BACKGROUND:
Midwifery is woven into the "normal" paradigm of birth. However, midwives failed to find their own definition. In Quebec, midwifery practice is legally defined by the notion of “normality,” which excludes individuals with certain medical conditions from receiving midwifery care. This definition, rooted in a medicalized and risk-averse paradigm, may no longer reflect the realities of diverse populations and evolving obstetric knowledge. It also raises ethical concerns regarding autonomy, equity, and access to culturally safe care.

OBJECTIVES:
This study aims to redefine “normality” in obstetric care through a midwifery science lens. Specific objectives include: Constructing a definition of “normal” grounded in Quebec midwifery science; Identifying key elements of normality; Recommending changes to the interpretation of normality in regulation.

METHODS:
A modified Delphi method was used to gather expert consensus among Quebec midwives. Participants have engaged in iterative rounds of questionnaires, informed by a literature review and a preparatory video. Thematic analysis has been applied to responses.

RESULTS:
Expected outcomes include a consensual, inclusive definition of normality that reflects midwifery values, supports physiological birth, and accommodates diverse experiences and risk factors.

CONCLUSIONS:
Redefining normality from a midwifery perspective can challenge dominant medical paradigms, reduce epistemic injustice, and promote equitable access to care.

KEY MESSAGE:
The voices of midwives, women, and communities should be heard when defining normality in obstetrics, in a way that centers physiology, inclusivity, and patient autonomy. The study will contribute to the development of a midwifery-specific epistemology of normality, informed by constructivist and intersectional frameworks. It may also serve as a model for redefining clinical concepts in other health professions. Poster session 1 (Group A)