Results

As the recommendations are based on stakeholder engagement, further analysis is necessary to explore the feasibility with respect to cost, human resourcing, and operational realities:

1. It is recommended that GNWT DHSS continue to support a maternity care system that recognizes the uniqueness of the territory and the communities within and values:
   • Women and family-centered care;
   • Continuity of care in pregnancy through to the postpartum period;
   • A known provider at birth;
   • The safest option for birthing that is close to home; and
   • Choice of healthcare provider within a well-integrated system of healthcare providers practicing to their full scope of practice.
2. It is recommended that the GNWT HSS continue to use the NWT Midwifery Practice Framework to shape the model of care provided by midwives.
    
3. It is recommended that existing midwifery services in Hay River and Fort Smith be strengthened through ongoing financial and human resource investments to ensure sustainability of the current programs.
    
4. It is recommended that a midwifery recruitment and retention plan be developed to address program stability, succession planning, leave coverage, and program expansion.
    
5. It is recommended that to meet the demand for midwifery services, the feasibility of expansion be examined