An Early Feasibility Study of Midwifery Services in a Vulnerable Population

Objectives: Canadian women and newborns are usually healthy due to the availability of prenatal care, postnatal care, and the presence of a skilled health professional. However, social determinants of health can have a significant impact on women’s ability to access high-quality care, particularly during pregnancy. We partnered with Aspen, a not-for-profit social service organization in Calgary, to explore the feasibility of implementing midwifery services for a vulnerable population. Methods: We conducted interviews with Aspen clients, Calgary registered midwives, and focus groups with Aspen staff to understand their perceptions of midwifery services, including benefits and potential barriers to their implementation. We used administrative data to develop a demographic profile of Aspen clients. Results: Our results suggest that midwives would be acceptable birth providers, but this further depends on women’s culture and their previous pregnancy experience. The study highlighted key aspects that should be considered to successfully implement midwifery services for the vulnerable population, including public awareness about midwifery services, access to an interprofessional team, and allocation of additional funding to practicing midwives. Conclusion: Midwifery care would be an acceptable and perhaps more-appropriate maternity care model for vulnerable populations. This article has been peer reviewed.