Objective To develop a training program for midwives’ ability to care for high-risk pregnancies. Methods A preliminary training program was developed based on literature research，evidence summary of guidelines，focus group interviews，and one-to-one semi-structured interviews. Two rounds of consultation were conducted involving 24 experts in obstetrics and gynecology from Fujian，Shandong，Hubei，Beijing，and Shanghai by Delphi method. Results The effective recovery rates of the two rounds of expert correspondence questionnaires were 96%（23/24） and 85%（17/20） respectively. The authority coefficient of the experts was 0.92，and the Kendall harmony coefficient was 0.10 and 0.16（P<0.001），respectively. The final training plan included training objectives，training content（two modules for routine care and full care of common high-risk pregnant women），training arrangements and methods，and qualification requirements. Conclusion The training scheme for midwives’ high-risk pregnancy care ability is scientific and reliable and can provide a reference for the clinical training of midwives in China.