In Mexico, coverage and quality of maternal health care is still an unfinished agenda and a source of concern. This is partly attributed to the shortage or poor distribution of health care personnel (HCP), which adversely affects the country’s unacceptably high maternal mortality ratio and its high C-section rates. In response to this, the need to add professional midwives (PMs) in obstetric care may have a positive effect. The dearth of information on this topic is coupled with the fact that most of this discussion has been held within public sector facilities. While some private facilities have begun to provide humanized birth services, adding PMs into private institutions is still not fully addressed. This study explored the feasibility of incorporating PMs into private obstetric services through task-sharing. Semi-structured interviews were conducted with key informants directly involved with the regulation, planning, and provision of obstetric care in the private sector to explore their perceptions and experiences regarding PMs. We documented the structural barriers that impede or facilitate the proper inclusion of PMs via task-sharing. Results indicated that the practice of professional midwifery in the private sector is likely to grow in the face of increasing demand, however regulation is still precarious. For PMs to be fully effective, proper implementation of mid-level providers via task-sharing or task-shifting is needed. Our study also shed light on the need to review the current legislation and regulation on service provision, and highlight successful initiatives and efforts to increase awareness among HCP, stakeholders, and potential clients.