Authors: Carla Sa-Couto, Ingrid Bispo and Abel Nicolau, FMUP
Date: 04.03.2026

The PROGRESSION project set out to transform midwifery education by developing an innovative course that trains students in performing positioning manoeuvres with pregnant women before and during birth through the use of augmented and virtual reality technologies.

By combining pedagogical expertise, clinical knowledge and immersive digital tools, the project created a comprehensive and reproducible learning concept designed to address limitations in conventional teaching methods. The course integrates a structured educational framework with practical AR/VR applications, enabling students to better understand spatial relationships, anatomy and movement in a safe and controlled environment.

The long-term impact of PROGRESSION extends beyond the duration of the project. All course materials are openly accessible through a digital handbook (available soon), and the developed AR and VR applications are freely available for download (available soon). The planned release of the application code as open source further supports adaptation and continuous improvement by the wider community. By enabling institutions to build on existing infrastructure, the project promotes cost-effective implementation and sustainability.

Through open access, collaboration and technological innovation, PROGRESSION contributes to safer and more effective maternity care by strengthening midwifery education across Europe. The learning concept supports not only students but also qualified midwives and other healthcare professionals seeking to update their skills. By fostering a European network for knowledge exchange and promoting shared standards for teaching positioning manoeuvres, the project establishes a foundation for lasting educational and clinical impact at local, national and European levels.