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Report Title: Celebrating Birth – Aboriginal Midwifery in Canada

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Report Title: Celebrating Birth – Aboriginal Midwifery in Canada Report title: Celebrating Birth – Aboriginal Midwifery in Canada © Copyright 2008 National Aboriginal Health Organization ISBN: 978-1-926543-11-6 Date Published: December 2008 OAAPH [now known as the National Aboriginal Health Organization (NAHO)] receives funding from Health Canada to assist it to undertake knowledge-based activities including education, research and dissemination of information to promote health issues affecting Aboriginal persons. However, the contents and conclusions of this report are solely that of the authors and not attributable in whole or in part to Health Canada. The National Aboriginal Health Organization, an Aboriginal-designed and -controlled body, will influence and advance the health and well-being of Aboriginal Peoples by carrying out knowledge-based strategies. This report should be cited as: National Aboriginal Health Organization. 2008. Celebrating Birth – Aboriginal Midwifery in Canada. Ottawa: National Aboriginal Health Organization. For queries or copyright requests, please contact: National Aboriginal Health Organization 220 Laurier Avenue West, Suite 1200 Ottawa, ON K1P 5Z9 Tel: (613) 237-9462 Toll-free: 1-877-602-4445 Fax: (613) 237-1810 E-mail: [email protected] Website: www.naho.ca Under the Canadian Constitution Act, 1982, the term Aboriginal Peoples refers to First Nations, Inuit and Métis people living in Canada. However, common use of the term is not always inclusive of all three distinct people and much of the available research only focuses on particular segments of the Aboriginal population. NAHO makes every effort to ensure the term is used appropriately. Acknowledgements The original Midwifery and Aboriginal Midwifery in Canada paper was published by the National Aboriginal Health Organization (NAHO) in May 2004. This updated version was developed with the cooperation and support of many people and organizations. The National Aboriginal Health Organization would like to thank the First Nations and Inuit Health Branch of Health Canada for their support. Thank you to Aleka Stobo, RM who arranged the first meeting for this project‘s involvement in the Aboriginal Midwives Gathering, which was part of the 2007 Annual General Meeting of the Canadian Association of Midwives. We would also like to thank the University College of the North, Catherine Carry, Sheryl Cornish, Pixie Cram, Emily Wilson, Dawn Marsden, Miranda Dyck, Rachel Olson, and Amber Skye for their additions to this paper. This paper incorporates statements from some First Nations and Inuit midwives, and non- Aboriginal midwives who were interviewed by NAHO for this project. Métis content was provided by the Métis Centre of NAHO. We thank all of these women for sharing their stories and their insightful input into this paper. In particular, we would like to thank Darlene Birch, Ellen Blais, Katsi Cook, Carol Couchie, Sharyne Fraser, Meaghan Moon, Christine Roy, and the midwives of the Inuulitsivik Health Centre in Purvinituq, Nunavik (Northern Québec). This report was created through financial contributions from First Nations and Inuit Health Branch, Health Canada. 1 I have a dream… …of attending a birth in my own community at Nipissing, I will go to a woman’s home where her extended family is there for support. Perhaps even my own daughter will accompany me to help with younger children. Perhaps the woman’s mother is there to help prepare food and greet the baby in the Nishnawbe language. The father will light a fire outside and offer tobacco. We will boil cedar for the postpartum bath. …Nishnawbe women are the guardians of their culture, families and communities. They will want to be a leading force in the future development of midwifery on their homelands. The professional practice of midwifery reflects their traditional values. That is the compassionate and respectful care of the newly emerging mother and baby. This is the very future of our Nations” (Couchie & Nabigon, 1997). “It’s really nice to see true citizens of our territory, babies that are born on our land. It really does give them a sense of connection to the land, to our people. So I think that’s very important, being born here on our land‖ (Julie Wilson). “An empowered community is made up by empowered individuals and empowered families, and to me empowerment is feeling at home with who you are, and that begins with the moment of birth. So my own birth story is a great source of strength to me. And so when you ask the question about our children, I have to go the long way around and say it all begins with the way they get born” (Katsi Cook in an interview authored by Wessman and Harvey). 2 Table of Contents Map: Midwifery & Aboriginal Midwifery in Canada ........................................................... 6 Introduction ............................................................................................................................... 7 What is a Midwife? ................................................................................................................. 10 History of Aboriginal Midwifery in Canada ........................................................................ 12 Contemporary Practices in Aboriginal Midwifery .............................................................. 19 Current Initiatives ................................................................................................................... 21 Métis Initiatives ..................................................................................................................... 21 The Irnisuksiiniq– Inuit Midwifery Network (IIMN) ........................................................... 21 Pauktuutit Inuit Women of Canada ....................................................................................... 23 The Atlantic Policy Congress of First Nations Chiefs .......................................................... 24 The Public Health Department of the Cree Board of Health and Social Services of James Bay (CBHSSJB) .................................................................................................................... 24 Canadian Association of Midwives (CAM) .......................................................................... 24 The Society of Obstetricians and Gynaecologists (SOGC), An Aboriginal Birthing Strategy ............................................................................................................................................... 26 Memorandum of Understanding Between Health Canada of the Government of Canada and the Department of Health and Human Services of the Government of the United States of America ................................................................................................................................. 27 Training Options ..................................................................................................................... 29 Aboriginal Midwifery Training Models ................................................................................ 30 kanaci otinawawasowin Baccalaureate Program (KOBP) ................................................. 31 Tsi Non:we lonnakeratstha Ona:grahsta‘ Aboriginal Midwifery Training Program ......... 32 The Inuulitsivik Midwifery Education Program ................................................................ 33 Maternity Care Worker Certificate Program and Midwifery Training, Nunavut Arctic College ............................................................................................................................... 33 3 Non-Aboriginal Training Programs ....................................................................................... 34 Strategic Development Considerations ................................................................................. 35 Midwifery Education & Accreditation .................................................................................. 35 Canadian Midwifery Registration Examination ................................................................ 36 Exemptions for Aboriginal Midwives ............................................................................... 37 Registration Requirements ................................................................................................. 38 Permitted Practices............................................................................................................. 40 Practice Audits ................................................................................................................... 40 Review of Conduct ............................................................................................................ 41 Recognition/Accreditation ................................................................................................. 42 Midwifery in the Community ................................................................................................ 44 Collaboration...................................................................................................................... 45 Community Examples ........................................................................................................ 48 Echoes from the Mainstream ............................................................................................. 51 Jurisdiction Issues .............................................................................................................. 52 Evacuation Protocols ........................................................................................................
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