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Response to Letter to the Editor regarding "Advanced midwifery practice: Considerations for an emerging global career structure" by Medway et al. (2026).

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Updated: Jan 16, 2026

Methods for Studying Uterine Contributions to Pregnancy Establishment in an Ovariectomized Mouse Model
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Understanding midwifery workforce retention: An Australian cross-sectional study.

Frances Finch1, Stuart Watson2, Georgia Griffin3

  • 1Women and Newborn Health Service, Subiaco, WA, Australia.

Women and Birth : Journal of the Australian College of Midwives
|October 5, 2025
PubMed
Summary

Midwifery retention is a challenge. Positive workplace culture and feeling valued significantly boost retention. Key factors include pay, patient ratios, and professional recognition for a sustainable midwifery workforce.

Keywords:
AttritionAustraliaMidwiferyRetentionWorkforce

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Area of Science:

  • Healthcare Management
  • Nursing and Midwifery Studies
  • Organizational Psychology

Background:

  • Workforce retention is a critical issue in international and Australian midwifery.
  • Limited contemporary, midwifery-specific workforce data exists for Western Australia (WA).
  • Understanding retention drivers is essential for strategic workforce planning.

Purpose of the Study:

  • To explore midwives' perspectives on factors influencing workforce retention.
  • To investigate midwives' views on their working environment.

Main Methods:

  • Anonymous cross-sectional survey of 193 midwives in WA's largest maternity service.
  • Quantitative data analyzed using descriptive statistics and structural equation modeling.
  • Qualitative data analyzed using content analysis.

Main Results:

  • Positive perceptions of workplace culture were strongly associated with feeling acknowledged and improved midwifery retention.
  • Top reasons for midwives intending to stay were pay, appropriate patient ratios, and increased professional profile.
  • Midwives identified intraprofessional relationships, workforce valuation, and career satisfaction as key retention factors.

Conclusions:

  • Midwives' retention is influenced by transformational leadership, professional recognition, and workplace empowerment.
  • Findings offer novel insights into WA midwifery workforce retention indicators.
  • Midwife-driven solutions are recommended to support sustainable midwifery workforce retention.