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Background: Introduced in 1970 as a strategy for assessing clinical skills in medical students, Objective Structured Clinical Examination (OSCE) has been widely accepted as a strategy for assessing clinical competence in various health related curricula (eg dentistry, pharmacology and physiotherapy) and now this has been established in nursing education and midwifery training. The experience of midwifery students in dealing with OSCE is to make students feel anxious. This will affect the value that will be obtained by midwife students because they cannot concentrate on the OSCE. However, many argue that when they experience anxiety, midwifery students will better prepare themselves for the OSCE and they feel that the OSCE assessment will ultimately benefit them. Methods: Studies appraisal program uses Critical Appraisal Skills Program (CASP), and methods of synthesis using a modification PEOS data sources available from Pubmed, ProQuest, and Sience Direct. Results: With the implementation of OSCE, it can evaluate clinical competence and psychomotor skills of midwifery students. OSCE can also develop the internal mental abilities of midwifery students before doing skills on practical land. Conclusion: OSCE can increase the confidence of midwifery students. With the OSCE midwifery students can develop mental and clinical abilities before doing skills in the practice area. OSCE encourages midwifery students to assess their knowledge and understanding of clinical practice. OSCE also makes midwifery students skilled in communicating with patients