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The word derives from Old English mid , “with” and wif , “woman”, and thus originally meant “with-woman”, that is, the person who is with the mother woman at childbirth. This care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance and the carrying out of emergency measures. The midwife has an important task in health counselling and education, not only for the woman, but also within the family and the community.
A midwife may practise in any setting including the home, community, hospitals, clinics or health units. There are also postgraduate midwifery programs for registered nurses who wish to become midwives leading to a bachelor’s degree or equivalent qualification in midwifery Bachelor of Midwifery, Graduate Diploma in Midwifery. They may be employed by health services or organisations, or self-employed as privately practising midwives. All midwives are expected to work within a defined scope of practice and conform to ongoing regulatory requirements that ensure they are safe and autonomous practitioners.
Only Prince Edward Island and Yukon have no legislation in place for the practice of midwifery. In Manitoba the program is offered by University College of the North. In northern Quebec and Nunavut, Inuit women are being educated to be midwives in their own communities. A federally funded pilot project called the Multi-jurisdictional Midwifery Bridging Program  has been offered in Western Canada in the past, but funding was discontinued when they expanded their midwifery program.
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