Background <p>Planetary health is becoming increasingly relevant in midwifery as environmental change impacts maternal-infant-family health. Yet, no studies to date have systematically examined its curricular integration.</p> Objective <p>This study aims to systematically assess the integration of planetary health education and planetary health literacy in midwifery curricula in Germany.</p> Methods <p>A&#xa0;document analysis of module handbooks of undergraduate and postgraduate courses was conducted between February and March 2025 using an indicator-based lexical content analysis with predefined keywords. Results with high planetary health relevance were examined through qualitative content analysis applying a&#xa0;deductive coding scheme derived from the Planetary Health Education Framework and the conceptual model of Planetary Health Literacy.</p> Results <p>A&#xa0;total of 60 German degree programs were included. Of these, six module handbooks contained clear references to planetary health education, while 17&#xa0;module handbooks represented keywords that did not lead to significant planetary health education content. Within the model of planetary health literacy, the domains <i>access</i> and <i>appraise</i> were underrepresented. The Planetary Health Education Framework’s domains <i>interconnection within nature</i> and <i>systems thinking and complexity</i> were absent in the units. Longitudinal curriculum integration was not identified.</p> Conclusion <p>This study reveals that only six out of 60&#xa0;module handbooks address planetary health. To harness the potential of midwives in Germany in planetary health promotion, systematic and longitudinal integration into midwifery training is crucial.</p>