As midwives, we do really good work in serving vulnerable populations, with the time we can take and the way we work with our social networks around us. During my many years of practice, teens were a group that I served well. My practice was Cambridge Midwives, where 15% of our midwives' clientele were Muslim and specifically needed female caregivers. We really tried to reach refugees, immigrants and the hard-to-reach.
We do have the evidence to say that we are doing a good job. We have good outcomes. We have lower intervention rates with equally good outcomes, and we've been found to be cost-effective in the system. Every 28 years in a health care system feels new, but 28 years has allowed us to gather the data that shows we're doing a good job and reaching the people we need to reach.