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Popularized through Hans Christian Andersen’s 19th century fairy tales, the image of storks delivering babies endures today in stories and cartoons. In reality, though, babies need human help to arrive into this world. That help may come from any of several types of care providers trained to assist with the common miracles of pregnancy and birth. Pregnancy and childbirth are the leading causes of hospitalization among Canadian women, accounting for 24% of the total in 2001–2002. The Canadian Institute for Health Information (CIHI) recently released a report, “Giving Birth in Canada: Providers of Maternity and Infant Care,” which summarizes trends in maternity care. Key highlights included the changes in the availability, distribution and participation of professionals that traditionally provide maternity services and the changing nature of births. These trends may have profound implications for care now and in the future. For example, these trends may help inform decisions facing communities, healthcare providers and governments across the country, including: • How to ensure availability of appropriate maternity/newborn care in the future, potentially involving a changing mix of service providers and delivery models • How to recruit and retain care providers, particularly in rural and remote areas • How best to inform families about options for maternity care and support them in their choices

CIHI Survey: Challenges for Providing Maternity Services: The Impact of Changing Birthing Practices