Access to systems
Verify the identity of patient or operative site.Surgical Assistants1.2%L1L1L112%4 minPhysical presence, Accountability, Trust and care, Access to systems
Treat patients' symptoms with alternative health care methods such as herbs or hydrotherapy.Midwives1.2%L1L1L118%45 minPhysical presence, Accountability, Trust and care, Access to systems
Maintain an unobstructed operative field, using surgical retractors, sponges, or suctioning and irrigating equipment.Surgical Assistants1.2%L0L0L00%1.3 hPhysical presence, Accountability, Trust and care, Access to systems
Provide necessary medical care for infants at birth, including emergency care such as resuscitation.Midwives1.2%L0L0L04%20 minPhysical presence, Accountability, Trust and care, Access to systems
Coordinate or participate in the positioning of patients, using body stabilizing equipment or protective padding to provide appropriate exposure for the procedure or to protect against nerve damage or circulation impairment.Surgical Assistants1.1%L0L0L04%18 minPhysical presence, Accountability, Trust and care, Access to systems
Complete birth certificates.Midwives · supplemental task1.1%L2L2L258%20 minAccountability, Access to systems
Prepare and apply sterile wound dressings.Surgical Assistants1.1%L0L0L04%12 minPhysical presence, Accountability, Trust and care, Access to systems
Cover patients with surgical drapes to create and maintain a sterile operative field.Surgical Assistants1.1%L0L0L00%10 minPhysical presence, Accountability, Trust and care, Access to systems
Suture perineal lacerations.Midwives1.1%L0L0L04%30 minPhysical presence, Accountability, Trust and care, Access to systems
Determine availability of necessary equipment or supplies for operative procedures.Surgical Assistants1.1%L2L2L252%30 minPhysical presence, Accountability, Access to systems
Clamp, ligate, or cauterize blood vessels to control bleeding during surgical entry, using hemostatic clamps, suture ligatures, or electrocautery equipment.Surgical Assistants1.1%L0L0L01%20 minPhysical presence, Accountability, Trust and care, Access to systems
Discuss with surgeon the nature of the surgical procedure, including operative consent, methods of operative exposure, diagnostic or laboratory data, or patient-advanced directives or other needs.Surgical Assistants1.1%L1L1L230%15 minAccountability, Trust and care, Access to systems
Assess skin integrity or other body conditions upon completion of the procedure to determine if damage has occurred from body positioning.Surgical Assistants1.1%L0L0L110%10 minPhysical presence, Accountability, Trust and care, Access to systems
Apply sutures, staples, clips, or other materials to close skin, facia, or subcutaneous wound layers.Surgical Assistants1.0%L0L0L02%15 minPhysical presence, Accountability, Trust and care, Access to systems
Pass instruments or supplies to surgeon during procedure.Surgical Assistants1.0%L0L0L00%2.0 hPhysical presence, Accountability, Trust and care, Access to systems
Obtain or inspect sterile or non-sterile surgical equipment, instruments, or supplies.Surgical Assistants1.0%L1L1L115%20 minPhysical presence, Accountability, Access to systems
Gather, arrange, or assemble instruments or supplies.Surgical Assistants0.9%L0L0L05%25 minPhysical presence, Accountability, Access to systems
Monitor patient intra-operative status, including patient position, vital signs, or volume and color of blood.Surgical Assistants0.9%L1L1L115%1.5 hPhysical presence, Accountability, Trust and care, Access to systems
Assist members of surgical team with gowning or gloving.Surgical Assistants0.9%L0L0L02%4 minPhysical presence, Accountability, Trust and care, Access to systems
Coordinate with anesthesia personnel to maintain patient temperature.Surgical Assistants0.9%L0L0L16%25 minPhysical presence, Accountability, Trust and care, Access to systems
Adjust and maintain operating room temperature, humidity, or lighting, according to surgeon's specifications.Surgical Assistants0.9%L0L0L18%5 minPhysical presence, Access to systems
Remove patient hair or disinfect incision sites to prepare patient for surgery.Surgical Assistants · supplemental task0.8%L0L0L01%12 minPhysical presence, Accountability, Trust and care, Access to systems
Operate sterilizing devices.Surgical Assistants0.8%L0L0L04%32 minPhysical presence, Accountability, Access to systems
Respond to breech birth presentations by applying methods such as exercises or external version.Midwives0.8%L0L0L110%45 minPhysical presence, Accountability, Trust and care, Access to systems
Assist in the insertion, positioning, or suturing of closed-wound drainage systems.Surgical Assistants0.8%L0L0L15%20 minPhysical presence, Accountability, Trust and care, Access to systems
Compile and evaluate clinical practice statistics.Midwives0.7%L2L2L268%3.5 hAccess to systems
Transport patients to operating room.Surgical Assistants0.6%L0L0L06%18 minPhysical presence, Accountability, Trust and care, Access to systems
Identify tubal and ectopic pregnancies and refer patients for treatments.Midwives0.6%L1L1L230%38 minPhysical presence, Accountability, Trust and care, Access to systems
Postoperatively inject a subcutaneous local anesthetic agent to reduce pain.Surgical Assistants · supplemental task0.6%L0L0L04%5 minPhysical presence, Accountability, Trust and care, Access to systems
Assist in applying casts, splints, braces, or similar devices.Surgical Assistants0.6%L0L0L04%28 minPhysical presence, Accountability, Trust and care, Access to systems
Collaborate in research studies.Midwives · supplemental task0.6%L2L2L248%5.5 hAccountability, Trust and care, Access to systems
Incise tissue layers in lower extremities to harvest veins.Surgical Assistants · supplemental task0.5%L0L0L01%42 minPhysical presence, Accountability, Trust and care, Access to systems
Insert or remove urinary bladder catheters.Surgical Assistants · supplemental task0.5%L0L0L04%15 minPhysical presence, Accountability, Trust and care, Access to systems
Assist in volume replacement or autotransfusion techniques.Surgical Assistants · supplemental task0.4%L0L0L16%52 minPhysical presence, Accountability, Trust and care, Access to systems
Assist with patient resuscitation during cardiac arrest or other life-threatening events.Surgical Assistants0.3%L0L0L04%30 minPhysical presence, Accountability, Trust and care, Access to systems

Level: consensus of the two models (the lower level when they disagree). Share: part of the task’s working time an agent could take over. Human time: minutes a competent person needs for one instance, as estimated by the models.

Against other measures

Exposure is not delegation

MeasureValuePercentile
ADI (this index)47.2%55
Eloundou et al. (2024), GPT exposure β0.37556
Felten et al. (2021), AI occupational exposure0.22358
Webb (2020), AI patent exposure41.66730
Eisfeldt et al. (2026), generative AI exposure0.08534
Anthropic Economic Index, observed use0.05161

Earlier indices measure whether AI can touch a task; ADI measures how much of it an agent can carry out from a goal. – : the source does not cover this occupation.

Same sub-major group (32)

Neighbouring occupations

Dashed line: midwifery associate professionals (47.2%).

Cite this record
Text

Espinal Maya, Cristian, and Santiago Jiménez Londoño. 2026. ADI v2026.1: Agent Delegability Index data, code and MCP server. Zenodo. https://doi.org/10.5281/zenodo.23552918. Record: Midwifery associate professionals (ISCO-08 3222), https://balamlabs.org/adi/occupations/3222

BibTeX
@misc{espinal2026adidata,
  title     = {{ADI} v2026.1: Agent Delegability Index data, code and {MCP} server},
  author    = {Espinal Maya, Cristian and Jim{\'e}nez Londo{\~n}o, Santiago},
  year      = {2026},
  publisher = {Zenodo},
  version   = {v2026.1},
  doi       = {10.5281/zenodo.23552918},
  url       = {https://doi.org/10.5281/zenodo.23552918},
  note      = {Record: Midwifery associate professionals (ISCO-08 3222)}
}
Machine-readable

The same record as static JSON, with its citation: /adi/v2026.1/isco/3222.json.