Background Image


To support spread of successful work to improve maternity care in BC, Shared Care has initiated a new ‘spread network’ to support an Interprofessional Collaborative Approach (IPC) to care.

The challenge

The future of primary maternity care in Canada has become a topic of considerable discussion and concern in recent years. In many instances, maternity care providers including family physicians, obstetricians and registered midwives have reported eroding trust and challenging communication. Women at various stages of pregnancy report unclear and inconsistent maternity care pathways and overall fragmentation of services throughout their journey. 

Interprofessional collaborative (IPC) practice has been widely promoted as an effective and efficient way to increase access for women to quality care and to improve provider  satisfaction and retention. 

The Work So Far

  • A Interprofessional Collaborative Practice Workshop was held in May 2017 with 75 GPs, Obstetricians and Registered Midwives.
  • Three lead communities - Comox, Kootenay Boundary, and South Okanagan - have joined the network to share their learnings and approach.
  • Seven new communities have joined the network in order to enhance IPC locally.
  • All seven communities have launched patient and provider surveys to gauge the current state of maternity care in their communities, and to assess how GPs, midwives, obstetricians, and other health care providers are working together to provide care.  The communities include Nanaimo, Surrey/North Delta, Chilliwack, Vancouver, Squamish, East Kootenay Region and Kamloops.
  • A comprehensive toolkit is been developed to support local communities to apply the IPC approach and make improvements to maternity care locally.
  • Communities are now initiating their planning phase and will be launching local projects over the next several months.
  • The development of a Maternity Community of Practice has also begun.

What’s Next

  • Development, trialing and implementation of community-developed solutions.
  • Continued development of a Maternity Community of Practice
  • Engagement of new communities to spread the IPC approach
  • Provincial IPC event in early 2019.
  • Evaluation of the initiative


Nancy Falconer, Shared Care Liaison