Push!: The Struggle for Midwifery in Ontario
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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International Inspirations and Cautionary Tales
The Fall and Rise of Midwifery in Canada
Deciding to Integrate Midwifery
Dilemmas of Regulation
Deﬁning Themselves before Being Deﬁned
Ensuring Equity of Access through Public Funding
Educating Midwives for Independence
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