Objective　To explore the application effect of action-oriented teaching method in senior midwifery practice teaching. Methods　Selecting 30 students from class 1， grade 2011 of the midwifery professional for the experimental group， another 30 students from class 2 for the control group. We selected four core contents for the experimental teaching reform such as obstetric abdomi-nal examination， external pelvimetry measurement， prenatal vulva washing disinfection and sterile towel covering before the delivery. The experimental group was taught by action-oriented teaching， in accordance with the procedures： putting forward the projects or work task， set goals and grouping， making work plans， implementing and evaluating. The control group was taught by traditional teaching. We used questionnaire survey and skills examination to evaluate the teaching effects and conducted teaching satisfaction scores and scores for t test to two groups of students. Results　①Questionnaires： The results of the 18 issues on the teaching effect evaluation， professional technology level and nurs-ing soft skills， etc. showed that the experimental group's evaluation of the action-oriented teaching is higher than the control group's evaluation of the traditional teaching（P＜0.05）， action-oriented teaching is more helpful to improving the professional skill and nursing soft skills（P＜0.05）. ②The scores of skill examination： The skills scores of the experimental group（80.01±9.36） were significantly higher than those of the control group（71.32±8.85）（t=3.70， P=0.000）. The difference was statistically significant （t=3.70，P=0.00）. Conclusions　Action-oriented teaching helps to raise practice teaching effect， train students' clinical work ability and nursing soft skills. It is suitable for practice teaching of senior midwifery.