I'll add a fine point to my answer, and that is imagining someone in labour.
Take me, for example. I can speak French fairly well, but not when I'm sick.
If we put that woman in labour, what can we even compare that to? Then to be expected to receive services in a second language and communicate in a second language.... Also, there are the choices throughout pregnancy and postpartum, choices about the infant. Very complicated discussions have to ensue to make those informed choices, and to expect that in someone's second language....
The other thing I want to add on to this is that it's not just a francophone issue but also indigenous. There's the ceremony around birth, and this is so community-dependent. It's so important that we train midwives from those communities to serve those communities, and they can only learn to serve those communities in those communities. I think it puts an even finer point on how important that relationship is and that congruency is.