The study explored midwives’ perceptions of clinical leadership in the obstetrics and gynaecology wards of the two tertiary health institutions in the state. The study adopted the cross-sectional design. A total of 115 midwives took part in the study. A 36-item researcher designed instrument was used for data collection. The instrument was validated by experts in education and project supervisors. The Cronbach Alpha method was used to determine the reliability of the instrument to obtain a coefficient of 0.80. Three research questions guided the study. The mean, standard deviation, 95% Confidence Interval of mean, standard error were used for data analysis. The result showed that the midwives perceived clinical leadership in the obstetrics and gynaecology ward in the two tertiary health care centres in Rivers State was high RSUTH was 3.26, SD=0.15 whereas that of UPTH was 3.65, SD=0.29, the t-value was 8.40 and the value of .000 at the .05 level of significance, mean understanding of the purpose of clinical leadership in their specific expertise in obstetrics and gynaecology ward of tertiary hospitals in Rivers State was also high(RSUTH was 3.47, SD=0.39 and that of UPTH was 3.59, SD=0.38), the knowledge of the respondents over necessary antecedents of the emergence of good clinical leadership in midwifery practice was high RSUTH was 3.41, SD=0.30 and that of UPTH was 3.69, SD=0.31), It was recommended among others that midwives should try to develop themselves for effective clinical leadership in midwifery practice.