I think that you have to contact the Italian goverment and recuire the appropriate papers to recognise your diploma. As far as the home birth conditions, they are more or less the same as here in Grece. Births are mostly performed in clinics by an obstetritian, the midwife has very little interferrence and is more or less dependent on the doctors decisions. If you want to work there you have to be prepared to fight not only against the system but against women themsleves, who think that the birth of a child is a medical act.