How do I handle the fear of birth complications as a midwife?

You handle most births with steady hands now, and that is hard-won. The complications still frighten you because you know how fast a good moment can turn, and lives are in your care. That fear is not a weakness. It is the weight of the work felt honestly. Fear that sharpens you is different from fear that freezes you. The goal is not to stop feeling it but to have training so deep that your hands know what to do while your heart is pounding. Skill is what carries you through the moment the fear would otherwise own. Drill the emergencies when there is no emergency. Rehearse the steps for the complications that scare you most, again and again, until they live in your muscles. When the real one comes, practice will move first, and the fear will follow instead of lead.