
Midwifery services in western Manitoba to be suspended until fall due to staffing shortage
Midwifery services in western Manitoba will be temporarily halted amid what the local health authority says is an "unforeseen" staffing shortage.
Prairie Mountain Health is advising pregnant women who'd hoped to give birth at home within the next six months to go to hospital instead, with birth and on-call midwifery services set to be suspended from April 1 to Sept. 30.
"We sincerely apologize that we are not able to provide all aspects of care at this time," a memo notifying clients about the suspension said. "Please know this was a very difficult decision for our PMH program and staff."
CEO Treena Slate said in a statement Tuesday midwifery services will continue to provide prenatal, postpartum and newborn appointments and care.
Prairie Mountain's midwifery services are based out of Brandon. The health authority said clients will be referred there for deliveries, though it added facilities in Dauphin and Neepawa also offer birthing services.
Slate said Prairie Mountain Health is offering clinical training and mentorship opportunities. She said it's also actively recruiting through advertising as well as conferences and the University of Manitoba career fair.
Government working on recruitment: Minister
Health Minister Uzoma Asagwara said Tuesday one midwife is currently on leave, triggering the suspension. Asagwara reiterated the suspension will be temporary.
In its latest budget, the Manitoba government set aside $1.1 million to create seven new positions for midwifery graduates. The budget also says the government is also working on bringing graduates to northern First Nations.
The minister blamed the current staffing situation on cuts to health-care services by the previous Progressive Conservative government.
"Our government has been successful in filling all of the midwife training seats, and we are graduating midwives in this province as a result," they said.
"We're going to graduate some more midwives in the spring and we're going to make sure they have a letter of offer for a job right here in Manitoba before they graduate."
Roblin MLA Kathleen Cook, the PCs' health critic, said the fact the suspension is temporary won't provide any comfort for expecting mothers.
"If you're a pregnant woman, you can't delay your delivery date until the temporary problem is behind us. It forces those women into an entirely different model of care than what they were expecting," Cook said.
"For some women, the ability to give birth at home … is crucial to them," she said. "To be told that they now have to give birth in a hospital with an ob-gyn is disappointing to them. It's not the same."
Cook said it was the PCs who established the University of Manitoba's midwifery program in 2021. A previous program which was to be jointly offered with University College of the North was cancelled in 2016.
"We didn't hear any solutions from the minister today," she said. "We heard continued deflection and blame, but nothing that's going to reassure women who are pregnant in Prairie Mountain Health right now."

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Winnipeg Free Press
a day ago
- Winnipeg Free Press
Manitoba's regional authorities spent over $35M last year in the ongoing effort to keep hospital workers safe
Last Christmas Eve, a man walked into Thompson General Hospital with a loaded rifle concealed in his clothing. He moved through the emergency department and other areas — some full of patients — before taking an elevator to the second-floor chapel. No one knows how long the 33-year-old man was in the facility. He was discovered by a patient who wanted to use the chapel for prayer. The patient, hearing a commotion behind the locked doors, notified a nurse. Security was nowhere to be found. They showed up only after the gunman pointed the weapon at a nurse and fired a bullet through a window. The life-threatening scenario highlights a double-barrel dilemma facing Manitoba's health-care system: how much more needs to be spent on safety measures, which has already increased exponentially in recent years, and is what's already in place making a difference? The Northern Health Region, which oversees Thompson's hospital operations, earmarked $1.18 million for security measures last year, a tenfold increase from a decade ago. 'Our security officers that we have now are untrained, incompetent individuals,' said a Thompson nurse, who spoke on the condition of anonymity. In the last fiscal year, Manitoba's six regional health authorities spent a total of $35.4 million on security measures, according to freedom of information documents obtained by the Free Press. It's an expenditure that has been escalating over the last 10 years, according to the data received from each health authority, and includes equipment, call systems, staffing and contract costs for security guards. The breakdown for the RHAs — comparing spending in the 2014-2015 fiscal year to 2024-2025 — is as follows: • Interlake-Eastern Regional Health Authority jumped from $9,088 to more than $1.86 million. • Southern Health-Santé Sud increased from $336,911 to $1.51 million. • Prairie Mountain Health went from $678,485 to $4.69 million. • Northern Health climbed from $123,281 to $1.18 million; • Winnipeg RHA (excluding Health Sciences Centre) more than doubled from $5.26 million to $13.3 million. HSC spent $10.08 million in 2019-2020 and more than $12.8 million in 2024-2025 (only six years of data was provided for Manitoba's largest health-care facility). Experts and health officials say there are several reasons for the increase, notably enforcement of rules and restrictions during the COVID-19 pandemic and the dramatic way in which hospitals and their staffs increasingly find themselves on the front line dealing with a variety of societal struggles. 'Higher rates of mental-health problems and addiction within our population have contributed to increases in incidents of violence and aggression in ERs and other health-care settings,' Prairie Mountain Health CEO Treena Slate said in a statement. As a result, the western Manitoba region expanded its security personnel numbers to monitor sites in Brandon, Dauphin, Virden and Russell. Cam Baldwin, the provincial protective services lead for Shared Health, attributed HSC's spending to methamphetamine and opioid-related behaviours and ailments, often encountered first by police and paramedics. 'The crimes that are being committed are often related to those dependencies and the resulting outcome of that is many of them need to be treated in hospitals,' Baldwin said in an interview. 'Unfortunately, that has created the requirement for additional security within the hospitals.' In February, the province installed AI-powered weapon detectors at three HSC entrances. The machines have detected 491 'potentially dangerous items,' such as knives thus far. BROOK JONES / FREE PRESS In February, the province installed AI-powered weapon detectors at three HSC entrances. BROOK JONES / FREE PRESS In February, the province installed AI-powered weapon detectors at three HSC entrances. The HSC campus also now employs 42 institutional safety officers, who are specially trained to restrain people and are armed with pepper gel. The province has safety officers — in addition to private security guards — stationed at St. Boniface Hospital, Victoria Hospital, Selkirk Regional Health Centre and Brandon Regional Health Centre. A spokesperson for Southern Health-Santé Sud said a formal security program for the region was not in place until 2019 when baseline funding was established. Prior to that, security was funded on an ad hoc basis. A representative of Interlake-Eastern Health said costs are a reflection of increasing use of contracted and on-staff security services in facilities 'where necessary.' Northern Health did not respond to questions regarding security costs. The pandemic exacerbated violence and security issues in health-care facilities everywhere, according to a U.S.-based security consultant and former security executive for AdventHealth, a faith-based hospital network in Florida. 'A lot of that was politically driven by masks and people not wanting to wear the mask, not necessarily for health reasons, but because they had a political spin on it,' Bill Marcisz said. 'You can imagine what happens when a loved one is passing away, or you want to go visit your son or daughter being born and you're not allowed in there.' Mental health, addictions and the stress that goes along with health care are all factors in security spending, he said, plus there has been a greater push for facilities to document incidents. As more cases are recorded, the need for security increases, Marcisz said. 'There's a lot of things that go into this,' he said. The president of the Manitoba Nurses Union agreed. 'The reality is that we've seen a lot of facilities that have become less of a strictly health-care facility… our emergency departments are seeing more and more individuals attending them because it's a safe place to be,' Darlene Jackson said. JOHN WOODS / FREE PRESS FILES 'A hospital health-care facility is really sort of a beacon of safety, so there are many issues that need to be dealt with,' says Darlene Jackson, President of the Manitoba Nurses Union. JOHN WOODS / FREE PRESS FILES 'A hospital health-care facility is really sort of a beacon of safety, so there are many issues that need to be dealt with,' says Darlene Jackson, President of the Manitoba Nurses Union. Jackson said nurses constantly tell her waiting rooms are used as makeshift shelters because homeless people either can't access a shelter due to barriers or capacity, or they don't feel safe. People often come in with minor ailments to exploit the health-care system's long wait times and spend the night in a secure building, Jackson said. 'A hospital health-care facility is really sort of a beacon of safety, so there are many issues that need to be dealt with. And until those issues are dealt with, I don't see how we can do anything else and just keep increasing security costs,' she said. 'The issue is not in our emergency department. It's beyond the doors of our emergency department.' Manitoba Health is aware some patients in ERs need alternative care and is working with Housing, Addictions and Homelessness Minister Bernadette Smith to redirect them to shelters and other organizations, Health Minister Uzoma Asagwara said Thursday. Working with homeless shelters and non-profits, as well as building a supervised consumption site and sobering centre are part of the government's plan to address the issue, Asagwara said. MIKAELA MACKENZIE / FREE PRESS FILES Health minister Uzoma Asagwara says institutional safety officers are on the way for Thompson. MIKAELA MACKENZIE / FREE PRESS FILES Health minister Uzoma Asagwara says institutional safety officers are on the way for Thompson. 'Our priority is making sure that people have the ability to access the right care at the right place at the right time,' the minister said. 'We're working across government to make sure there are more appropriate places.' More social workers and safety officers in hospitals could also help address the issue, Asagwara said. Dan Nodrick, director of development at Siloam Mission, acknowledged that transient individuals are using health-care facilities as a safe haven or shelter and that the problem will persist without an influx of more affordable housing. Siloam's daily capacity is 143 people, but the organization stretches it to 147 nearly every day. 'Three years ago in the summertime there was always room in the shelter. We've been full for two years solid,' he said. The Thompson nurse and her colleagues have been begging health officials for the institutional safety officer program to be introduced at their hospital. Security personnel hired by the Northern Health Region don't have the ability to physically intervene, leaving many health-care workers vulnerable to violent incidents, she said. 'There's been many situations… security may come out of the office and ask me if I'm calling RCMP,' she said. 'It's often a common occurrence. 'With the multiple socioeconomic barriers and constraints in Thompson… personnel that can actually intervene appropriately, we may see a decrease in the violence that we experience every day.' Only a few days after the Christmas Eve incident, there was another frightening scene. After arriving by ambulance, a patient began hurling insults, racial slurs and threats at emergency department staff while clenching his fists. 'I stood up in front of the patient — I'm only five-foot-one — and I said, 'You are going to leave the facility and when you are ready to be respectful, you can come back,'' the nurse said. 'I'm surprised I didn't get in trouble with my employer; even though we have a zero-tolerance policy it is never enforced. We are almost expected to take the behaviour.' Asagwara said institutional safety officers are on the way for Thompson, but in the meantime, the province is looking at instituting a First Nations Safety Officer program, which will hire and train safety officers from the community to work alongside hospital security. 'Health-care workers should be able to go to work and feel safe and focus on providing the best patient care possible,' the minister said. 'So should patients and visitors.' On William Avenue earlier this week, just outside Winnipeg's downtown core, a security guard clad in a black-and-grey uniform stepped out into the evening sun from HSC's adult emergency department. She scanned the scene from left to right before taking a few steps to peek around each corner of the entrance, something that happens every 15 minutes. The HSC campus employs 42 institutional safety officers. The HSC campus employs 42 institutional safety officers. Check completed, she walked back inside, to a vestibule where her partner sat next to the AI-weapon detector. Similar, but smaller than more-familiar metal detectors used in other venues, the equipment is adorned with Shared Health's logo colours of orange, yellow, teal and green. Just beyond it, a metal-detecting wand sits on a desk with a security log book beside it. Signs at the entrance door warn visitors of the security checkpoint ahead. Hammers, guns and knives are not welcome inside but can be stored in provided amnesty lockers. 'Thank you for keeping this facility safe,' the sign states. Nicole BuffieMultimedia producer Nicole Buffie is a multimedia producer who reports for the Free Press city desk. Born and bred in Winnipeg, Nicole graduated from Red River College's Creative Communications program in 2020 and worked as a reporter throughout Manitoba before joining the Free Press newsroom in 2023. Read more about Nicole. Every piece of reporting Nicole produces is reviewed by an editing team before it is posted online or published in print — part of the Free Press's tradition, since 1872, of producing reliable independent journalism. Read more about Free Press's history and mandate, and learn how our newsroom operates. Our newsroom depends on a growing audience of readers to power our journalism. If you are not a paid reader, please consider becoming a subscriber. Our newsroom depends on its audience of readers to power our journalism. Thank you for your support.


CTV News
2 days ago
- CTV News
First Nations take steps to reduce wildfire risk
First Nations take steps to reduce wildfire risk Heading into peak wildfire season, several First Nations across B.C. have already taken steps to reduce the risk to their communities.

CBC
2 days ago
- CBC
Island Lake First Nations under partial evacuation due to wildfire smoke
Some Manitoba First Nations evacuating vulnerable residents amid worsening air quality say finding accommodations has been challenging, with thousands fleeing wildfires across the province. Four First Nations in the Island Lake region in northeastern Manitoba — Garden Hill, St. Theresa Point, Wasagamack and Red Sucker Lake — are under partial evacuations as of Thursday, said Anisininew Okimawin, a coalition of the four First Nations. About 250 residents had been flown out of the region — around 500 kilometres northeast of Winnipeg — as of Thursday afternoon, said Anisininew Okimawin Grand Chief Alex McDougall. "All of the four communities have focused their efforts around those that are most vulnerable," McDougall said. That includes "those that have respiratory issues and are being affected by the smoke, the heavy smoke that is being blown in by the fires … to the west of us here, primarily [in] Norway House [and] Cross Lake," about 200 kilometres west of Island Lake, he said. "There's a lot of fear and a lot of uncertainty from our community members." WATCH | Partial evacuation underway in Island Lake: Partial evacuation underway in all 4 Island Lake First Nations 3 hours ago Duration 1:51 Around 250 people have been flown out of the remote Island Lake region in northeastern Manitoba, as all four member First Nations have ordered partial evacuations due to wildfire smoke. Pimicikamak Cree Nation, also known as Cross Lake, and the incorporated community of Cross Lake are among the Manitoba communities under full evacuation orders due to a nearby wildfire. Norway House is under an evacuation notice, with people ordered to be ready to leave. An Environment Canada air quality warning is in effect for much of Manitoba, including Island Lake, with 27 active fires still burning in the province as of Thursday afternoon. Assembly of Manitoba Chiefs Grand Chief Kyra Wilson told CBC News earlier Thursday that Misipawistik Cree Nation in the Interlake region, nearly 400 kilometres northwest of Winnipeg, was also preparing to evacuate vulnerable residents. "Priority 1 individuals are going to be evacuated to southern Manitoba, but what the leadership wants is … actual hotel spaces before they send their community members to the south," Wilson said. A fire 2,500 hectares in size was about eight kilometres north of Misipawistik as of Thursday's provincial fire bulletin. There were also two active fires west across the bay around Easterville, according to the province's fire map — the largest about 35 hectares in size. Other evacuations taking up space The Island Lake communities have about 16,000 members combined, with roughly 2,000 being Priority 1 residents — those considered most vulnerable and the first to be evacuated, McDougall said. Dozens of dialysis patients have been taken to health facilities in places like Gimli and Powerview-Pine Falls. But McDougall added the First Nations are trying to select the most vulnerable even within that category, as evacuations elsewhere in the province limit the number of accommodations available for Island Lake residents. The Canadian Red Cross has registered about 18,000 wildfire evacuees in the province as of Thursday, the province said in its latest fire bulletin. "One of the challenges that we're seeing with the evacuations is knowing that Manitoba has already been facing evacuations from other communities," McDougall said. "All of those have been going to the larger urban centres in Manitoba and are obviously taking up all of the available accommodations." Premier Wab Kinew said during an interview with Information Radio Thursday morning the situation for Island Lake evacuees is something the province is looking at. "They're medical patients and people who are very vulnerable," he said. "And so it's a bit of a balancing act between getting people into shelter and making sure that we keep some rooms open when those really high-priority medical patients come into the city." First Nations have 'no real involvement': grand chief Wilson criticized the evacuation of other communities in recent days as disorganized and unco-ordinated, with some people, including vulnerable residents with medical conditions, left waiting in line for accommodation or meals. "Unfortunately, we have no real involvement," Wilson said, with the Red Cross providing evacuation services to First Nations under an agreement with Indigenous Services Canada. Watch as the northern Manitoba wildfires grow 9 hours ago Duration 1:11 Wildfires have been burning in northern Manitoba since late May, when a province-wide emergency was declared. Watch as CBC Weather Specialist Riley Laychuk tracks the fires threatening the communities of Flin Flon, Sherridon and Pukatawagan. The AMC grand chief is calling for a regional emergency management strategy in which Indigenous communities have more participation than they do now. "We need First Nations leadership to be involved in the decision-making, and the response time needs to be quick," she said. Meanwhile, McDougall said there would be no need for Island Lake to be partially evacuated if the region had a hospital of its own. "Service would be available locally, and that's been the argument of our leadership," he said. "You compare the size of the population of any other non-First Nation population — they have hospitals." Are you an evacuee who needs assistance? Contact Manitoba 211 by calling 211 from anywhere in Manitoba or email 211mb@