Evaluation of the Midwifery Pilot Projects in Quebec: An Overview

Blais, Régis; Joubert, Pierre

doi:10.1007/bf03404259

Cited by 10 publications

(10 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On requesting midwifery services, a cohort of 1,000 women agreed to sign an agreement to participate in the evaluation and, as part of the experiment, these women were matched with 1,000 women receiving physician‐based care through the usual hospital‐based maternity care services (10). Matching was performed a posteriori (after birth) on the basis of several sociodemographic characteristics (sociosanitary region, parity, age, civil status, educational level, and language) within the database of the national statistics agency and by obstetrical risk as assessed through a telephone interview conducted 6–10 weeks after birth by using a questionnaire based on a modified version of the Manitoba Risk Score (11).…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, two meta‐analyses of randomized clinical trials showed that midwifery practice, and especially continuity of care, was associated with several positive clinical outcomes, such as a lower risk of episiotomy or of a third or fourth degree perineal tear (8,9). Thus, the evaluation of the Quebec midwifery project needed to include such key elements (10). One of the main challenges of the evaluation came from the fact that midwifery services were provided within the context of birth centers.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing Women's Assessment of Midwifery and Medical Care in Québec, Canada

Koninck

Blais

Joubert³

et al. 2001

J Midwife Womens Health

Self Cite

View full text Add to dashboard Cite

In 1990, the province of Québec, Canada, adopted a law that authorized the evaluation of the practice of midwifery through pilot projects before its legalization. A key objective of this evaluation, as defined by the law, was the documentation of women's assessment of maternity care, especially with regard to humanization and continuity of care. Two to 3 months after birth, 933 midwifery clients and 1,000 physicians' clients, matched on several characteristics, responded to a mailed questionnaire (response rates were 93% and 76%, respectively). Results showed that women from both groups were generally satisfied with the care they received, although women who received midwifery care were assessed as more positive on every issue surveyed. Objective measures supported impressions that were also confirmed through qualitative data analysis: midwifery clients had a greater number of and longer prenatal visits, their care was perceived to be more personalized, and a greater number of midwives' clients breastfed their infants. However, the interpretation of these results must take into account that the two groups had different personal expectations and values with regard to health and health care. These findings are enlightening in evaluating women's needs, expectations, and satisfaction with health care services and should be included in future development of maternity care, including idwifery services, in Québec and other locations.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparing Women's Assessment of Midwifery and Medical Care in Québec, Canada

Koninck

Blais

Joubert³

et al. 2001

J Midwife Womens Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…One of the objectives of the evaluation of this experiment was to compare midwifery services and medical services in terms of cost and effectiveness as measured on the basis of several dimensions. 6,7 The purpose of this paper is to present some key results on the costeffectiveness of birth centre-based midwife services as compared with current hospitalbased medical services.…”

mentioning

confidence: 99%

Cost-effectiveness of Midwifery Services vs. Medical Services in Quebec

Reinharz

Blais

Fraser

et al. 2000

Can J Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…The official provision of midwifery care in Québec was finally implemented in 1993 through pilot programs in six local health-care centers (Centres Locaux des Services Communautaires or CLSCs) and one maternity hospital (Blais and Joubert, 2000). These pilot programs were designed to provide an evaluation period for midwifery in the province, in which midwives were 'assessed as being qualified, but not licensed, to practice at recognized sites for a limited time' (Canadian Doula Association, n.d.).…”

Section: Maisons De Naissance: a Period Of Experimentationmentioning

confidence: 99%

The ‘Midwifery Question’ in Québec: New Problematics of Birth, Body, Self

Fannin

2007

BioSocieties

View full text Add to dashboard Cite

Scholarship on midwifery in the North American context has tended to evaluate the recent legalization of the professional practice of midwifery across the United States and Canada as evidence of the success of women's claims to broader reproductive rights concerning pregnancy and birth. This article, however, approaches the efforts to legalize midwifery in North America through the question of claims to reproductive autonomy, arguing that midwifery's legalization is one effect of the entrance into modern scientific practice and state health policy of a new political subject: one whose emotional satisfaction is the target of reproductive health-care policy. As such, the 'new' midwifery in Qué bec encourages pregnant and birthing women to invest intimately in the project of staking claims for reproductive self-determination. Counter to claims that the ideal citizen of contemporary liberal regimes is 'unattached and unbiased', midwifery compels women to invest 'deep down' in claims to reproductive self-determination. An examination of policy and activist discourses circulating during the time leading up to the period of experimentation (1993)(1994)(1995)(1996)(1997)(1998) and eventually to the legalization (1999) of midwifery in Qué bec provides a useful lens onto broader transformations in the liberal governance of pregnancy and birth.

show abstract

Evaluation of the Midwifery Pilot Projects in Quebec: An Overview

Cited by 10 publications

References 3 publications

Comparing Women's Assessment of Midwifery and Medical Care in Québec, Canada

Comparing Women's Assessment of Midwifery and Medical Care in Québec, Canada

Cost-effectiveness of Midwifery Services vs. Medical Services in Quebec

The ‘Midwifery Question’ in Québec: New Problematics of Birth, Body, Self

Contact Info

Product

Resources

About