Alternative models of care and remuneration that enable more flexibility to accommodate the needs/preferences of midwives and their clients (i.e., alternative call schedules, limited engagement with on-call birth work, part-time work, restricted/expanded scope of practice).

Optimise wellbeing through ensuring that midwives have access to appropriate working hours and regular breaks

Organisations should review their maternity staffing levels using a recognised workforce planning tool, such as Birthrate Plus, to make sure they have the appropriate midwifery establishment for their workload. (p.5)

Professional supervision should be viewed as a competency requirement and be incorporated into the midwifery recertification programme.

A centralized patient database could reduce administrative burden and facilitate shared care.

A short work-focused discussion group held at the end of each day shift and led by a specialist registrar and senior labour ward midwives at Cork University Maternity Hospital (Ireland). These sessions provided participants with an opportunity to support colleaguues and debrief after a stressful day.