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Midwifery Care in Italy: A Policy Analysis.
Martina Barbieri1, Andrea Moro1,2, Franco A Carnevale3
1Department of Health Sciences, University of Genoa, Genoa, Italy.
Policy, Politics & Nursing Practice
|January 14, 2026
Summary
Italian midwives face challenges due to a partially professionalized system, a biomedical focus, and hierarchical structures. Strategic interventions are needed to enhance their role and improve maternity care.
Area of Science:
- Health Policy
- Sociology of Health
- Midwifery Studies
Background:
- Midwifery care in Italy is formally recognized but faces systemic challenges.
- Understanding policy and normative frameworks is crucial for advancing midwifery.
Purpose of the Study:
- To analyze policy and normative frameworks influencing Italian midwifery.
- To identify barriers and facilitators for strengthening the midwifery profession.
- To inform strategies for enhancing midwifery recognition, role, and capacity.
Main Methods:
- Interpretative approach using Walt and Gilson's Policy Analysis Triangle.
- Analysis of 141 European, national, and regional documents on Italian midwifery.
Main Results:
- Italian midwifery operates in a partially professionalized context.
- Key characteristics include a biomedical/risk paradigm, technocratic approach, and hierarchical structure.
- These factors limit diverse care models, midwife autonomy, and patient choice.
Conclusions:
- Comprehensive, multilevel interventions are necessary to advance midwifery in Italy.
- Addressing sociopolitical and regulatory factors is essential for high-quality, person-centered care.
- Highlights areas for future research, advocacy, and professional development.
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