Background:In 2010, the world's maternal mortality compared to 2000, forty-seven percent drop. Nevertheless the rate of maternal mortality in developing countries is still 15 times more than developed countries. Midwifery and maternity health care interventions can reduce infant and maternal mortality. The aim of this study is to investigate the midwifery and maternal health management services in a developed country in Asia to extract the japans' midwifery services management factors. Materials and Methods: This is a descriptive study. Country studied, is developed and successful country in the field of midwifery services, Japan. Management aspects of midwifery services in this study include: human resources, government policiesregulations and support, financial resources and midwifery service package and using research cards have been collected from reliable-available sources. Results: Several factors in the Japan midwifery and maternal health services management were determined including midwifery education new training techniques, staff proper distribution, Regulations and support policies developed by the government, uniform and universal health insurance, Participation of the Regions in services provision, home visits and delivery, equal health education and registration manual, maternal education, wives participation and encourage natural childbirth. Conclusion: paying more attention to training, support and regional services provision in the midwifery services management, can have a positive impact on improving the midwifery and maternal health services quality in Iran.