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Fall 2010 - Association of Ontario Midwives

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Research / Government Initiatives<br />

Eileen Hutton, RM, PhD, recently accepted a five-year, endowed pr<strong>of</strong>essorship at Vrije University in Amsterdam in the<br />

Midwifery Science Division, the first midwife to ever carry the title “Pr<strong>of</strong>essor” in the Netherlands.<br />

Midwife-researcher appointed to Dutch pr<strong>of</strong>essorship<br />

Though <strong>Ontario</strong> has borrowed much from<br />

the Dutch model <strong>of</strong> midwifery care, it is<br />

now our turn to give back.<br />

This past summer, Eileen Hutton, RM,<br />

PhD accepted a five-year, endowed<br />

pr<strong>of</strong>essorship at Vrije University in<br />

Amsterdam in the Midwifery Science<br />

Division. Hutton is the first midwife to<br />

ever hold a pr<strong>of</strong>essorship role in the<br />

Netherlands, as most midwifery educators<br />

there hold a lecturer title.<br />

“I think someone from Canada is<br />

well-suited to move into that position<br />

since our model is so highly influenced<br />

by their model,” Hutton said. “It is very<br />

fitting that we borrowed from them and<br />

are now contributing to their programs.”<br />

She will continue with her role as<br />

assistant dean <strong>of</strong> the Midwifery <strong>of</strong><br />

Education Program at McMaster<br />

University, where her research<br />

background is already a valuable asset.<br />

In addition to her bachelor in nursing,<br />

master’s in parent child nursing and<br />

midwifery degree, Hutton holds a PhD in<br />

clinical epidemiology – the study <strong>of</strong> health<br />

patterns amongst populations.<br />

Her research work has garnered her<br />

several awards, including the Michael<br />

Smith Foundation for Health Research<br />

Career Scholar award, the Canadian<br />

Institutes <strong>of</strong> Health Research New<br />

Investigator Award as well as the Society<br />

<strong>of</strong> Obstetricians and Gynaecologists <strong>of</strong><br />

Canada Western Regional Award.<br />

Hutton has been a coauthor in at least 10<br />

academic research papers investigating<br />

topics such as home birth, sterile water<br />

injections to treat pain, external cephalic<br />

version, breech birth and late versus early<br />

cord clamping. Her research focuses on<br />

clinical trial methodology and knowledge<br />

translation.<br />

For the Dutch pr<strong>of</strong>essorship, Hutton will<br />

be mainly working with other pr<strong>of</strong>essors<br />

and academics from a research point <strong>of</strong><br />

view, rather than in a traditional teaching<br />

position. She sees the role as being<br />

transitional and hopes that after her term<br />

is up, there will be Dutch midwives who<br />

will be able to move into the position.<br />

She currently plans to travel to the<br />

Netherlands several times a year.<br />

Hutton’s new role as the Vrije head <strong>of</strong> the<br />

midwifery sciences department evolved<br />

over time. Three years ago she visited<br />

the university to learn more about their<br />

research and research units.<br />

Following this came the idea that Hutton<br />

could take on the duties <strong>of</strong> a visiting<br />

pr<strong>of</strong>essor, which eventually developed<br />

into the current pr<strong>of</strong>essorship role. Hutton<br />

thinks it is a good fit for both Canada<br />

and the Netherlands. While the Dutch<br />

institute will make use <strong>of</strong> her expertise to<br />

develop its research capacity, Hutton and<br />

other researchers will benefit from the<br />

country’s longer history <strong>of</strong> midwifery care<br />

<strong>Midwives</strong> support Nurse<br />

Practitioner scope review<br />

This summer, the provincial<br />

government announced<br />

considerations to expand the role<br />

<strong>of</strong> nurse practitioners by allowing<br />

them to admit, discharge and<br />

transfer patients in-hospital and<br />

announced a public consultation<br />

looking into how patients would<br />

benefit from these changes.<br />

The AOM took the opportunity<br />

to submit a letter <strong>of</strong> support,<br />

highlighting lessons learned from<br />

the integration <strong>of</strong> midwives into<br />

hospitals.<br />

When midwives gained hospital<br />

privileges with regulation, it<br />

translated into benefits for both<br />

hospitals and patients – midwifery<br />

clients are known to have<br />

significantly shorter hospital stays<br />

and lower rates <strong>of</strong> readmission.<br />

Nurse practitioners with a greater<br />

range <strong>of</strong> responsibility in hospitals<br />

could result in similar benefits.<br />

The government is now reviewing<br />

feedback it received in the<br />

consultation process and plans to<br />

meet with individual stakeholders<br />

throughout the fall.<br />

When Bill 179 was passed last<br />

December, nurse practitioners’ roles<br />

were expanded to allow them to<br />

communicate diagnoses to patients,<br />

to perform procedures below the<br />

dermis and to order X-rays without<br />

restrictions, among other things.<br />

The new push from government<br />

to expand the role <strong>of</strong> nurse<br />

practitioners is part <strong>of</strong> the Family<br />

Health Care for All Strategy – which<br />

aims to address patients who do<br />

not have a primary care provider<br />

– and comes in advance <strong>of</strong> the<br />

expected opening <strong>of</strong> 25 nurse<br />

practitioner-led clinics in <strong>Ontario</strong> in<br />

2012.<br />

and rich study population.<br />

“Access to a country where midwifery is<br />

the norm and where large numbers <strong>of</strong><br />

women receive midwifery care – along<br />

with building collegial relationships – will<br />

have benefit to us as well,” Hutton said.<br />

www.aom.on.ca<br />

09

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