What to Expect from Midwifery Care

Registered Midwives (RM's) provide primary care to women during pregnancy, labour, and birth.

We continue to provide midwifery care for mothers and babies during the first six weeks after the baby is born.

In Ontario, there is no direct cost to midwifery clients for care at home or in the hospital—midwifery is covered by OHIP.

You do not need a referral from your family doctor for our services.

We ask all of our midwifery clients to sign our Informed Choice Agreement. If you plan care with us, please review the Informed Choice Agreement.

We encourage first-time midwifery clients to attend one of our Midwifery Information Nights, usually held about once a month.

Here’s what to expect from our midwifery care during pregnancy, labour and birth, and after your baby is born:

Prenatal Visits

Where: Your prenatal visits will be held at our clinic in St. Jacobs. We also have a satellite clinic in New Hamburg.

First Visit: about 1 hour.

Subsequent Visits: about 30 minutes.

At each visit: We will…

  • Record your blood pressure and weight.
  • Do urine tests.
  • Check for swelling.
  • Classify any risks.
  • Palpate baby’s position.
  • Listen to the fetal heart.

Any questions, problems or anxieties you have may be discussed at this time. Fathers and siblings are welcome to attend as well.

Home visit

Towards the end of your pregnancy, we will do a home visit so that we know how to find you when you begin labour, and to meet other members of your family. At this time, we can also discuss your birthing plans and accommodation.

Labour & Birth

Most of our clients begin their labour at home, whether they are planning a home birth or hospital birth.

You will be carefully monitored throughout labour and the birth to detect any complications that may occur, and we will discuss appropriate action with you.

If perineal trauma (tearing) occurs, midwives are trained to repair tears either at home or hospital.

Most mothers and babies are discharged from the hospital within a few hours of a normal birth.


We encourage mothers to be at home and resting in this first week after the birth. For this reason, several post-partum visits are made to your home within the first week to check mother and baby.

We continue with visits at 2, 4 and 6 weeks at the office. You may be seen more often, if necessary.

Breastfeeding Support & Well Baby Care

Midwives provide breastfeeding support and well-baby care for the first 6 weeks after the birth. We provide all necessary forms for birth registration.

The midwives are available by pager 24-hours a day, 7 days a week.

Pregnant and looking for care?

Please connect with us as soon as possible to check for availability.