Midwifery – From Parasite to Partner in the Ontario Health Care System
- 1 December 1994
- journal article
- research article
- Published by Emerald Publishing in Health Manpower Management
- Vol. 20 (5) , 18-26
- https://doi.org/10.1108/09552069410070642
Abstract
Using several frameworks for public policy analysis, documents how midwifery in Ontario evolved from being illegal in 1982 to being a self‐regulated health profession in 1990. In 1985, the Ontario Government agreed that midwifery should be “legalized”; but how to do it was the question. The lobbying efforts of two coalitions armed with research‐based evidence influenced the policy decision process. Coalition A favoured midwifery becoming a self‐regulated health profession based on their beliefs that: (1) childbirth should be “de‐medicalized” and (2) the parents have a right to choose. Coalition B favoured the medical model and believed that “treatment was better”; it opposed home births, in general, and midwifery being self‐regulated, in particular. Also examines future implications of the Midwife Act.Keywords
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