How do i find a midwife
Want to ensure you choose the right person to deliver your baby? Asking a midwife about these key issues will ensure you find a good fit. By Daniela Payne February 15, But, keep in mind, midwife shortages in some areas of Canada could make for limited options.SEE VIDEO BY TOPIC: Why Choose A Midwife - Nebraska Medicine
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9 questions to ask before choosing a midwife
Want to ensure you choose the right person to deliver your baby? Asking a midwife about these key issues will ensure you find a good fit. By Daniela Payne February 15, But, keep in mind, midwife shortages in some areas of Canada could make for limited options. How does your practice work? Find out what your care would look like with a particular practice: Would you see just one midwife throughout your pregnancy?
Or would you be with a team of two or three? Who would be there with you? What does prenatal care with a midwife look like?
Ask the midwife: How many appointments will I have? What does a typical appoint ment look like? An average appointment lasts 30 to 45 minutes. This is also a good time to ask the clinic what tests and screenings are offered during the prenatal period. Decisions regarding these are based on informed choice, meaning your midwife will talk to you about what the tests offered look for, how they are performed, possible advantages and disadvantages, and any risks involved.
Midwives offer the same routine tests as obstetricians and physicians. Will a student midwife be involved in my care? Lauren Kouba, a mom from Oakville, Ont. Most clinics that are located near midwifery schools have student programs, and student involvement varies from practice to practice, says Kilroy.
Midwifery colleges, which regulate the profession and exist in provinces where midwifery is regulated, have guidelines for the kinds of situations that would warrant consultations with a physician, and the kinds of things that would require transfer of care. Nicola Hives, who had a midwife throughout her pregnancy, learned at her week ultrasound that she had a condition called complete placenta previa , where the placenta lies very low in the uterus and completely covers the cervix.
As a result, she had more frequent ultrasounds, some consultations with an OB and had to deliver early via Caesarian birth because spontaneous labour would have put her and her baby at risk.
Despite the complication, she was able to keep her midwife as her primary care provider throughout her pregnancy and in the postpartum period, though the OB performed the surgery. Practices have different protocols when it comes to going past due , but all offer an informed choice approach to decision making regarding timing of induction.
In some areas, midwife practices may face community pressure to follow hospital policies, so induction at a specific time might be encouraged for example, at 41 weeks and three days. In general, midwives are expected to support the approach to care that uses the fewest interventions, as supported by evidence, and this will impact when induction is recommended. Ask the midwife: 4 things new moms should know As you get close to your due date, your midwife will discuss these policies with you, along with the guidelines set in place by their professional association, as well as your own needs and expectations.
They will also make sure you understand risks and benefits associated with each option. Can I have a home or hospital birth, or deliver at a birth centre? Your midwife will provide care for you throughout your birth, no matter where you choose to deliver your baby: at home, the hospital, or a birthing centre depending on what facilities are available in your area.
Of course, if you need to transfer to a hospital during labour because of a complication, or for any reason throughout your care, you could do so. What might labour look like? Once in active labour, your midwife comes to you and gives you continuous support throughout your active labour, birth and for a few hours after your baby is born. Generally, midwives help to facilitate some common birth plan goals, among them: avoiding episiotomy; promoting skin to skin with the baby ; keeping the umbilical cord attached until it stops pulsing; including any labour support the client might want, such as a doula; and encouraging mobility.
Midwives offer a variety of natural solutions to pain management, such as massage, positional changes and water a shower or bath may provide comfort which can be accessed at home, birthing centres, and most hospitals. Some midwives are able to provide nitrous oxide laughing gas or use a TENS transcutaneous electrical nerve stimulation machine at a home birth or birth centre.
Epidurals and narcotics are only accessible at a hospital. What are my chances of needing intervention during labour such as a caesarian section, forceps, vacuum delivery? Most practices across the country should be able to access data from their own practice illustrating what proportion of pregnant people end up having a caesarian, or requiring some other method of intervention, such as a forceps delivery , explains Kilroy.
If you have a goal to avoid intervention during labour, this type of data may be worth investigating. But keep in mind that the population attending one clinic may be different from another for instance, one clinic might have a higher proportion of people who know from the get-go that they want an epidural.
How are my baby and I cared for postpartum? Whether you deliver your baby at home, at a birth centre or in the hospital, your midwife will come to visit you within 36 hours of the birth. You will be seen multiple times during the six-week postpartum course, including frequent visits in the first week.
These first few visits are most likely to be provided in your home. A midwife is available by pager 24 hours, seven days a week. At six weeks postpartum, most people are discharged from the clinic, and care is transferred to your family physician.
Read more: What is a doula and how can they help during your pregnancy? Myths of midwifery. Giving birth 9 questions to ask before choosing a midwife Want to ensure you choose the right person to deliver your baby?
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Midwives are health-care professionals who provide government-funded expert primary care to pregnant people and their newborns. Through pregnancy, labour, birth and the first six weeks after birth, you will be cared for by a small group of midwives. You can choose to have a midwife or a doctor, not both.
It is a good idea to try to contact a midwife clinic as early in the pregnancy as possible to ensure that they have space for you. If you need help your family doctor may be able to give you the names midwifery clinics in your area. The demand for midwives is larger than the number of midwives available. You may be placed on a wait list; you can put your name on a few lists to ensure you get a midwife as soon as a place becomes available. Midwives are funded to provide care to all residents of their catchment area, regardless of whether or not they have OHIP.
How to find a midwife
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A midwife is a health professional trained to support and care for women during pregnancy, labour and birth. They help you to stay healthy in pregnancy and, if no complications arise, to give birth with little intervention. Midwives also care for you and your baby in the first few weeks following the birth. You may not see the same midwife every time at hospital antenatal appointments, but all midwives are there to support you. Traditionally, midwives were nurses who underwent extra study.
This page has a list of questions that you can ask that may help you to choose your midwife or specialist doctor. This is important for your health and for your baby. Most women choose a midwife but you may wish to choose a specialist doctor an obstetrician. In some places a general practitioner a GP who has been specially trained to care for pregnant women may be available.
Choosing a midwife or specialist doctor
One of the many decisions that a mother-to-be may consider is whether or not she will choose to have a midwife. A midwife plays many roles during pregnancy, but primarily acts as a personal coach for the future mother. A midwife provides emotional support and offers advice for any questions the mother may have.
The Midwifery Council does not employ or recommend midwives, we do hold the Register of Midwives. Simply type in the name of your midwife, and the Register will show if they have a current practising certificate and other information such as their qualifications and any conditions on their practice. In New Zealand, registration is for life, so midwives remain in the Register even when they are not practising. This is a good option. Most new mothers are happy to pass on the contact details for their midwife if she was happy with the maternity care she received.
How to find a midwife in Canada
Skip to content Ontario. Midwife means "with woman". To midwives and their clients, pregnancy and birth are normal, healthy life events. Midwifery promotes normal childbirth and the prevention of health problems. In , midwifery became an integrated part of the Ontario healthcare system and is provided free of charge to residents of the province.
In Canada, midwives are regulated health care providers who care for healthy women and their newborn babies from early pregnancy, through labour and birth, until about 6 weeks postpartum. They can order and interpret tests, prescribe medications, make referrals to specialists, and catch babies. They are available to their clients 24 hours a day through the course of their care for urgent concerns. Midwives are women-centered health care providers — they support the decisions that women and families they care for feel work best for them. A woman can only have one primary care provider in pregnancy and childbirth.
They practice evidence-based, client-centered maternity and newborn care and are an established part of the BC health care system. Midwives listen, observe, educate, guide and care. They order and interpret tests and screen for physical, psychological, emotional and social health.