This Evidence Check review looked at culturally competent maternity services for Indigenous communities. The review found that core components included community involvement, midwifery-led care, a broad scope of practice, local education of midwives, integration of Indigenous and non-Indigenous approaches to birth, collaboration across the healthcare team, secure funding and a strong research and evaluation framework. Improvements in health outcomes and user satisfaction were evident with these factors in place. According to the reviewers, the most successful ‘Birthing on Country’ model was the Inuulitsivik Midwifery Service.
Kildea S, Van Wagner V.