Push!: The Struggle for Midwifery in Ontario

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McGill-Queen's Press - MQUP, 2006 - History - 346 pages
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In the 1980s there were few midwives in Canada and their practice was neither legal nor officially recognized. Ontario midwives and their supporters pushed to integrate midwifery into provincial health care systems and by 1993 had established an internationally renowned model. Ivy Lynn Bourgeault analyses the struggle to professionalize midwifery in the context of the negotiations between women, as both consumers and providers of health care, and the state. Push! offers a historical account of the forces behind the integration of midwifery in Ontario, including public interest in funding midwifery services and the impact of political lobbying. Bourgeault also explores the specific features of Ontarios respected model, including the use of independent practitioners, funding for a self-regulatory college, a university-based education program, and the provision of midwifery care in both home and hospital settings.
  

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Contents

International Inspirations and Cautionary Tales
18
The Fall and Rise of Midwifery in Canada
43
Deciding to Integrate Midwifery
91
Dilemmas of Regulation
121
Defining Themselves before Being Defined
149
Ensuring Equity of Access through Public Funding
188
Educating Midwives for Independence
208
Acknowledging Expertise through Grandmothering but
238
Advancing Conceptualizations of Women Professions
260
Appendix
289
References
305
General Index
325
Index of Authors
342
Copyright

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About the author (2006)

Ivy Lynn Bourgeault, associate professor and Canada Research Chair in Comparative Health Labour Policy, McMaster University, is the co-editor of Reconceiving Midwifery.