October 1, 2025HealthcareOpen Access

Midwifery Leadership in a Changing World—Why Is This So Challenging? A Reflective Commentary

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Structural barriers limit effective midwifery leadership, hindering safe, high-quality maternity care.
Workforce shortages and punitive governance erode psychological safety, leading to attrition in midwifery roles.
Incorporating adaptive leadership can enhance resilience among midwives, fostering better care outcomes.
Systemic reforms and supportive environments are essential to enable midwifery leadership to thrive sustainably.

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Reflective commentary highlights barriers to midwifery leadership in maternity care, indicating urgent reforms needed.

Marie Lewis (2025) studied this question.

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