“Every day in every part of the world, midwives save the lives of women and babies and promote the health and well-being of entire communities,” writes UNFPA Executive Director Dr. Natalia Kanem in honor of International Day of the Midwife. “They deserve our respect and gratitude, but that is not enough. Midwives deserve greater investment in their capabilities, and workplaces that empower them and fully acknowledge their skills and contributions.” Investment in midwifery could save millions of lives per year – an estimated 4.3 million annually by 2035.

Breastfeeding may seem natural. Yet many women find it hard to get off to a good start with breastfeeding.  Sharp decreases in breastfeeding rates around the world reflect this continuing challenge. While most women still choose to breastfeed, many ultimately feel they have no other choice than to stop breastfeeding earlier than anticipated. In the UK, 80 percent of mothers surveyed said they stopped breastfeeding before they wanted to. Many women describe shattered expectations, feelings of deep sadness, guilt, and anger from their breastfeeding experience.

“Midwives and nurses contribute to the health of women, families, communities, and society at large, but the impact of their care goes much further… Their care is transformational,” said Diene Keita, Deputy Executive Director for Programmes at UNFPA. She spoke at a recent event hosted by Women in Global Health, which virtually convened nurses and midwives from around the world to celebrate 100 outstanding women nurse and midwife leaders from over 50 countries. The event occurred in honor of the Year of the Nurse and the Midwife, as designated by the World Health Organization (WHO). The list of 100 leaders is the first global recognition of its kind and commemorates women’s unique stories of resilience, leadership, and hard work.

“We need more Indigenous midwives,” said Claire Dion Fletcher, an Indigenous Potawatomi-Lenape Registered Midwife and co-chair of the National Aboriginal Council of Midwives (NACM), at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the International Confederation of Midwives about Indigenous midwifery. Globally, Indigenous women experience worse maternal health outcomes than non-Indigenous women. In the United States, risk of maternal death is twice as high for Native women than white women, while in Australia the risk is four and a half times higher.