WEM Model

Your Midwifery Team
West End Midwives normally work in teams of two to three. Team members may rotate weekly between clinic and on call duties. You will get to know your primary team midwives during the prenatal period. You will be able to have access to your midwife 24-7 through a pager system for urgent concerns and/or when it is time for you to have your baby. You can also reach your midwives during for none urgent  question during regular office hours.
Occasional if your due date changes or unforeseen circumstances arise, your assigned team and/or individual midwives may change. We understand that this can be quite an adjustment. We ask for your understanding and assistance to ensure a smooth transition. We will inform you as soon as any information becomes available . Remember  that you will still receive the best care our midwives at WEM have to offer.

You will be assigned a back up team who will attend as the second midwife at your birth. You may or may not have the opportunity to meet your back up midwives until the delivery. When your midwives are unable to attend to you (i.e., if they are at another birth),  your back-up team will step in to assist you.

Overview of Midwifery Care At WEM
Midwives provide care for healthy women throughout pregnancy, labour, and birth, and provide care to both the mother and baby for the first 6 weeks postpartum. Midwives attend your birth at home or in the hospital. Midwives will give you information to make decisions and choices that are right for you and your family. One of your team midwives will usually be on call 24 hours a day, 7 days a week, for urgent concerns. You will be cared for by well-trained, sensitive female caregivers that respect individual differences of women and their families. Cultural sensitivity is an important aspect of the care your midwives will provide.

Our midwifery care includes: prenatal care, labour and birth, and postpartum care

Prenatal Care
During our first few visits we get to know you, your plans and concerns, and your health history. We monitor such things as blood pressure, weight gain, your baby's growth, your baby's heart rate and your baby's position. Prenatal visits include checking your blood pressure, baby’s growth, position, and heart rate, routine lab tests, and referrals for ultrasounds and genetic testing as necessary. Information regarding community programs and resources are also made available. Visits occur once a month until 28 weeks, every two weeks from 28-36 weeks, and once a week after 36 weeks until your baby’s birth Prenatal appointments are about 30-45 minutes to allow time for answering questions and providing information regarding the stage of pregnancy. Family members and support people are always welcome to accompany you to appointments.

Labour and Birth
One of your midwifes from your midwifery team will attended and monitor your labour. We monitor the progress of labour, assess you and your baby, and provide ongoing emotional and physical support. If you plan to go to the hospital, we relocate at the appropriate time and continue to provide care for you and your baby at the hospital. A second midwife will come towards the end of your labour to assist your primary midwife and both will be there for the birth of your baby. Occasionally another midwife may come to relief or take over for your primary midwife if she has been up for more than 24hrs. If everything goes normally, no other medical personnel are involved with the birth. Where possible, additional emotional support should be provided by your family, your partner or your friends. 

Midwifery clients are offered a choice of birth place: home or hospital. Our midwives have privileges at Etobicoke General Hospital. Etobicoke General Hospital is located at 101 Humber College Boulevard – near Highway 427 and Finch Ave. The number to call for pre-registration at Etobicoke General is (416) 401-8000 and their website is www.williamoslerhc.on.ca

Postpartum Care
After the birth, whether at home or in a hospital, your midwife will be with you for a couple of hours to monitor the condition of both you and your baby. We will help you to establish breastfeeding, do a complete physical exam of your baby, and provided information and guidance for your care during the early days after the birth. If you give birth in the hospital and all is well with both mother and baby, you will have the choice either to go home in 3-6 hours or to stay on the postpartum ward for 24hrs. We will visit you usually at home during the first week in the early postpartum period to check on you and the baby, answer questions and help with breastfeeding. Midwives are responsible for the care of the healthy mother and the healthy newborn for the first six weeks postpartum. Clients will normally continue with postpartum care in clinic after the baby is 2 weeks old.

Prenatal and Postpartum Appointments
Our midwives stay on call for you 24hrs-7days a week and are available through the pager system for immediate and urgent concerns, as well as assessment. We also can be reach by phone for questions or concerns that do not require immediate attention. We also attend your labours & births. We provide longer clinic appointments & postpartum home visit.  Please understand in order to provide this model of care, our availability for appointments & visits may be limited to certain days and times. We will try to accommodate your needs the best we can. On rare occasions clinic or home visits may have to be rescheduled due to births. Your midwife or the administrative staff will inform you of any changes as soon as possible.

Parents’ Role and Responsibilities
We recognize the childbearing woman to be the primary decision maker with respect to her care. We encourage families to be active participants. In order for us to be effective caregivers, it is important that you keep us informed of problems or situations that may affect your care and that you attend your scheduled prenatal visits.