Source: BUS Rheinland-Pfalz
The profession of midwife or maternity nurse is regulated in Germany. This is regulated by law.
This means that in order to work as a midwife or maternity nurse in Germany, you must apply for a state license. With this permit, you can use the professional title "midwife" or "maternity nurse" and work in the profession.
The professional license is issued after passing the state examination or recognition of the foreign professional qualification if the health and personal suitability (reliability) and the knowledge of the German language required for practicing the profession.