When Births Go Away: The Cost of Moving Indigenous Mothers

Indigenous peoples—First Nations, Inuit, and Métis—have long relied on traditional midwifery to support pregnancy and childbirth. These practices sustain family health and community resilience.

Historical Context

• Pre-colonial era: Indigenous midwives served as primary health workers for women.
• Colonial impact: Knowledge was fragmented, and transmission to younger generations was disrupted.

Current Challenge: Obstetric Evacuation

A government rule now mandates that women in remote regions travel long distances to hospitals for births. This policy:

• Increases costs (financial and time).
• Separates mothers from their cultural support networks.
• Undermines traditional midwifery practices.

Research Objectives

1. Cost Analysis: Compare the expenses of transporting a mother to a hospital versus allowing her to stay in her community.
2. Health Outcomes: Evaluate which option yields better health for both mother and baby.

Potential Impact

Findings will inform policy decisions, fostering:

• Improved support for Indigenous mothers.
• Revitalization of midwifery traditions across Canada.