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In the 1980s there were few midwives in Canada and their practice was neither legal nor officially recognized. Ontario midwives and their supporters pushed to integrate midwifery into provincial health care systems and by 1993 had established an internationally renowned model. Ivy Lynn Bourgeault analyses the struggle to professionalize midwifery in the context of the negotiations between women, as both consumers and providers of health care, and the state.
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