WHO issues new guidance to expand midwifery models of care globally
WHO issues new guidance to expand midwifery models of care globally
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The World Health Organization (WHO) has released updated guidance to help countries adopt and expand midwifery-led models of care, where midwives provide primary support throughout pregnancy, childbirth, and the postnatal period. This approach emphasizes strong communication and partnership between women and midwives, offering proven health benefits such as increased rates of healthy vaginal births and higher satisfaction with care.
Midwifery models focus on informed choice, non-invasive techniques, and emotional support to empower women and reduce unnecessary medical interventions. With rising concerns over the overuse of procedures like caesarean sections—some exceeding 50% in certain countries—midwifery care presents a cost-effective solution to improve maternal and newborn outcomes.
WHO highlights that universal access to skilled midwives could prevent over 60% of maternal and newborn deaths, potentially saving 4.3 million lives annually by 2035. The new guidance calls for political commitment, strategic planning, and sustainable funding to implement these models, alongside quality regulation and education to support autonomous midwifery practice integrated within broader healthcare systems.
Models outlined include continuity of care by known midwives, midwife-led birth centers, community-based services, and regulated private practice. Despite progress, millions of women worldwide still give birth without skilled care, underscoring the urgency of adopting midwifery models to reduce stagnant maternal and newborn mortality rates.
