10 September 2025
By Shelley Tweedie, Midwife Manager, Kaitaia Hospital (Auckland, New Zealand)
International Confederation of Midwives
In 2020, New Zealand reformed its abortion laws, removing abortion from the Crimes Act and reframing it as a health issue. This landmark change opened the door for a broader range of healthcare professionals—including midwives—to provide early medical abortion (EMA) care. Our profession is embedded in values of partnership, autonomy, and holistic support so this legal shift marked a profound opportunity to deepen our commitment to women and reproductive autonomy.
Midwives are uniquely positioned to provide abortion care, especially in underserved areas. Our accessibility, trustworthiness, and holistic approach make us ideal providers of EMA services. As a rural midwife, I’ve embraced this change and expanded my scope of practice to include EMA care. This article shares my journey and the impact this has had on my community.
Continued: https://internationalmidwives.org/expanded-practice-expanded-horizons-a-rural-midwifes-journey-into-abortion-care/