This research work was carried out to ascertain the perception and utilization of information and communication technology (ICT) in nursing care delivery by midwives in Imo State University Teaching hospital Orlu. The objective of the study was to ascertain midwives perception of the use of ICT, to ascertain the current level of usage of ICT and find out factors hindering the use of ICT. the significance of the study was to assist the management of health institutions where midwives are employed to gain insight into the midwives perception and usage of ICT tools in the discharged of their services, the research was a descriptive research was a descriptive research design aimed at ascertaining the midwives’ perception and utilization of information communication technology for nursing care delivery in IMSUTH Orlu. The target population is 500 midwives and sample size was 100 midwives both students and working class nurses. Questionnaires were used for data collection and data analyzed using descriptive statistics and presented in tables and charts. The results revealed that majority of the respondents had a positive perception towards ICT, majority make use of ICT in patient care and factors that hinder the utilization of ICT include low level of computer knowledge, busy work schedule and inaccessibility of facilities. It is therefore recommended that continuing education programmes on ICT application should be organized for midwives in IMSUTH Orlu and curriculum for midwives training should include computer studies, health information and ICT application, also health organizations in Orlu, even in Imo state generally, should provide internet and other ICT facilities in the institutions in order to enhance access and usage of ICT by the staff of the hospital, including midwives.