Also, to establish optimal clinical environments for students learning midwifery, staff should be trained to become more student-oriented. Universities should provide programs for expanding the clinical instructors’ competencies in terms of educational and clinical skills. Furthermore, it is desirable to provide consistent instructors for clinical education of novice students to reduce their confusion because of seeing different ways of doing things. Moreover, the methods of performing procedures should be unified between different clinical trainers by periodic coordination programs. Finally, we suggest that a similar study to this one should be carried out in other universities to gain a better insight of the current status of midwifery education in Iran.