This study showed a number of difficulties and concerns that students had during their clinical learning. These included restricted clinical learning opportunities and facilities, stress in encountering their first birth, fear of doing harm, confusion between different methods, trouble in relationships with their instructors and staff, and receiving poor support. The findings of this study have a number of important implications for midwifery education and future practice. Universities are required to harmonize the number of students they admit in the educational program with their clinical capacities in a way that they ensure students’ access to learning opportunities. Also, it is suggested to review the midwifery course curriculum to determine if it is possible to provide the obstetrics study units continuously and without time gaps. Moreover, since the students enter the educational program without previous experience of hospitals, more emphasis should be put on preclinical preparation to help them transition to the clinical setting. So, exploration by the curriculum planners is required to determine whether it is viable to provide increased pre-clinical hours in skill labs to prepare the students better.