Frequently Asked Questions about Midwifery Care

A midwife is a specialist in normal, healthy pregnancy, labour, birth and post-partum care. Healthy low-risk women are generally suitable for midwifery care. An initial health history will allow the midwife to determine whether you can remain in midwifery care or whether you need obstetrical care.

You can have either a midwife or a doctor.

Midwives, obstetricians and family physicians are all considered primary caregivers. A primary caregiver takes sole responsibility for your care. To have two caregivers is viewed as a duplication of health care services.

Visits to a midwifery practice occur on a regular basis during which time midwives provide clinical examinations, counseling and education. Appointments are 30 minutes.

The appointment schedule follows the standard care model:

• First 28 weeks, prenatal visits are once a month.
• 28-weeks to 36-weeks, every two weeks.
• 36-weeks onward, once a week until your baby is born.

Midwives are on-call for emergencies 24-hours a day. Midwives work collaboratively in group practices. A woman receives care from a small number of midwives.

There are several tests that a midwife can order. For example, a midwife can arrange for appropriate ultrasound and genetic screening, blood tests and urinalysis, and newborn screening tests.

There is no fee charged for midwifery care for permanent Ontario residents. Midwifery care, including prenatal, birth and post-partum care, is paid for by the Ontario Ministry of Health. If you do not have a valid Ontario Health Card or for clarification of permanent residency, please call the office.

Midwives offer you the choice of a home or hospital birth. Whichever setting you choose, you and your baby will receive comprehensive and safe care.

We encourage you to consider attending prenatal classes, which are generally taken when you are about six months pregnant. However, you need to book early to reserve space.

There is a fee for these classes.

For more information, see our list of Prenatal Classes.