The demographic crisis affects midwives. Fewer births, less work
The decline in births in Poland has led to a surplus of midwives, creating significant employment challenges within the profession.
In Poland, the demographic crisis is manifesting in a concerning trend for midwives, as currently, there are an average of less than eight births annually for each practicing midwife. In 2025, approximately 238,000 children were born, yet there are around 30,600 midwives actively working in the country, with the total number of registered midwives reaching about 44,000. Despite this surplus, midwives are facing serious employment issues, as highlighted by Anna Janik, Vice President of the Chief Council of Nurses and Midwives, who indicates that the profession is producing future unemployed individuals because of the lack of jobs available for graduates of midwifery programs.
Additionally, the educational landscape is notable, with 37 institutions currently offering bachelor's degree programs in midwifery, potentially educating around 5,000 students each year. However, the gap between education and practical employment opportunities is becoming more pronounced, raising concerns among medium-level professionals in the industry. There is a clear indication from figures in healthcare, like Jakub Kraszewski, Director of the University Clinical Centre in Gdańsk, suggesting that the profession's traditional separation from nursing might be contributing to their employment challenges, calling for reform in how midwives are trained and integrated into the healthcare system.
As the situation continues to evolve, it raises important questions about how Poland will address its demographic challenges in tandem with the needs of healthcare professionals. With the number of births decreasing, the midwifery profession must adapt to changing demands, implying a need for policy adjustments that can facilitate job creation and ensure that new graduates are adequately prepared for the realities of the workforce. This crisis will undoubtedly influence healthcare at large and necessitate public discourse on the future of midwifery in Poland and how it aligns with societal needs for family health and growth.