Establishing Canada’s Midwifery Research Priorities: Delphi Study

In a significant advancement for the field of midwifery research in Canada, a new study has been published that outlines essential priorities for future inquiry. The study, spearheaded by a team of researchers, aimed to establish a comprehensive framework that reflects the critical areas needing attention within the realm of midwifery. This effort, executed through a Delphi consensus study, underscores the importance of collaborative input from various stakeholders in shaping future research directions.

The Delphi consensus method is particularly notable in this context, as it leverages the expertise of a diverse group of participants to forecast future research needs systematically. By gathering insights from midwives, researchers, educators, and policymakers, the study aimed to build a well-rounded perspective on the pressing issues facing midwifery practice and research in Canada. This collaborative approach not only enhances the validity of the findings but also ensures that the research priorities align closely with the actual needs in the field.

As a starting point, participants in the Delphi study were asked to propose areas of research they believed to be critical. These proposals were then subjected to multiple rounds of evaluation and refinement, allowing participants to reassess and modify their initial suggestions based on feedback and the input from their peers. This iterative process is designed to refine ideas and lead to a consensus on the most relevant research areas. The results highlight the collective voice of the midwifery community in Canada, emphasizing the necessity for focused and targeted research initiatives.

Among the priorities identified, issues such as maternal health outcomes, continuity of care, and access to midwifery services emerged as paramount. The study revealed a pressing need to address disparities in maternal health outcomes across different populations, including Indigenous and rural communities. The researchers argued that targeted interventions are essential to improving care quality and ensuring that all birthing people have equitable access to midwifery services. This emphasis on social justice reflects a broader movement within healthcare towards addressing systemic inequalities.

Moreover, the study illuminated the crucial role of midwifery care in supporting the mental health of mothers during and after pregnancy. With mental health issues becoming increasingly recognized as a significant concern in maternal health, prioritizing research in this area is essential. The researchers highlighted the potential benefits of midwifery-led interventions, which could lead to better mental health outcomes for new mothers and their families. This approach could inform the design of supportive care frameworks that integrate mental health support into standard midwifery practices.

Another vital aspect of the research priority framework pertains to the integration of evidence-based practices within midwifery. As the landscape of healthcare continually evolves, it is essential that midwives stay abreast of the latest research and innovations. The study called for robust research initiatives that would facilitate the translation of research findings into practice. By fostering an environment where evidence-based practices are standard, the quality of midwifery care can significantly improve, ultimately benefiting mothers and their families.

The report further underscores the importance of engaging with technology in midwifery research. Advances in telemedicine, electronic health records, and data analytics present new opportunities for enhancing midwifery care delivery. By investing in research that explores these technological advancements, midwives could harness new tools to optimize their practice, improve patient engagement, and track health outcomes more effectively.

Moreover, addressing the educational needs of future midwives is another critical component of the identified research priorities. As the demand for midwifery care continues to grow, so too does the necessity for educational programs that prepare future midwives to meet evolving challenges. The authors of the study stressed the importance of ongoing professional development and training to ensure that midwives possess the skills and knowledge needed to deliver high-quality care in an increasingly complex healthcare environment.

Sustainability within midwifery practice was also featured prominently in the study. As healthcare systems worldwide grapple with the impacts of climate change and limited resources, it is paramount that midwifery practices evolve to incorporate sustainable methodologies. Research focused on sustainability could guide midwives in adopting practices that reduce environmental impact while maintaining high standards of care. This commitment to sustainability not only benefits the planet but also aligns with the growing demand from consumers for eco-conscious healthcare solutions.

Finally, the study concluded by calling on governmental bodies and funding agencies to prioritize these research areas in their agendas. The establishment of a clear framework addressing the identified priorities would not only bolster midwifery research but also contribute to comprehensive health policy development in Canada. Thus, the authors emphasize the need for collaborative efforts to secure funding and resources that would facilitate these essential research initiatives.

In conclusion, this newly developed Canadian midwifery research priority framework outlines critical areas for future inquiry that aim to enhance midwifery practices and improve health outcomes. By focusing on collaboration and consensus, the study lays the groundwork for impactful research that reflects the community’s needs and aspirations. As the landscape of midwifery evolves, this framework will serve as a guide to ensure that midwifery research remains relevant, evidence-based, and responsive to the needs of mothers and families across Canada.

Murray-Davis, B., Ruby, E., Rack, J. et al. Developing a Canadian midwifery research priority framework: a Delphi consensus study.
Health Res Policy Sys 23, 126 (2025). https://doi.org/10.1186/s12961-025-01401-0