The answer is staffing: midwives' opinions of their profession

Background/Aims The UK midwifery profession is significantly shortstaffed. In the last decade, the midwifery profession saw only a 7% increase in staffing levels compared to a 34% increase in the NHS workforce as a whole. This qualitative study explored why midwives leave the sector and what motivates them to remain. Methods This cross-sectional qualitative study used a grounded theory approach. Six midwives were recruited from one university in England between 2022 and 2023. Data were collected through semi-structured interviews and analysed thematically. Results Two key themes were identified: staffing concerns and midwives' motivation to remain in the profession. Four of the participants felt unable to do their job effectively and all six had considered leaving the profession. The participants' main motivation to remain was the women they cared for. Conclusions The NHS is facing a staffing shortage. Institutional changes are needed to reduce this issue. Implications for practice Midwives need more time and staff. Prioritising the retention of Band 5 midwives is essential.