All St. Jacobs Midwives maintain active privileges at Grand River Hospital in Kitchener. Midwives admit clients directly to Labour & Delivery and discharge them when it’s time to go home.
Women always have the right to change their minds. If you decide in labour that you would prefer to stay home for delivery, and medical conditions allow it, that is always an option.
Clients will be provided with a list of items to prepare for their birth.
About Grand River Hospital, Kitchener
Whether planning home or hospital birth, all clients pre-register with Grand River Hospital.
You can download and print your Grand River Hospital Pre-Registration Forms.
How a hospital birth progresses
Early labour at home
When you go into labour your midwife may assess you at home or you may decide to meet at the hospital. It is best to spend early labour at home so these assessments help you know when it is time to be admitted to the hospital.
Active labour at the hospital
Once you are in active labour, you will be admitted to a private room to labour, give birth and recover.
There is a shared fridge, ice machine and microwave available for you to use as well as a shower/Jacuzzi tub in each room.
Your primary midwife will call a second midwife to assist her closer to the time of the birth.
With a straight-forward labour and delivery, you will be cared for by your midwifery team. You will not have nurses and doctors involved in your care unless the midwife requests a consultation. For example, if you require an epidural, your care would be transferred to the obstetrician on call, and the midwife would remain involved in supportive care.
After the birth
After the birth, your midwives will monitor you and your baby for at least two hours. They will help you to breastfeed, and help you to the shower or bath.
Many clients are discharged home within a few hours of the delivery. In some circumstances your midwife may arrange for you to stay longer.
Usually babies remain in the mother’s room. If there are concerns, your baby may be assessed by a pediatrician and may need to spend time in the special care nursery. Doctors and nurses are available for any emergency situations.
Why a hospital birth?
Women may plan to deliver at hospital because they:
- Feel safer in the hospital.
- Are not appropriate for a home delivery (i.e. medical or obstetrical conditions for which hospital birth is recommended).
- Have quicker access to pharmacological pain medication.
- Have faster access to specialized care in extreme emergencies.
- Live in shared accommodations and would not feel comfortable at home.
- Live far from the hospital (in case transport to hospital is required).
What to bring to the hospital
- your health card
- your yellow chart
- car seat
- clothes for baby (including hat)
- pillow (1)
- healthy snacks
- stretchy underwear (provided by your midwife)
- sanitary pads
- newborn diapers
- receiving blankets
- change of clothes for mother
- toiletries for mother
- drinking water bottle
- Vaseline (optional)
- blow-up bath pillow (optional)
- hot water bottle or microwavable heating pad (optional)
Read about Home Birth.
Labour & Birth Info Nights
St. Jacobs Midwives regularly offers Labour & Birth Information Nights. (Please pre-register.)
Listen to clients who’ve recently had a home birth or hospital birth. See the equipment midwives bring to your home. Ask questions.
Pregnant and looking for care?
Please connect with us as soon as possible to check for availability.