Tuesday, 4 April 2017

Indigenous Knowledge - Aboriginal Midwifery in Canada





Aboriginal Women Reclaiming the Power



I have a dream…


…of attending a birth in my own community at Nipissing, I will go to a woman’s home where her


extended family is there for support. Perhaps even my own daughter will accompany me to help


with younger children. Perhaps the woman’s mother is there to help prepare food and greet the 

baby in the Nishnawbe language. The father will light a fire outside and offer tobacco. We will

boil cedar for the postpartum bath. …Nishnawbe women are the guardians of their culture,

families and communities. They will want to be a leading force in the future development of

midwifery on their homelands. The professional practice of midwifery reflects their traditional

values. That is the compassionate and respectful care of the newly emerging mother and baby.


This is the very future of our Nations” 
(Couchie & Nabigon, 1997).


The Aboriginal Health Organisation recalls the tradition of midwifery in their report, Celebrating Birth – Aboriginal Midwifery in Canada, published in 2008.  This unique experience was shared with all community members as traditionally nomadic peoples any person in the community could be called upon to assist with birth if necessary. The wisdom to support pregnant mothers was passed from Grandmother to daughter throughout time where women were the holders of both the physical, mental, social, and spiritual aspects of the birth experience. In many different Indigenous languages the name midwife did not exist, but instead several titles existed depending on the language of the peoples:
"woman who can do everything" "watch and care" "A woman who's hands assists a child coming into this world" "the helper" "the one who waits for birth" "women's helpers" "the woman who catches the baby" 
In 2017 it is time to make a bold and definite move to support Aboriginal women in Canada. By recognizing the experience and knowledge which has survived for countless generations of sharing and training our communities will be strengthen through the participation of these women. Through the heartiness and success of these peoples throughout time we can see evidence that these methods were successful as evident through the Aboriginal population today. The knowledge and experience these women possess will rebuild relationships and establish health and vitality to their communities through respect and support of their practises.







“Inuit midwives have been practising it for thousands and thousands of years. Why not continue it? Why should we have to be so dominated by this Western system and not practice our own ways? We have survived for over five thousand years. Why not learn from the Inuit midwives?" (Melanie Paniaq, Pauktuutit Inuit Women of Canada).

National Aboriginal Health Organization(NAHO). 2008. Celebrating Birth – Aboriginal Midwifery in Canada. Ottawa: National Aboriginal Health Organization. Accessed on March 27th, 2017:





   On February 10th, 2017, Aboriginal Midwife Ellen Blais announced that the government is establishing 6 Aboriginal Midwifery programs in Ontario. The Dilico Family Health Team has hired 2 aboriginal Midwives to work in their clinic. The midwives will travel out into the 13 communities they serve and provide prenatal, birth, and 6 weeks post care for Aboriginal women in the program using Aboriginal practises. The announcement includes 2 million dollars in funding to establish 5 additional programs other Aboriginal communities in northern Ontario. This initiative is an important landmark in Canadian history as it recognized the inherent worth and dignity of Aboriginal women in Canada and publicly declares to support their knowledge and experience. The oppression and marginalization of Aboriginal women throughout Canadian history is a catastrophe. After recognition the next step is empowering and building. Funding for Aboriginal Midwifery is a direct action to give back maternal power and wisdom to these women. Supporting their purpose and practise will assist them to better serve their communities.
In further discussion is it interesting to note that the article did not speak as to where or how the Aboriginal midwives were trained. In Ontario to be certified as a midwife you must attend a 4 year degree program at Ryerson University, be registered in another province, or have your international certification transferred. In the article it was not mentioned if the Aboriginal Midwives also became certified in the way. Requiring an Aboriginal student to study in a westernized program is arguably still an oppressive practise as it fails to recognize the unique ownership of the knowledge and the experience of Aboriginal Midwives passed doing through generations. As Melanie Paniaq stated above Aboriginal midwives have been practising and passing down their knowledge for thousands of years. An important discussion to furthering the practice of Aboriginal Midwifery would be to establish a certification board headed by experienced Aboriginal midwives who train and pass down their own practises and indigenous ways of knowing. They should decide if a person is experienced enough and has demonstrated commitment to their community similar to the training of other elders and leaders.
      The best way to support Aboriginal women in Canada is to recognize their strengths and compensate them for their practise. From recent media stories about missing and exploited women in Canada it has become startling how appalling Aboriginal women have been treated throughout the history of colonization and how devalued they are today. Moving into the future it is important to be just as aggressive in our approach to supporting these women to establish safe and healthy futures for their families and communities. An interest in Aboriginal midwifery is an extraordinary opportunity to take the incredible strength, and generations of knowledge and experience, of these women and use it to support their communities. 
    The National Aboriginal Health Board links Aboriginal Midwifery with the health of all members of the nation. The community and family centred approach to birthing encompasses the mother and new child in the centre of the community creating powerful relationships from the moment of birth. From when the child first hears their native tongue and are welcomed by their people on their land a solid relationship is formed. In contrast the thought of as Aboriginal child being born in the sterile, cold environment of a city hospital in which western doctors deliver them in western ways and receive them in western language appears cruel and barbaric. Proof that Aboriginal midwifery is successful is in the large pre colonial population which was welcome entirely through Aboriginal practice. The whole community is strengthened through participation in the birthing even and the bond to the mother and child and will provide support to them throughout their lives. Being born on their land and in the folds of family and community is the centre of the goals for Aboriginal Midwifery (NAHO 2015)



Alex, Cathy. "Ontario restores 'beautiful ceremony' of birth by funding 6 Aboriginal midwifery programs" February 10th, 2017. CBC News, Thunder Bay. Accessed on April 1st, 2017.



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