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Maternal-Newborn Gap Analysis

A review of low volume, rural, and remote intrapartum services in Ontario.

The Provincial Council for Maternal and Child Health recently completed a gap analysis to look at local access to safe, high-quality intrapartum care services in lower volume centres (less than 500 births a year) across the province.

The gap analysis utilized a mixed-methods approach that included:

  • An environmental scan of the existing literature, professional statements, and expert reviews of specific rural sites;
  • Findings from interviews with 16 geographically representative lower volume intrapartum care sites to understand gaps, challenges, and best practices in delivering safe, high-quality intrapartum care close to home; and
  • Qualitative analysis of data from the Better Outcomes Registry & Network (BORN) and Institute for Clinical Evaluative Sciences (ICES).

Key themes highlighted by the findings of the analysis include:

  • Impact of geography on quality and access to care;
  • Variations in models of care, staffing models, and human resources strategies; and
  • Knowledge and involvement of regional maternal-child networks.


To learn more, please download a copy of our Gap Analysis HERE.


COMING SOON: In the fall of 2018, a distance map will be published that will provide an overview of the duration of time pregnant people travel within the province, to reach intrapartum care services.


For more information please contact