• What is a midwife?

  • How often do I see my midwives?

  • What kind of training do midwives have?

  • What is the first appointment like?

  • Can I have a doctor and a midwife?

  • Do I need a doctors referral?

  • How much does it cost to have a midwife?

  • What test and procedures can my midwives order?

  • Is a midwife and a doula the same thing?

  • What medications can midwives prescribe?

  • Where can I give birth to my baby?

  • How do I contact my midwife?

  • I've been told I am high risk, can I still have a midwife?

What is a Midwife?
Midwives are trained primary health care professionals who are experts in normal low-risk pregnancy, birth and newborn care. Midwives provide a complete package of prenatal, birth and postpartum care and address the medical and non-medical needs of women and their newborns. Midwives promote a natural approach to childbirth and empower women and their families to make informed choices throughout their pregnancy and birth. Midwives focus on the prevention and early detection of complications and use medical technology as needed. Midwives have been fully funded and regulated as part of the Ontario health care system since 1994. The College of Midwives of Ontario licenses midwives and ensures the ongoing quality and safety of midwifery care.

What kind of training do midwives have?
Midwives can become regulated in one of three ways:
  1. By graduating from the Ontario Midwifery Education Programme (MEP); a four-year degree program offered by Ryerson University, Laurentian University and McMaster University.
  2. By graduating from the International Midwifery Pre-Registration Programme (IMPP) - for internationally educated midwives only.
  3. By applying to the CMO for reciprocal status if you have been registered in another province for at least one year.

Can I have a doctor and a midwife?
No. You can have a doctor or a midwife. Midwives, obstetricians, and family physicians are all considered primary caregivers. A primary caregiver takes sole responsibility for your care. To have two caregivers is a duplication of health care services. However, if there are complications referrals will be made tothe appropriate health care provider.

How much does it cost to have a midwife?
There is no fee for midwifery services. Midwifery care is fully funded through the Ministry of Health for women with OHIP. Midwifery services are also cover for women without a health card.  They may however enure fees for laboratory test, ultrasound and hospital fees.

Is a midwife and doula the same thing?
No. A midwive is a trained and regulated primary health care provider who specializes in low-risk pregnancy, birth and newborn care. Midwives can order test and procedures and prescribe prescriptions for medication relevant to your pregnancy. They can also consult with other health professionals if situations arise in your pregnancy or postpartum period. Midwives do provide emotional and physical support to women their families. Midwifery services are covered by the Ministry of Health so there is no cost for their services.
A birth/postpartum doula is a trained labour support person who provides emotional and physical support to a labouring woman and her
partner and/or after they have delivered. While she is not a medical professional, she can offer a wide range of comfort measures. You would
find and pay your doula yourself. Doula services are not covered by the Ministry of Health. If you are considering having a doula at your birth,
talk about it with your midwife.

Where can I give birth to my baby?
Women who choose to come into care with WEM have the option to deliver at home or at hospital Etobicoke General Hospital. We currently do not attend births at the birthing centre

I have been told I am high risk, can I still have a midwife?
Midwives are specialists in low risk health pregnancy, labour/birth and postpartum care. If you have a previous or current health issuse this will be discussed during your first visit and the midwife will determine whether you are appropriate for midwifery care or whether you need to see an obstetrician for care. Sometimes concerns may arise while a women is in care with us. If you have been in care for several weeks and a situations arises, we will consult with the appropriate health care provider. If your care needs to be transferred than we may remained in a supportive role but not provide any medical care. Some transfers of care may be temporarily (i.e., a c-section at delivery is done by an obstetrician and once you are stable your care is transferred backed to us) or permanent (someone who has a severe heart conditions and requires extensive monitoring during her pregnancy). The reason for a discuss with another midwife, or consultation with another health care provider, or a transfer of care is established by the College of Ontario Midwives " Consultation and Transfer of Care " document.

How often do I see my midwives?
You see your midwives while you are pregnant approximately every month until 28 weeks, biweekly until 36 weeks, and then weekly until delivery. People planning a home birth with usually have a home visit between the 36 to 37 week or pregnancy.
During the postpartum period (after givning birth) your midwife will see you and your baby at home/hospital with in the first 24 hrs. She will then see you at times at hom the first week after giving birth. You will return to the clinic for a 2 week , 4 week and then a 6 week-discharge . For clients living out of the catchment area, postpartum visit may occur at clinic. This will be discussed and confirmed with your midwife when you come into care.

What is the first appointment like ?
Women who are accepted into care with WEM will be given an appointment where more information about our practice and midwifery will be given. It is a great time to ask questions. Once you confirm you would like to come into care you will be given an appointment with one of your midwives for a detail obstetrical and medical history . You may be required to sign release of information  from your current care provider if applicable so that we may obtain your medical records related to your pregnancy for you next appointment. Your next appointment will be a history appointment and may include a physical. Any test/procedures that need to be order or done, your midwife will do or give you the paper work for.  This will be discussed with you by your midwife.
Occasionally when a woman comes into our care late in her pregnancy you may have a longer appointment which will be a combination of an info session with a history appointment.

Do I need a doctors referral?
No a referral is not require. You can contact us by phone, email or in person to give us your information. Contact us as soon as you know you
are pregnant. If you decide to switch to midwifery care midway through your pregnancy your records will be requested from your caregiver and these will be sent to us.

What test and proceedures can my midwife order?
Midwives can order the prenatal blood work such as your blood type and iron levels. We can can conduct public blood work such as HIV,
rubella. Midwives can order ultrasounds to monitor the pregnancy and growth of your baby. We can order genetic screening test. Midwives can provide women health care procedures such as Pap test and testing for STI. We can test for urine infection.

What medication can midwives prescribe?
Midwives have their own pharmacopeia and can prescribed a variety of medications and drugs that can be utilized in pregnancy. We can prescribe medication such as diclectin for nausea and vomiting. We can prescribe prenatal vitamins such as Preg Vit 5. We can prescribe antibiotics for bladder infections, bacteria vaginosis, and mastitis. If you need a prescription related to your pregnancy your midwife will discuss this with you. Any prescription medication that is not in your midiwfe's pharmacopeia will be referred to another health professional.

How do I contact my midwife?
Your midwifery team has a pager number dedicated to them. When you have any concerns regarding your pregnancy, or afterwards with you or your baby, or when you think you are in labour, you will page your midwife. You midwife is on call 24 hrs - 7 days a week. If  your midwife
is not available your back-up midwives will be available  to assist you. You do not have to go to a walk-in clinic, your family doctor or
the hospital while you are seeing a midwife. Page her first. She will make a plan, or come and assess you at home or in another environment
(i.e., hospital) if required). For non urgent questions, you can leave a message for you midwife at the office. When you come into care you will
be given a list of examples on when to page your midwives.

If you have additional questions and require more information contact us. If you would like to come into care please feel free to fill out the intake form