Brian Burtch looks at contemporary midwifery practice in Canada and the role of the state in shaping and defining that practice. He examines the qualifications of midwives and discusses their legal status, the legacy of competition between nurses and midwives, and the impact of legal actions concerning midwifery practice. He emphasizes the pivotal role of the state in supporting midwifery and discusses the difficulties created by increasing interest in midwifery among expectant women and the social forces that inhibit the establishment of a self-governing midwifery profession.
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