Collaborative Maternity Care in Rural Environments: An Investigation of Regulatory and Legislative Barriers

March 2007 – March 2009

Research Team

  • Principal Investigators:  Jude Kornelsen and Stefan Grzybowski
  • Support Team:  Sarah Munro, Melanie MacDonald, Shelagh Levangie

Funding Agencies

  • This project is one of six in the 5-year grant “Appropriate Access to Maternity Services for Rural Parturient Women” funded by the Canadian Institutes of Health Research and Child and Family Research Institute


  • Trail
  • Smithers
  • Campbell River
  • Creston

Project Summary

The goal of this research is to identify barriers to multidisciplinary models of maternity care within a rural environment and the changes that need to occur to facilitate such models.  Specfic objectives include investigating:

  1. Legislative and regulatory barriers;
  2. Legal and financial barriers;and
  3. Professional (ideological) barriers.

Project Updates

This project has completed the data collection stage for all four communities. Early findings were presented to rural midwives and decision makers at two Invitational Rural Midwifery Symposia in Vancouver, BC.

Click to view these symposium proceedings: Rural Midwifery Symposium

Click to view our research reports for Trail and Campbell River.

Analysis of findings from the study will be published in the journal Midwifery this year:

Munro S, Kornelsen J, Grzybowski S. Models of maternity care in rural environments: Barriers and attributes of interprofessional collaboration with midwives. Midwifery 2012 (forthcoming).