Midwifery training in Luxembourg is currently at higher education level, with direct entry after the baccalaureate. It is a 3-year training programme during which candidates have to acquire 180 ECTS (4134 hours). At the end of the training, candidates obtain a BTS diploma (brevet de technicien supérieur = advanced technical certificate). As from September 2024, due to a major reform of many health professions in Luxembourg, midwifery training will move up to university level. To obtain a bachelor’s degree, candidates will take part in a 4-year training programme, that requires 240 ECTS for its completion. This program is currently being developed. For us, a 4th year of training programme is essential to be able to organize a curriculum with the required hours in the ED and to achieve the needed midwife competencies in our country. An ED that would specify the number of ECTS required on a European level to obtain a degree in midwifery would make things considerably easier for a European-wide consensus on the matter. Since November 2019, midwives in Luxembourg have new and more professional responsibilities. These are more complex and adapted to the competencies of the midwife as described by the ICM. The biggest changes include more involvement in pre-natal care by the midwife and a list of medicines and tests that can be prescribed by the midwife. The modification of these responsibilities has led to changes in the current curriculum, but will only be totally achievable in the new 4-year Bachelor's degree.