Thomas, Janie (2025) The huia sings: Understanding the lived experience of Māori midwives: A thesis presented to Te Whare Wānanga o Awanuiārangi in fulfilment of the requirements for the Degree of Doctor of Indigenous Development and Advancement, Te Whare Wānanga o Awanuiārangi. Doctoral thesis, Te Whare Wānanga o Awanuiārangi.
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Abstract
2019, 3,226 midwives had an annual practising certificate, with 317 identified as Māori. This equates to 9.8% of the workforce, or one out of ten midwives (Tupaia & Tahere, 2020). This is a significant deficit of Wāhine Kaiwhakawhānau Pēpi to cater for the cultural birthing requirements of tangata whenua and is set against the changing landscape of Māori birthing rates, which are projected to increase. Annually, approximately 60,000 babies are born. Māori represent 22% of this birthing cohort, and by 2030, the Māori birth rate is forecasted to increase to 33% (MOH, 2019). In this thesis, the term Wāhine Kaiwhakawhānau Pēpi is purposefully selected to acknowledge Māori midwives who have a Kaupapa Māori worldview. In a Kaupapa Māori context, they hold a unique indigenous worldview and practise from ancestral traditions connected to hapū and iwi. Wāhine Kaiwhakawhānau Pēpi care for birthing whānau in all its diverse forms. The thesis examines why there is a chronic shortage of Wāhine Kaiwhakawhānau Pēpi today. To understand this, I explore our history, the lifeways of tīpuna and atua, and the traditional practices related to birth before and after the arrival of colonisers. The Pākehā educational pathways and the health sector are analysed as the two major institutions tauira and Wāhine Kaiwhakawhānau Pēpi navigate. Eurocentric governance structures, such as the New Zealand Midwifery Council and College of Midwives, and their relevance to the almost invisibility of Wāhine Kaiwhakawhānau Pēpi in clinical, academic, and leadership roles are also examined. The concepts of remembering and rebirthing are placed within the thesis as sites of indigenous struggle and celebration. Remembering reflects the embodied process and action by Wāhine Kaiwhakawhānau Pēpi to be Māori and self-determining in the maternity space. Rebirthing is connected to remembering, a never-ending cycle of decolonising the self and as a collective of kaupapa whānau. Rebirthing is a healing movement for indigenous intergenerational birthing trauma. Remembering and rebirthing are purposely written in this way to acknowledge the importance and validity of our own knowledges as Māori as part of the ongoing process of decolonisation. The communities of Turtle Island, the indigenous geographical area known as North America and Aboriginal and Torres Strait Islander clans from the territories of Australia inform the indigenous context as overseas sites of alignment. Like Aotearoa, both countries have a history of British colonial rule and the taking of their lands, identity, culture and language.
Item Type: | Thesis (Doctoral) |
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Uncontrolled Keywords: | Midwifery - Australia; Midwifery - New Zealand; Midwifery - Methods; Midwives - New Zealand; Midwives - Māori |
Subjects: | Medicine > Gynecology and obstetrics |
Divisions: | Ngā Kura > School of Indigenous Graduate Studies |
Depositing User: | Library 1 |
Date Deposited: | 15 Sep 2025 01:56 |
Last Modified: | 15 Sep 2025 01:56 |
URI: | https://researcharchive.awanuiarangi.ac.nz/id/eprint/773 |