Midwives are most concerned about the quality of maternity care, staffing levels and low pay, according to a survey by the Royal College of Midwives.

Two-thirds of respondents say their job satisfaction is affected by an increase in the birth rate and the higher workload it has resulted in, with a third saying they have less time to spend with the women in their care.

Over 90 per cent say they have seen an increase in birthrate at their unit compared to the previous year.