Midwifery in Ontario

The Midwifery Act of Ontario states that “the practice of midwifery is the assessment and monitoring of women during pregnancy, labour and the post-partum period, and of their newborn babies, the provision of care during normal pregnancy, labour and post-partum period, and the conducting of spontaneous normal vaginal deliveries.”

Costs: There is no direct cost for midwifery care. However, for clients without a valid OHIP card, hospital charges may apply. You do not need a referral from your family physician.

Additional Certifications: All midwives are certified in Adult CPR and Neonatal Resuscitation.

Hospital Privileges and Home Births: Midwives maintain privileges at specified hospitals in the area. They can also attend home births and clinic births. The St. Jacobs Midwives all maintain active privileges at Grand River Hospital in Kitchener.

Primary Caregivers: Persons receiving midwifery care in Ontario do not see a physician during the course of their care. However, if a medical concern arises during pregnancy, labour or birth, or in the six weeks of post partum care, we consult with the appropriate specialist according to our guidelines. If it becomes necessary, we transfer primary care and then we continue to provide supportive care.

Student Midwives: Midwives are committed to ensuring the growth of midwifery in Ontario by providing practical learning opportunities for students of the Ontario Midwifery Education Program. We encourage clients to welcome the involvement of midwifery students in their care.

Geographic Area: Midwives work within specific geographic boundaries. The St. Jacobs Midwives work within a defined geographical catchment area that includes Kitchener, Waterloo, and Woolwich Township as well as parts of Wellesley and Wilmot Townships. If you live outside this area, we will be pleased to provide you with names of other midwifery practices.