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Updated: Jun 28, 2025

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Advanced Midwifery Practice in Switzerland: Development and challenges.

Eva Cignacco1, Anja Schlenker1, Silvia Ammann-Fiechter2

  • 1School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.

European Journal of Midwifery
|April 23, 2024
PubMed
Summary

Switzerland needs to establish Advanced Midwifery Practice (AMP) roles to improve perinatal care quality and support its workforce. Developing regulatory frameworks and clear career paths for Advanced Practice Midwives (APM) is crucial.

Keywords:
advanced midwifery practiceadvanced practicemidwiferyperinatal healthcare

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Area of Science:

  • Healthcare Policy
  • Nursing and Midwifery
  • Public Health

Background:

  • Global shifts in epidemiology, socio-economics, and technology increase midwifery complexity.
  • Workforce shortages and demands for cost-effective, high-quality care necessitate new models.
  • International trends show the rise of Advanced Midwifery Practice (AMP) roles.

Observation:

  • Switzerland lags in adopting AMP roles compared to the UK and Ireland.
  • A lack of regulatory frameworks hinders the development of Advanced Practice Midwife (APM) roles in Switzerland.
  • Existing pioneering APM roles highlight the need for broader integration.

Findings:

  • Establishing distinct career trajectories for postgraduate midwives, especially APMs, is essential.
  • Legal standards for education, clinical prerequisites, and competency guidelines are required.
  • Compensation schemes must reflect the autonomy and leadership of APM roles.

Implications:

  • Developing APM roles can enhance and sustain high-quality perinatal care in Switzerland.
  • Formalizing APM roles can mitigate premature workforce attrition and optimize midwifery utilization.
  • Research and evaluation of AMP are vital for improving patient outcomes and professionalization.