occupationsMidwives and Practitioners of Natural Healing   (NOC: 3232)

Midwives provide full-course care to women and their babies during pregnancy, labour, birth and the post-natal period. They are employed in hospitals, birthing centres and private practice. Practitioners of natural healing provide alternative forms of health care to patients. They are employed by clinics, health clubs, spas or health food stores, or they may work in private practice.

Alternate titles for this trade may include: acupuncturist, Chinese medical practitioner, herbalist, herborist, homeopath, homeopathist, midwife, reflexologist, rolfer

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The following are some of the employment requirements for this trade:

  • Midwives require appropriate training which may be acquired through a university degree in midwifery or its equivalent and a period of supervised practical training.
  • Registration with a regulatory body is required for midwives in Ontario, Alberta and British Columbia.
  • Acupuncturists require completion of a training program in acupuncture, may require some university undergraduate studies in science or training in a related health care discipline and may also require work experience under the supervision of a registered
  • Registration with a regulatory body is required for acupuncturists in Quebec, Alberta and British Columbia.
  • Chinese medical practitioners usually require completion of a program in traditional Chinese medicine which is available from certain medical schools abroad
    Some post-secondary education and a diploma in traditional Chinese medicine from a privat
  • All other occupations in this unit group usually require completion of courses or training programs specific to their occupations and some supervised practical training.

Pattern of Interests   |   Skill Requirements

Pattern of Interests

The code determined by the results of your answers to the Interest Inventory questionnaire. Each possibility has a 3 letter variation that assesses the degree and range of your interests along Directive, Innovative, Methodical, Objective, and Social criteria variables.


Directive interest in instructing patients how to care for themselves and their infants; and providing ongoing support


Innovative interest in operating medical equipment to examine patients and monitor fetuses during labour; and in conducting normal deliveries


Social interest in compiling data for the purpose of counselling and educating women concerning diet and pre-natal health practices; and in reassuring patients and providing emotional support during labour and the post-natal period

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Skill Requirements

Below are Essential Skill categories and how they correspond to this occupation. This section will help you identify occupations where you have a good chance of succeeding. It can also help you see which Skills you may need to improve. Click on the Summary Analysis link above to view a complete analysis of how your Skills measure up to this occupation. This feature is only available for those Users that are logged in and have completed the self assessment component.

The most important Essential Skills for this trade are:

  • Numeracy
  • Oral Communication
  • Critical Thinking


Reading Text

Desired Skill Level Range: 1-4
  Midwives and Practitioners of Natural Healing
  • Read instructions for use, precautions and potential risks on labels of natural remedies, nutritional supplements, essential oils and herbs prior to recommending or prescribing them. (1), (daily)
  • Skim e-mail messages from co-workers and colleagues to confirm details of meetings and to exchange advice about natural health treatments, remedies and referral contacts. they may receive brief e-mail messages from clients requesting referral sources or longer e-mail messages from colleagues giving detailed treatment advice. (2)
  • Skim case notes from previous treatment sessions with clients to review observations, diagnoses, assessment conclusions and recommendations for treatment in preparation for returning clients. some files contain descriptive paragraphs to explain unusual health concerns, circumstances or client reactions. (2), (daily)
  • Read text on intake forms to learn about clients' medical histories, family backgrounds, social environments and lifestyles. they use this information as a guide for more extensive interviewing and to gain understanding of how best to treat clients from wholistic perspectives. midwives also scan comments on informed consent forms and birth plans to review clients' requests about pain management, delivery, newborn supplements and medical interventions such as episiotomies and cutting the umbilical cord. (2), (daily)
  • Read industry publications and trade magazines, such as homeopathy today, synchronicity and midwifery today to keep abreast of new initiatives, treatments and training opportunities in midwifery and natural health. (3)
  • Read articles in clinical journals such as the journal of midwifery and women's health and la revue franšaise d'acupuncture to learn about new research and treatment developments in their respective fields. they may cross-reference articles between various healing disciplines and critique information to determine its usefulness and applicability to their practices. (4)
  • Read alternative health and medical textbooks such as chinese acupuncture and moxibustion, principles of anatomy and physiology and trail guide to the body to learn technical knowledge that will assist with health diagnoses and the treatment of clients. practitioners read textbooks so that they can apply what they read to their practices and to the health concerns of particular clients. (4)
  • Midwives
  • Read doctors' reports in clients' files which provide information about the clients' medical histories, conditions and treatments. (2)
  • Practitioners of natural healing
  • Review letters from health care professionals which summarize case details and the medical opinions of the referring practitioners. (2)


Document Use

Desired Skill Level Range: 1-4
  Midwives and Practitioners of Natural Healing
  • Enter clients' names and contact information into their calendars and appointment schedules. (1), (daily)
  • Scan labels on herbs, natural remedies and nutritional supplements for dosages, expiry dates and lists of ingredients. they may interpret labels on medications and supplements that clients are taking under the guidance of other health practitioners to determine what effects they have on alternative health treatments. (1), (daily)
  • Enter clients' medical, emotional, social and family histories and describe relevant lifestyle factors on intake and assessment forms. some practitioners record results of physical examinations, health statistics, observations, diagnoses, and recommended treatments on these forms. midwives also record laboratory test results, medications administered and fetal development indicators on various medical forms including pre-natal, registration of live birth, labour admission and hospitalization forms. (2), (daily)
  • Scan tables of medical and natural health data to assist with health assessments, diagnoses and treatments. for example, an iridologist refers to a table listing symptoms of health weaknesses associated with pigmentation of the iris; a shiatsu therapist reads a table listing symptoms associated with different meridians of the body and their functions; a homeopath reads a table of herbs and what they are used for. (2)
  • May complete insurance claim forms, including workers' compensation board forms. they identify their professional credentials and record case summaries, diagnoses and recommendations for treatments to justify requests. (3)
  • Interpret pictures and drawings of the human body to assist with diagnoses and treatments. for example, acupuncturists interpret scaled anatomical drawings which illustrate four hundred acupoints along fourteen different body meridians; reflexologists use scale drawings of the foot to identify pressure points; and midwives use a diagram of the reproductive system to illustrate the birth process for clients. (4)
  • Midwives
  • Use growth charts to monitor the health of pregnant women and newborn babies. for example, a midwife plots measurements of a newborn's head circumference on an intrauterine growth chart to identify health risks associated with extra fluid in the head. (2), (daily)
  • Scan and interpret laboratory test result forms to get information about clients' health during pregnancy. for example, midwives may interpret results of oral glucose tolerance tests to determine if clients are at risk for gestational diabetes. (2)
  • Interpret ultrasound images to monitor fetal growth, body positioning angles and development throughout pregnancies. (2), (daily)
  • May complete lab requisition forms. they check off laboratory tests they are authorized to order from sixty or more different testing procedures. (2), (daily)
  • Practitioners of natural healing
  • May interpret radiographs to identify injuries, structural angles and alignment, and physical stressors that are affecting clients' health. they view these x-ray images when assessing clients' health problems and determining which natural treatments to use. (2)
  • May create tables to outline fee structures in brochures and materials handed out to client.
  • Midwives
  • May create schedules to organize client appointments up to and including pregnancy delivery dates.
  • Practitioners of natural healing
  • May create labels for homeopathic and herbal remedies that list ingredients, quantities, correct dosages, clients' names and instructions for use.



Desired Skill Level Range: 2-4
  Midwives and Practitioners of Natural Healing
  • Write case notes describing clients' health and well-being. they document clients' health concerns, past treatments and ongoing conditions as well as their own observations, concerns, diagnoses and recommended treatments. they usually write in point form but sometimes they include descriptive paragraphs to explain complex health problems. (2), (daily)
  • Write short letters and e-mail messages to insurance companies, physicians and colleagues. in these communications, they include summaries of clients' presenting issues, their diagnoses, descriptions of treatments received and recommendations for further interventions. typically, the messages are limited to a few paragraphs in length but may be longer to explain more complicated cases. sometimes they write to persuade insurance companies to provide more coverage or to give legal evidence for accident and insurance claims. (3)
  • May draft text describing their services, philosophies of practise and fees for client education and marketing materials such as brochures, flyers, and website pages. (3)
  • May write articles for health publications, magazines and newspapers to educate readers about the benefits of midwifery or natural health services. when writing for a general audience, they strive to explain wholistic health concepts in laypersons' terms. for example, a midwife may write an article comparing the health benefits of home births compared to hospital births. (4)



Desired Skill Level Range: 1-3
  Note: This is an important skill
  Midwives and Practitioners of Natural Healing
  • Purchase clinical and administrative supplies. for example, acupuncturist purchase acupuncture needles, herbalists buy herbs and midwives purchase speculums and latex gloves. (money math), (1)
  • Prepare invoices and collect payments from clients for consultations and treatments. they calculate service amounts according to established fees or hourly rates and add applicable federal and provincial sales taxes. some practitioners add the costs of additional items for herbal and homeopathic remedies. they may collect partial payments and calculate remaining costs for clients who cannot afford full payments. (money math), (3), (daily)
  • Schedule client appointments, allocating realistic amounts of time for consultations and treatments. they reschedule appointments to accommodate last minute requests, cancellations and health emergencies. (scheduling, budgeting & accounting math), (2), (daily)
  • May do basic accounting such as developing budgets and preparing balance statements. those who are self-employed may allocate money to capital costs, operating expenses, leasing costs, insurance and supplies. they prepare financial statements to monitor their profit margins and plan for capital expenses such as new equipment. (scheduling, budgeting & accounting math), (3), (daily)
  • Measure body parts using their hands as measurement tools. for example, a midwife measures dilation of the cervix using her fingers and an acupuncturist uses a thumb's width to measure distances between meridian points of the body. (measurement and calculation math), (1)
  • Use mixture ratios to prepare varying amounts of homeopathic solutions and herbal remedies for clients. for example, aromatherapists use mixture ratios to mix essential oils. (measurement and calculation math), (2)
  • Analyze health statistics to determine which treatments will be most effective with clients and to educate clients about the pros and cons of various treatment methods. for example, rolfers analyze quantitative statistics to determine success rates using rolfing to treat chronic pain and midwives compare average caesarean rates for midwives and doctors. (data analysis math), (3)
  • Midwives
  • Estimate fetal gestation and due dates by considering the dates of womens' menstrual periods, results of internal pelvic examinations and ultrasound measurements. (numerical estimation), (2)
  • Practitioners of natural healing
  • Estimate body positional angles by palpating clients' bodies and using their knowledge of anatomy and physiology. for example, a rolfer may estimate that a client's right lumbar is angled thirty degrees off centre. (numerical estimation), (1)
  • Estimate the number of treatments clients will need to produce the desired health effects using assessment results and initial responses to treatments. (numerical estimation), (2)
  • Midwives and chinese medical practitioners
  • Measure vital health statistics during physical consultations. for example, they measure temperature using a thermometer and body weight using scales. midwives weigh clients and their babies using scales and measure length and head circumference of newborn babies using measuring tapes. (measurement and calculation math), (1), (daily)
  • Compare health measurements and lab test results to baseline norms in order to identify differences that may indicate health problems. for example, a midwife compares weight and growth measurements between visits to ensure a pregnant woman is gaining weight at a pace considered normal and healthy. the midwife plots the measurements on a graph to determine the rate of gain. (data analysis math), (3)
  • Midwives and chinese health practitioners
  • Measure clients' blood pressure during physical consultations using sphygmomanometers. midwives also measure fetal heart rates using fetal heart monitors. (measurement and calculation math), (3), (daily)


Oral Communication

Desired Skill Level Range: 1-4
  Note: This is an important skill
  Midwives and Practitioners of Natural Healing
  • May interact with support staff to discuss scheduling and delegate administrative tasks such as filing. (1), (daily)
  • Order clinical supplies such as acupuncture needles, herbal plants, essential oils, speculums and compresses from suppliers by telephone. (1)
  • Outline their services and fees, assess clients' expectations, and schedule appointments by telephone. they collect clients' contact information and provide travel directions if required. (2), (daily)
  • Question clients about their physical, social, mental and emotional well-being to gain a comprehensive understanding of their health and to gather information that will assist with diagnoses and treatments. they educate clients about natural healing techniques and provide advice about lifestyle changes, nutrition, exercise and self-care. during consultations and treatment sessions, they interact with clients to provide instruction, ask questions and share their observations. they explain complex medical information in terms that clients can understand. midwives and practitioners of natural healing may counsel or comfort clients who share personal information and express emotional reactions to treatments. hypnotherapists also guide clients into hypnotic states using vocal scripts and make hypnotic suggestions. they ask clients to recall memories of past events and listen carefully to interpret their words. some record audio tapes for their clients to take home. (3), (daily)
  • Share information about clients' health, seek professional opinions and co-ordinate client care with medical doctors and other health practitioners. discussing health diagnoses and care is complex and requires knowledge of medical terminology to engage in meaningful dialogue. midwives and practitioners of natural healing obtain consent from clients prior to sharing any information. (3)
  • May exchange health information, discuss administration, interpret policies and introduce new operating practices and procedures during meetings with co-workers and colleagues. for example, midwives participate in hospital pre-natal care committee meetings. (3), (monthly)
  • May interact with clients' families and friends. they explain the purpose of their treatments and healing interventions, provide direction and answer questions that do not compromise clients' confidentiality. for example, midwives may provide support and direction to clients' partners during labour and delivery or hypnotherapists may interview clients' family members to collect information that will assist in their work with the client. (3)
  • May teach clients and students about natural healing at workshops. they introduce them to their disciplines' philosophies and techniques. the content, style and tone or these workshops are adapted to suit the expertise and backgrounds of the audiences. for example, midwives may facilitate workshops on preparing for labour and delivery while acupuncturists facilitate workshops on acupressure. (4)
  • May present information to colleagues at seminars and conferences. for example, a traditional chinese medical doctor may present new information about dietary supplements and herbs that he learned from a recent trip to china to colleagues at his professional association. oral communication at this level is complex, technical in nature, and uses medical terminology geared for informed audiences. (4)
  • Midwives and practitioners of natural health working in quebec and other primarily french-speaking areas of canada may be required to speak both french and english. practitioners working in traditional chinese medicine, acupuncture, acupressure and chinese herbology may be required to pronounce chinese names and terms related to their practises.


Problem Solving

Desired Skill Level Range: 2-4
  Midwives and Practitioners of Natural Healing
  • Lose income when clients do not show up for appointments or cancel at the last minute. they reschedule appointments with clients and use the time to catch up on administrative duties. they encourage clients to provide sufficient notice if they cannot keep appointments. they may bill clients for missed appointments and refuse to treat them if poor attendance patterns persist. (2)
  • May treat clients who are uncooperative, hostile and unreceptive to treatments or who have unrealistic expectations about treatment outcomes. they may also treat clients who display inappropriate behaviours. they address their clients' behaviour and beliefs, explain the purpose of treatments or therapies, and try to build rapport through appropriate conversation and body language. if clients continue to exhibit negative behaviours they may refuse to treat them and make referrals to other health professionals. (3)
  • Treat clients who develop health complications that interfere with treatments. for example, they may encounter clients whose cancers come out of remission or pregnant women who show signs of uterine rupture during labour. they consult with physicians and specialists to develop appropriate health plans and refer clients to health care providers. in emergency situations, they may call hospitals to alert them to the problems and arrange for ambulances. they must respond quickly to minimize risks to clients. (4)
  • May treat clients who are despondent and suicidal. when they suspect suicidal behaviour, they work with clients to develop plans and to seek additional help and resources. if clients are deemed high risk for suicide, they may refer them to hospitals for intensive psychiatric support. (4)
  • Midwives
  • Face time shortages when several clients go into labour or require emergency care at once. they set priorities for seeing clients according to their needs and arrange for back-up support from other midwives if required. (2)
  • Practitioners of natural healing
  • Have clients who do not follow through with the natural treatments and lifestyle changes necessary to realize good health. they discuss their observations with clients and look for emotional clues which may be interfering with clients' wishes to be healed. they educate clients with additional educational resources, talk with them to emphasize the importance of implementing health changes and make referrals to other health professionals if appropriate. (3)


Decision Making

Desired Skill Level Range: 2-4
  Midwives and Practitioners of Natural Healing
  • Decide to accept new clients. they consider their availability and whether they have the energy and expertise to meet the clients' needs. it is common to limit their practises in order to have the energy to provide quality services to existing clients. (2), (daily)
  • Decide whether to treat clients and how long to continue treatments. they consider clients' conditions, feedback, responses and prognoses before making decisions to treat them or make referrals to physicians, therapists and other practitioners of natural healing. (2), (daily)
  • Midwives
  • Decide whether to deliver babies in their clients' homes, in birthing centres or in hospitals depending on how the women's health and care has progressed throughout pregnancy. if clients' health has not been optimal, midwives err on the conservative side and recommend hospital births. (3), (weekly)
  • Make critical decisions to seek additional help and medical intervention in emergency situations. for example, they decide when to take a woman into the hospital for a caesarean. when pregnancy or births pose risks to pregnant mothers or their babies, they have to make decisions and prioritize tasks quickly. the context can be stressful and chaotic and there is often no time to consult references or seek second opinions. errors in judgment are not easily reversed and can have fatal consequences for clients or their babies. (4)
  • Practitioners of natural healing
  • Determine which treatment approaches and remedies to use. they base their decisions on clients' health conditions, prognoses for success and their comfort levels with treatments methods. for example, acupuncturists decide where and how deep to insert acupuncture needles along meridian points of the body. they may decide to use pressure, heat, cupping, electrical current or rays of light to treat injuries or illness, especially if clients are fearful of needles. traditional chinese medical doctors and practitioners decide to treat clients with acupuncture, chinese herbs, tuina massage, quigong, dietary therapy or a combination of methods. herbalists, homeopaths, and aromatherapists decide which herbs or essential oils to use and dosages to recommend or administer to clients. reflexologists decide where to apply finger pressure to clients' hands or feet. rolfers and shiatsu therapists determine where to massage and which body parts to manipulate to relieve pain and stress and realign body structures. shamans decide which rituals or spiritual ceremonies to perform, including soul retrievals, soul extractions or soul restorations. (3), (daily)


Job Task Planning

Desired Skill Level Range: 3
  Midwives and Practitioners of Natural Healing
  • Midwives and practitioners of natural healing establish their own schedules and book client appointments. they shift priorities and appointments to accommodate cancellations and emergencies.
  • Midwives may juggle multiple clients with competing needs and must be prepared to respond to onset of labour and unexpected medical emergencies. they are available to clients twenty-four hours a day, often seven days a week. they maintain close contact with other midwives to co-ordinate duties and respond to clients' requests for support. midwives who have hospital privileges co-ordinate with hospital support staff and other health practitioners to provide care and deliver babies.
  • Midwives and practitioners of natural healing who work in clinics with other midwives and practitioners contribute to planning, and development of operational policies and practises. they may participate in health care and other professional committees to plan and develop professional standards of practise.


Finding Information

Desired Skill Level Range: 1-3
  Midwives and Practitioners of Natural Healing
  • Look up information about clients in their case files and appointment books. (1), (daily)
  • Use local directories to locate resources for clients. (2)
  • Seek information and feedback from clients about their health and well-being pre and post-treatment. they use this information to monitor clients' responses to interventions and guide the direction of future healing sessions. (2), (daily)
  • Draw on knowledge and experience of colleagues, physicians, master healers and elders when they require advice and direction about complex client cases. (2)
  • Seek specific health information from natural heath websites and information databases available via the internet to assist with evaluating and treating clients. for example, a rolfer uses medline to look up medical information about breast cancer to understand how mastectomy affects interfascial structures. they also look up information about training opportunities from their respective professional association websites. (2)
  • Consult textbooks, reference manuals, academic journals and publications to find specific information that will aid in assessment and treatment of clients' overall health. reference materials detail information about symptoms associated with specific meridian points, herbal treatments, natural remedies and preventative measures. (3)


Computer Use

Desired Skill Level Range: 2-3
  Midwives and Practitioners of Natural Healing
  • Use word processing. for example, they write and format short documents such as referral letters to physicians and reports for insurance companies. (2)
  • May use graphics software. for example, they may design slide shows for presentations to students and colleagues. they customize slides by using different font styles and inserting headers, bullets, tables and graphs. (2)
  • May use databases. for example, they may search electronic databases for health information about natural remedies based on specific symptoms. (2)
  • Use communications software. for example, they use e-mail programs to communicate with clients, co-workers and colleagues. they may also attach interesting articles on natural healing and digital photographs of clients and their newborn babies. (2), (daily)
  • Use the internet. for example, they launch internet software and click on bookmarked sites for professional associations. they use toolbar functions to navigate between pages, enter passwords and may enter chat rooms or access listservs to locate specific information on natural heath. they conduct general searches of the internet and use electronic databases, such as medline to search for and download resources. (2)
  • May use other computer and software applications. for example, they may insert flash drives into universal serial buss ports to download digital photography of clients' newborn babies onto their computer desktops. (2)
  • May use spreadsheets. for example, they may set up spreadsheets to record income and expenses or to create client lists. (3)


Critical Thinking

Desired Skill Level Range: 3
  Note: This is an important skill
  Midwives and Practitioners of Natural Healing
  • Evaluate clients' health and wellness. in their evaluations, they examine patterns of symptoms and consider the interconnectedness of clients' physical, emotional, mental and spiritual health. they collect information from clients about their emotional states, diets, lifestyles, social supports and stress factors, and compare this data to benchmarks for wellness. for example, clients who are healthy should be relatively happy, have several outlets of social support, be active and pain-free, and eat a balanced diet. they conduct physical examinations to identify abnormalities, injuries and imbalances in the body. the examinations differ depending upon the profession. iridologists examine eye colour and shape. reflexologists inspect feet. shiatsu therapists and rolfers evaluate physical ability, posture, pain and structural alignment. acupuncturists and chinese medical practitioners examine clients' tongues and skin colour, measure their pulse and palpate their abdomens. chinese medical practitioners, herbalists and homeopaths evaluate nutritional deficiencies, energy levels and food sensitivities through muscle testing the body's responses to herbs and remedies. midwives monitor changes in clients' weight, and examine vital sign readings, laboratory test results and ultrasound images to monitor the health of pregnant women and their babies. midwives and practitioners of natural healing synthesize the information collected through client interviews and examinations into evaluations of health, and recommend treatments including lifestyle and diet changes. (3), (daily)
  • Evaluate effectiveness of natural health treatments, therapies and interventions by observing and measuring changes in clients' health over time. they re-evaluate the course of treatment for clients who are not responding well to interventions by reviewing all possible indicators of health to see if they can identify anything overlooked in the original evaluation. (3), (daily)
  • Midwives
  • Assess health risks to mothers and babies during labour and deliveries. they examine vital sign readings of both mothers and babies, and monitor changes during labour to ensure they fall within ranges considered normal. they assess cervical dilation, fetal movement and positioning, and any signs of bleeding. they follow risk guidelines published by local health regions and consult physicians if second opinions are required. midwives usually err on the side of caution as errors in judgment can have serious and fatal consequences to the health of both mothers and their babies. (3)


Use of Memory

Desired Skill Level Range: N/A
  Midwives and Practitioners of Natural Healing
  • Remember names and details of client cases in order to build trust and rapport.


Working with Others

Desired Skill Level Range: 2

Midwives and practitioners of natural healing primarily work alone or independently to provide health assessment, counselling and treatment to clients individually. many are self-employed and responsible for all aspects of their businesses, including administration. others have administrative assistants who schedule their appointments, collect payments and help with other office duties. they may supervise practicum students or act as mentors to practitioners who are new to the profession. midwives work in pairs or teams to provide client care that is available twenty-four hours a day and two midwives must attend each birth.

Some midwives and practitioners of natural healing work collaboratively with colleagues and other health professionals to provide complementary care to clients. they may also sit on committees associated with their professional associations or other health initiatives. midwives who work in hospitals may be considered part of the hospitals' pre-natal health team.



Continuous Learning

Desired Skill Level Range: 3

Midwives and practitioners of natural healing need to learn continuously to keep abreast of new research and information in medicine and natural health. licensing and regulation vary considerably between occupations and provincial jurisdictions in canada, and continuous learning requirements follow suit. most occupations have provincial and national professional associations that offer opportunities for professional development and learning; however some midwives and practitioners of natural healing must travel abroad to develop their skills. for example, rolfers must travel to the united states to become certified and traditional chinese medical doctors may travel to china to learn more about their practise. midwives must renew training in cardiopulmonary resuscitation and neonatal resuscitation annually.

Much of the learning undertaken by midwives and practitioners of natural healing is accomplished by reading alternative health texts, professional journals and trade publications. they also learn through dialogue with other practitioners and through hands on experience with clients.



Other Information

Desired Skill Level Range: N/A

Midwives and practitioners of natural healing are physically active in order to examine and treat clients. most professions require sensitivity to touch as practitioners use their arms and hands to palpate, massage and apply treatments or natural remedies. aromatherapists use smell to discern and mix essential oils, and iridologists need good eyesight and full capacity to detect colour in order to examine eye markings. midwives bend, kneel and squat for extended periods of time to support clients in labour and deliver babies, including water births. they may use forceps to help deliver babies and require manual dexterity to stitch clients' perineum after deliveries. they need strength to physically support clients during labour and delivery, and may be required to lift and move clients in emergency situations. hypnotherapists are the exception and do not have to be physically active to perform their duties.

Midwives and practitioners of natural healing should be compassionate, approachable and non-judgmental in order to build trust and help clients to relax. midwives and practitioners of natural healing embrace philosophies that treat clients as whole entities and, as such, they need to trust their own intuition and be able to inspire clients' confidence in their own capacities to heal or give birth. respect for clients' boundaries as well as the boundary between practitioner and client is imperative. midwives need to remain calm during stressful times and be flexible to provide twenty-four hour care to clients in labour and delivery.

Changes to the licensing and regulation of midwives and chinese medical doctors across canada will likely mean that professional associations and regulatory bodies will institute continuous learning requirements and ask for more educational requirements. many practitioners hope that this will lead to greater access to hospitals and more medical privileges. consumers are increasingly using a combination of medical and natural health approaches to prevent and treat illnesses or injury. this means that practitioners of natural healing will need to develop their oral communication skills to work with other practitioners and health care professionals. they will need increased reading and continuous learning skills to update and expand their therapeutic skill base. in the future, midwives and practitioners of natural healing will require improved computer skills to use software for administration and record keeping, therapy and research.


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