Frequently Asked Questions about Midwifery Care

Registered Midwives (RMs) provide primary care to clients during pregnancy, labour, and birth.

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

When do I arrange for midwifery care?

You should call our office as soon as you have a confirmed pregnancy (home tests are fine). Occasionally, we can accommodate late requests, depending on our schedules. Call our office to check for availability. You do not need a referral.

Is there any reason why I can’t have a midwife?

A midwife is a specialist in normal, healthy pregnancy, labour, birth and post-partum care. Healthy low-risk people 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.

Can I have a midwife and a doctor?

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.

How often do I see a midwife?

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 every 4–6 weeks.
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. Clients receives care from a small number of midwives.

What kind of testing can a midwife order?

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.

Is there a charge for midwifery care?

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.

Where can I have my baby?

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

Do you offer childbirth classes?

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.

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COVID-19 Response

The best way to stay informed is to follow us on Facebook and Instagram @stjacobsmidwives. As we respond to COVID-19, there may be frequent adjustments to keep our clients, midwives, and community safe.

Pregnant and looking for care?

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