The Federation of Finnish Midwives states that, the proposed changes are minor technical updates that do not fully support the professional, technological, and scientific development of midwives. The Federation of Finnish Midwives proposes that the International Confederation of Midwives (ICM) and European Forum of National Nursing and Midwifery Associations (EFNNMA) suggestions be adopted as the updated text of the Directive, reflecting the necessary scientific and technological advancements.