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Aboriginal Midwifery As a Career Choice Midwives Association of BC - - - PowerPoint PPT Presentation
Aboriginal Midwifery As a Career Choice Midwives Association of BC - - - PowerPoint PPT Presentation
Aboriginal Midwifery As a Career Choice Midwives Association of BC - Aboriginal Committee October 16 2013 What is our purpose? 1) Demonstrating solidarity and support with traditional midwives as we work towards a definition of Aboriginal
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What is a Midwife?
§ a respected healthcare profession § specialist in pregnancy, birth and postpartum § $70 000 - $120 000 / year
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Traditional meanings for word ‘midwife’
Cree – ‘the one who delivers’ Objibwe – ‘the one who cuts the cord’ Inuktitut – ‘the one who waits for the birth’ & ‘the helper’ Coast Salish – ‘to watch, to care’ Chilcotin – ‘women’s helper’ Nuu-chah-nulth – ‘one who can do everything”
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Midwives have been ‘catching’ babies for thousands of years in most cultures In BC since January 1998 = official & paid by healthcare system (like nurses & doctors)
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Difference between Registered Midwife & Doctors?
Choices
- home or hospital birth
- options re tests/visits
Personalized care
– long visits 45min-1hour each
- smaller teams
Newborn care
- Home visits for first 1- 2wks after birth
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Stats on Midwives vs Doctors
Registered Midwives Doctors C-section Rates 18.4% 31% Planning VBAC 93% 41.6% Successful VBAC 82% 80% Drugs in Labour 12.2% 31.3% Continuous Monitoring 51.4% 79.5%
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The Job of an Aboriginal Midwife
http://www.isuma.tv/en/national-aboriginal-council-of- midwives/aboriginal-midwives
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Woman power
There are currently 220 practicing midwives registered in B.C. Only 4 Aboriginal self-identifying midwives are registered or studying in B.C.
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Midwifery Practices in BC
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How did we get here?
The negative impact of years of acculturation and assimilation have led to the decline of traditional midwifery practice in many parts of the country (a) broad societal shift of power and authority (b) traditional Aboriginal midwife role challenged and expertise ignored (c) traditional life now complicated by medical assessment and risk intervention
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What does all this add up to?
Women are being forced to leave their communities to birth in larger centers away from family, support systems, traditional birthing practices....
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Research says:
Strong cultural and physical ties to place of birth Culturally appropriate care Mental & physical health of women separated from families/communities Health impacts/care of families left behind Loss of belief in birth as normal part of lifecycle, including community based midwifery skills
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Courtesy of Dr Jude Kornelson, Co-director
Centre For Rural Health Research
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Courtesy of Dr Jude Kornelson, Co-director
Centre For Rural Health Research
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FIRST NATIONS HEALTH AUTHORITY Action 21- the Transformative Change Accord
‘A maternity access project will be implemented to improve maternal health services for aboriginal women and bring birth 'closer to home and back into the hands of women’
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Tripartite Aboriginal doula initiative
to improve birth experiences and outcomes for Aboriginal women to re-introduce traditional Aboriginal support practices into the childbirth experience to improve maternity care systems and access within geographic areas to increase the number of Aboriginal women with formal doula training
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What’s the difference between a doula & a midwife?
DOULA MIDWIFE
- Emotional & physical support
before, during & after birth
- Life experience & or week long
training
- Traditionally granny, aunty,
mother or sister
- Clinical care provider
responsible for health of mom & baby before during & after birth
- 3-4 years training + life
experience
- Traditionally granny, aunty,
mother or sister
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Tripartite Aboriginal Doula Initiative
http://www.youtube.com/watch? v=IZzR1BSHVkg&feature=youtu.be
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Aboriginal Doula
My name is...
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Blending traditional and modern teachings
We know that traditional pregnancy and childbirth took place within a closely knit nexus linking the midwife to the birthing women, to the infant, to the husband/ partner, to the family, to the extended family and ultimately to the entire community.
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Aboriginal Midwifery
Traditional Aboriginal midwifery practices including the use and administration of traditional herbs and medicines and other cultural and spiritual practices. Contemporary aboriginal midwifery practices which are based on, or originate in, traditional Aboriginal midwifery practices, or A combination of traditional and contemporary Aboriginal midwifery practices
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Registered Midwifery Training
In BC – University of British Columbia – 4 year degree program in Faculty of Medicine = BMW Ontario-McMaster, Ryerson and Laurentian = BMW Quebec: Université du Québec à Trois-Rivières Manitoba: University College of the North kanaci otinowawosowin Bachelor of Midwifery (KOB) Program Alberta: Mount Royal College = BMW
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Métis Student Midwife
My name is..
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Educational Pathways
http://www.isuma.tv/en/national-aboriginal-council-of- midwives/aboriginal-midwifery-education
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Learning from successes... Courtesy of Lauren Redman, SM
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Continued….
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Continued….
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Continued….
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Continued….
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More Aboriginal midwifery programmes
Nunavik Community Education Program:
- offered through maternity programmes in
health
- centres on the Hudson Bay coast in Quebec
- graduated 9 Inuit midwives who are currently
eligible for full registration in Quebec
- currently 7 students in Puvirnituq, Inukjuak and
Salluit
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New mothers in the birthing room at the Kitikmeot Birth Centre in Cambridge Bay, Nunavut. (Photo by Bill Braden, courtesy of Nunavut HSS)
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More Aboriginal midwifery programmes
Nunavut Midwifery Education Program
- ffered through Nunavut Arctic
College
- Currently based in Cambridge Bay,
Nunavut (rotating locations)
- has graduated two registered
midwives, two maternity care workers & currently has five students
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Setting up practice
Hi my name is…
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Questions?
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