Midwives provide care during pregnancy, birth, and the first weeks after birth.
Residents were invited to provide input to help inform improvements to the quality of perinatal care available to NWT families.
Three key questions guided the project:
- What are the perceived gaps in the current model of maternity services in NWT?
- How could a territorial midwifery program enhance maternal health services for women, families and communities, particularly among vulnerable populations and those living in small communities?
- How could a territorial midwifery program support community health nurses (CHNs) in delivering high quality pre-conception antenatal, emergency (unplanned) birthing, post-partum, and newborn care?
Engagement feedback from February 22, 2017 to March 24, 2017
Results under review
This engagement was completed March 24, 2017
Have Your Say
Information was obtained from community members (pregnant women, mothers and fathers, people considering having children, and community members interested in maternity care generally), healthcare providers, community services staff, government staff, and community programs staff.
In total, 182 individuals participated in in-person or teleconference Sharing Circles and interviews and 307 participants completed the online survey.
Multiple methods were used, including Sharing Circles, interviews (individual and group) and an online survey.
In-person Sharing Circles and interviews were held in Fort Smith, Hay River, Yellowknife, Inuvik, Tuktoyaktuk, Fort Simpson, Tulita, and Behchoko and teleconference Sharing Circles and interview options were provided for stakeholders outside these communities.
As the recommendations are based on stakeholder engagement, further analysis is necessary to explore the feasibility with respect to cost, human resourcing, and operational realities:
- It is recommended that GNWT DHSS continue to support a maternity care system that recognizes the uniqueness of the territory and the communities within and values:
- Women and family-centered care;
- Continuity of care in pregnancy through to the postpartum period;
- A known provider at birth;
- The safest option for birthing that is close to home; and
- Choice of healthcare provider within a well-integrated system of healthcare providers practicing to their full scope of practice.
- It is recommended that the GNWT HSS continue to use the NWT Midwifery Practice Framework to shape the model of care provided by midwives.
- It is recommended that existing midwifery services in Hay River and Fort Smith be strengthened through ongoing financial and human resource investments to ensure sustainability of the current programs.
- It is recommended that a midwifery recruitment and retention plan be developed to address program stability, succession planning, leave coverage, and program expansion.
- It is recommended that to meet the demand for midwifery services, the feasibility of expansion be examined