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The objective of the paper is to know how India can strengthen midwifery service to reduce maternal mortality based on the lesson learnt from Sweden and India. High maternal mortality in India is due to absence of skilled attendance at the time of delivery and poor postnatal care. Seventy percent Indian population is rural and it is not possible to have doctors for all births. Adopting evidence-based interventions, such as developing a skilled cadre of locally available midwives backed up by efficient referral and emergency obstetric are service like Sweden and India will help to achieve the goal of reducing maternal mortality with the existing resources. Creating the scope for career advancement will help to improve status of midwifery as a profession.

Comparison of Midwifery Services in India and Sweden