Adult learning principles provide the theoretical base for an antepartum clinical experience for nurse-midwifery students, which is extended in time to allow for continuity of care to a group of pregnant women. This experience is seen as a catalyst for meaningful integration of scientific knowledge, manual skills, clinical problem solving, and behavioral science concepts. To bring these varied aspects of education into a unified basis for practice is the goal of education for nurse-midwifery practice. Integrated learning is exemplified in students' requests for feedback on their communication skills as well as manual skills and clinical management plans.