Midwifery in Ontario

What is a midwife?

Midwife means "with woman". To midwives and their clients, pregnancy and birth are normal, healthy life events. Midwifery promotes normal childbirth and the prevention of health problems. In 1994, midwifery became an integrated part of the Ontario healthcare system and is provided free of charge to residents of the province. Midwives provide care in both the hospital and home setting.

A midwife is a primary caregiver, which means that she can provide all the care necessary for a healthy woman and her baby throughout pregnancy, birth and for six weeks afterward. Midwives refer women and babies to family doctors or specialist doctors like obstetricians and pediatricians if the care becomes complicated. Even if care is transferred to a doctor at the birth, midwives will remain involved in the care as a support to the mother and baby. As primary caregivers, midwives do the following:

  • care for healthy, pregnant women and their babies;
  • see women for all prenatal visits and give prenatal education;
  • order laboratory and ultrasound testing if needed;
  • arrange for consultations with or transfers to doctors if needed;
  • give some medications during pregnancy, labour, birth and the postpartum (after birth) period if needed;
  • take responsibility for primary care during labour, birth and postpartum including delivering the baby;
  • examine the newborn and care for mothers and babies for six weeks after the birth.

You do not need a referral from a physician to use midwifery services; you can call a midwife directly. However, it is best to call as early in pregnancy as possible to ensure that your midwife has space for you.

There are currently over 400 midwives registered with the College of Midwives of Ontario.

What are the principles of midwifery care?

There are three important principles of midwifery care:

Continuity of Care
Midwives usually work in small groups and are on 24-hour call. A pregnant woman will get to know a small group of midwives (2-4) to ensure that the she is comfortable and familiar with the caregivers who will attend her birth. Generally, two midwives will attend each birth and share the care throughout the pregnancy, labour, birth and after the birth for six weeks. They will offer education, counselling, advocacy and emotional support. Each midwife will take the time to build a relationship of trust and safety with each woman. If medical problems develop during pregnancy, labour, birth or postpartum, midwives work closely with specialist physicians and nursing staff.

Informed Choice
Midwives encourage each woman to take an active part in her care throughout her pregnancy and birth and will provide information to each woman so that she can make choices about her care. Midwives provide sufficient time during prenatal care to discuss questions about important issues like nutrition, birth plans, breastfeeding and parenting. Midwives recognize and support the mother as the main decision-maker.

Choice of Birthplace
The pregnant woman chooses whether she wants to give birth in a hospital or at home under the primary care of the midwife. Midwives are trained to attend births in both places as well as to help individual women choose the safest place for them. Many women who opt to have a hospital birth spend time at home with their midwife before going to hospital.

A midwife's training prepares her to be responsible for decisions about labour, delivery, postpartum and newborn care both at home or in hospital. A midwife works closely with other community midwives, doctors and nurses to maintain a high standard of care.

How do I find a midwife?

The Association of Ontario Midwives can provide information on where midwifery services are located in Ontario. You may contact them at the following address:

Association of Ontario Midwives
365 Bloor Street East, Suite 301
Toronto, Ontario
M4W 3L4
Canada
Tel : 416-425-9974
Fax : 416-425-6905
E-mail : admin@aom.on.ca
Web site : www.aom.on.ca

The College of Midwives of Ontario regulates the midwifery profession and provides an annual assessment and registration program for internationally trained midwives. Their address is:

College of Midwives of Ontario
Mailing Address : 55 St. Clair Avenue West, P.O. Box 27, Toronto ON M4V 2Y7
Physical Address : 55 St. Clair Ave. West 8th Floor, Box 27 Toronto, ON M4V 2Y7
General Office Telephone : 416-327-0874
Fax :   416-327-8219
Email : admin@cmo.on.ca
Website : www.cmo.on.ca

Aboriginal midwives who practise in their own communities are not regulated under the Midwifery Act. For more information about Aboriginal Midwifery, contact:

Aboriginal Healing and Wellness Strategy
4th Floor, 880 Bay Street
Toronto, Ontario
M7A 2B6
Canada
Tel: 416-326-6905
Fax: 416-326-7934

Midwifery Education Program

Laurentian University
Midwifery Education  Program
35 Ramsey Lake Road
Sudbury ON
PE3 2C6
Canada
Tel: 1-800-461-4030 or 705-675-1151
Website: http://laurentian.ca/program/midwifery

McMaster University
Midwifery Education Program
Michael G. DeGroote Centre for Learning & Discovery
MDCL 3103
1200 Main St. W.
Hamilton, Ontario
L8N 3Z5
Canada
Phone : (905) 525-9140, ext. 26654
Fax : (905) 523-6459
Website : www.fhs.mcmaster.ca/midwifery

Ryerson University
Midwifery Education Program
99 Gerrard St. East, Room 582
Toronto, Ontario
M5B 2L4
Canada
Phone : 416) 979-5000
Direct Line : (416) 979-5104
Fax : (416) 979-5271
Website : www.ryerson.ca/midwife

Mailing Address :
350 Victoria Street
Toronto, Ontario
M5B 2K3
Canada

The Midwifery Program at the Ministry of Health and Long-Term Care allocates midwifery services to communities across the province. The address is:

Co-ordinator
Ontario Midwifery Program
Ontario Ministry of Health and Long-Term Care
9th Floor, 1075 Bay St
Toronto, Ontario
M5S 2B1
Canada
Tel : 416-327-7540
Fax : 416-212-1767

For More Information

Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free)
In Toronto, (416) 314-5518
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm