Occupational risks in midwifery. From Bernardino Ramazzini to modern times

Occupational risks are often underestimated in midwifery. It is not commonly known that they were originally described by the Italian physician Bernardino Ramazzini (1633-1714) at the beginning of the eighteenth century. Our aim was to describe occupational risks in midwifery from Ramazzini to modern times. The original text by Bernardino Ramazzini was analyzed. A review of modern scientific papers on occupational risks in midwifery was conducted. Ramazzini identified two major occupational risks in midwifery: infections and awkward postures. Modern literature seems to agree with his considerations, focusing on infection, use of universal protection and personal protective equipment, and musculoskeletal problems. Modern studies also evidenced Post-Traumatic Stress Disorder that was probably postulated by Ramazzini himself. The poor number of papers in literature on midwives’ occupational risks evidences a lack of interest towards this issue. Prevention should therefore be emphasized in this field, so high-quality studies on occupational risks in midwifery are needed