One of the most moving highlights of the ceremony was the flag procession. Midwifery leaders proudly marched across the stage, each carrying their national flag and dressed in traditional attire, representing the rich diversity of cultures within the profession. Among them was our very own President, Sophie Russel, who carried the UK flag with unmistakable pride and joy—a moment that resonated deeply with all of us watching.

There was further cause for celebration as Lia Brigante took to the stage in her role as an International Confederation of Midwives (ICM) Board Member. Her presence on the board is a powerful reminder of the UK’s contribution to the global midwifery voice. It ensures that we remain connected to international perspectives, challenges, and innovations, enabling us to continually learn and grow as a profession.

The sense of unity during the flag ceremony extended far beyond those walking the stage. It was reflected in the faces of all 3,000 midwives present—each one sharing in the pride and collective identity of midwifery worldwide.

The ceremony was opened and expertly hosted by Professor Jacqueline Dunkley-Bent OBE, Chief Midwifery Officer for the ICM. Her speech was a poignant reminder of the unique and privileged role midwives hold: caring for women, birthing people, newborns, and families during some of life’s most transformative moments.

Anna af Ugglas, ICM Chief Executive, expressed heartfelt gratitude not only to those gathered in Lisbon but also to the countless midwives across the world who were unable to attend because they were doing what they do best—bringing life into the world and ensuring the safety of mothers and babies.

A particularly memorable reflection came from the NUFAP leader, who spoke about the historical role of travellers as carriers of knowledge and catalysts for development. Drawing on this analogy, she highlighted how midwives too play a crucial role during times of transition. They are not simply attending births; they are ushering in the next generation—the very future of our world.

Sandra Oyarzo Torres, the ICM President (2023–2026), delivered a powerful message on leadership. She reminded us that leadership is not reserved for a select few—it is a responsibility we all share. While it may feel overwhelming at times, leadership is a skill that can be learned and strengthened. Through courage, passion, and commitment, every midwife—regardless of role or level—has the power to advocate for the profession.

The message throughout the ceremony was clear and consistent: the solution to the challenges facing midwifery is simple—more midwives.

The final speaker reinforced an equally critical point: midwives must be supported by systems that value choice, embrace evidence-based practice, and uphold human rights. Without systems that invest in and empower midwives, progress will remain limited. After all, healthcare systems are built by people—by midwives like you and me—working tirelessly to make birth safer across the globe.

The call to action could not have been stronger: One Million More Midwives.

This is not a distant aspiration; it is an urgent global need. Increasing the midwifery workforce is essential to improving outcomes, reducing both physical and psychological trauma during childbirth, and ensuring safe, compassionate care for all.

As Gill Walton of the Royal College of Midwives reminded us following the march, this is not a plea—it is a demand. Safe staffing is the foundation of safe care, and it is something we must never lose sight of.

The opening ceremony was more than a celebration—it was a rallying cry. A reminder of who we are, what we stand for, and the collective strength we hold when we come together with purpose.

One million more midwives are needed today—and together, we can make it happen.