A National Partnership of Maternity Care Providers SOGC has developed A National Birthing Initiative in cooperation with The College of Family Physicians of Canada; The Canadian Association of Midwives; The Association of Women’s Health, Obstetric and Neonatal Nurses; The Society of Rural Physicians of Canada; We are the front-line leaders in the delivery of maternity care services in Canada. [...] Investing in healthy mothers and babies during the prenatal, antenatal and postnatal phases of care is an investment in the future health of generations of Canadians and key to the long term prosperity of the country as a whole. [...] However, over the past 15 to 20 years, there have been demographic and societal trends that have had significant impact on the health care system, and more specifically on the delivery of maternity care, such as the increase in the age of women giving birth in Canada; the decrease in fertility rates; the increase in multiple births; the increase in the number of babies requiring medical attention [...] A National Birthing Initiative for Canada will enable planning, communication and trust building between these communities and health care providers and facilitate the provision of appropriate guidelines, protocols and models of care to ensure women and their families have access to comprehensive perinatal care in their communities according to their needs and beliefs. [...] As health care providers we need to listen to the needs and expectations of women and then let them know about the benefits of an integrated, multidisciplinary approach to maternity care that could improve the quality, effectiveness and efficiency of the maternity care services they will receive.