CONFERENCE PROCEEDING
The professional identity of Dutch midwives
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Royal Dutch Organization of Midwives (KNOV), Utrecht, Netherlands
Publication date: 2025-10-24
Eur J Midwifery 2025;9(Supplement 1):A31
ABSTRACT
The Royal Dutch Association of Midwives (KNOV) is the national professional body
representing Dutch midwives, who are autonomous primary and hospital care
providers with recognized expertise in physiological childbirth. Dutch midwifery is
grounded in the paradigm that reproduction is a significant life event—a model
supported by evidence demonstrating the effectiveness of midwifery-led care.
However, in the context of increasing risk aversion and routine obstetric interventions,
articulating this professional paradigm across policy, education, and practice remains
challenging. A well-defined professional identity can strengthen midwifery resilience
and act as a compass for navigating reproductive healthcare. We aimed to make
implicit professional values explicit by documenting the collective professional identity
of Dutch midwives.
We adopted a participatory, iterative methodology combining expert input with
relevant literature. A literature review in early 2024 revealed limited midwifery-specific
sources on professional identity, prompting us to draw also from organizational and
healthcare professions literature. Input was gathered from KNOV board members,
midwifery experts across care settings, educators, academics, midwives with specific
expertise, and client and patient representatives. Using the rapid prototyping (Tripp &
Bichelmayer, 1990), three iterative cycles of synthesis and feedback were conducted,
followed by wider consultation with Dutch midwives (N=354).
The resulting document is structured around nine elements of professional identity:
core values, historical awareness, specialized competencies, distinctiveness, societal
context, community, professionalism and autonomy, self-reflection, and collaboration.
Content analysis of existing KNOV vision documents and expert input identified
Connectedness, Health, and Courage as shared core values. Feedback indicated
broad recognition and resonance with the identity description.
This collective identity document offers a shared narrative for Dutch midwifery,
balancing ideology, experience, and scholarship. It is intended to guide decision-
making in education, policy and clinical practice. Professional socialisation and the
embedding of this identity into daily midwifery work will require ongoing dialogue,
reflection, and professional development.