I lived for 6 months in Puvirnituq, Quebec and am happy to learn that more and more mothers and children are able to stay in their communities to give birth. When I lived there there was a birthing centre at the hospital in Puvirnituq and there were two midwives who worked with the hospital physicians. Since then 3 other birthing centres have been opened in Inukjuak, Salluit and Kuujjuq. The initiative to bring birth closer to home has received world wide recognition fro the health promoting practices. And women are no longer being forced to choose their culture over their health care. (It was standard practice for many years to evacuate pregnant women in their last month of pregnancy to a southern hospital). The pregnant women were often socially isolated and without family or social support.
Read this article for more in-depth anaylysis of the health outcomes , the cultural benefits and why this is a model that is being promoted.