The Introduction of Midwifery in Ontario, Canada


  • Karyn J. Kaufman R.N., C.N.M., Dr.P.H.

    Corresponding author
    1. Karyn Kaufman is Associate Professor in the School of Nursing, McMaster University, Hamilton, Ontario, and Implementation Coordinator for Midwifery, Ontario Ministry of Health, Toronto, Ontario, Canada.
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Address correspondence to Karyn Kaufman, C.N.M., Dr.P.H., Associate Professor, School of Nursing, McMaster University, 1200 Main Street W., Hamilton, Ontario, Canada L8N 3Z5.


ABSTRACT: Midwives in Ontario, Canada, currently have no legal status. After an announcement in 1986 that the government would recognize them, an extensive planning period ensued. Groups of health care providers, consumers, and government representatives were active participants in formulating plans to integrate midwives into the centrally organized health care system in Ontario. Efforts to introduce legislation, establish a regulatory framework, and develop an educational program are well developed, but legalized practice must yet be realized.