January 18, 2007 - Canadian Association of Midwives


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PDF POSITION STATEMENT

Recent policy statements by maternity care provider organizations in Canada as well as the United Kingdom have promoted normal childbirth and recommended a number of system changes and best practices to support the normal labour and birth 12 process

PDF Annual Report Rapport Annuel 2007

President Report for the Canadian Association of Midwives 2007 4 Le Rapport de la Présidente de l’Association canadienne des sages-femmes pour l’année

Regulating The Profession of Midwifery

The degree to which midwifery as a profession is organized and regulated within the formal health care system varies widely throughout the world. (8) In Canada, the regulation of professions falls under provincial [territorial] authority for the most part. Section 92 of the Canadian Constitution Act, 1867, assigns to the provinces the authority to

The Shift to Regulated Midwifery in Canada

Globally, midwives have enjoyed a long history of providing maternity care and are well recognized as key to the provision of care to pregnant families. Despite this history, Canada was slow to recognize the practice of midwifery as a legitimate health profession. In fact, until the early nineties, Canada had the unwelcome distinction of being the

The Legislative Process

In Canada, the administration and delivery of health care services is the responsibility of each province or territory, guided by the provisions of the Canada Health Act. Provinces and territories are primarily responsible for regulating health care professions such as the practice of midwifery. (17) Midwifery legislation can be divided into two pa

Key Features of Midwifery Legislation in Canada

While midwifery statutes may differ slightly among Canadian jurisdictions, they possess many common features critical to the effective regulation of midwifery. These features include 1. The identification of midwifery as an autonomous health care profession distinct from other health professions such as medicine or nursing 2. The recognition of mid

The Role of Regulations

Regulations provide specific instructions regarding how legislation is to be operationalized and enforced and provide the regulatory body with the authority to set and enforce standards of practice. Midwifery regulations include specific authorities and requirements in areas, such as: 1. Requirements and processes for registration and maintaining r

Midwifery as A Self-Regulating Profession

In Canada, midwifery is a self-regulated profession in which implementation and enforcement of midwifery legislation is delegated to a professional body referred to as a College of Midwives. Such colleges are governed by members of the profession and may include government-appointed public members. Some midwifery regulatory authorities have made pu

Fundamental Features of Midwifery Self-Regulating Authorities

8.7.1 Codes of Ethics Each regulatory authority must develop a code of ethics, which are intended to outline the values and principles that its members use as reference points to guide their practice. Broadly speaking, a code of ethics provides a moral context for midwifery practice by describing the values and principles that guide the ethical orientation and behavior of midwives in all aspects of their practice. A code of ethics can provide a foundation for decision-making in difficult situations. 8.7.2 Standards of Practice, Policies and Guidelines Professional standards of practice describe behaviors and practice expectations that midwives must demonstrate in all aspects of their work including clinical practice, education, administration and research. The standards determine how midwifery practice is assessed and the expectation of practice. Standards of practice provide an important guide for midwives in their practice, thereby supporting consistency in practice and ensure accountability of midwives to their regulatory body and to th

Regulatory Authority vs. Professional Association

The profession of midwifery in Canada is supported by two distinct bodies, each with its own purpose – the regulatory body and the professional association. As the previous section described, the role of the regulatory body is to regulate the practice of midwifery in the interest of protect public safety. In contrast, the role of the professional a

Professionalism in Midwifery

As members of a self-regulating profession, midwives are expected to maintain professional accountability to themselves, to clients in their care, to colleagues, and to their profession. These expectations of midwives are often defined in the Standards of Practice, the Code of Ethics and the Code of Conduct of their regulatory body, and in the case

0 Professional Boundaries in Midwifery Practice

The close therapeutic relationship that can develop between midwives and their clients can be a strength of the model of midwifery care. The relationship is one based on mutual trust. Midwifery care can be described as partnership where clients bring knowledge of themselves and their bodies and the midwife brings their knowledge and skill regarding

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