Week 2: Ontario Model of Midwifery Care

Question 1

What is the Old English meaning of midwife?

Answer 1

“With women”

Question 2

What year was Regulated Health Professions Act?

Answer 2

1991

Question 3

What year was the Midwifery Act?

Answer 3

1991

Question 4

What year was the Health Care Consent Act?

Answer 4

1996

Question 5

What are the professional organization of midwifery in Ontario?

Answer 5

College of Midwives of Ontario (CMO)
Association of Ontario Midwives (AOM)

Question 6

College of Midwives of Ontario (CMO) main objective?

Answer 6

Govern midwifery in the interest of public safety

Question 7

Association of Ontario Midwives (AOM) main interest?

Answer 7

Promotes and advocates for midwifery as an integral part of the
Ontario health care system

Question 8

When was the CMO established?

Answer 8

1993 with the proclamation of the Regulated Health Professionals Act (1991)
and the Midwifery Act (1991)

Question 9

Who runs the CMO?

Answer 9

council comprised of appointed members of the public and elected registered
midwives

Question 10

What is the primary responsibility of the CMO?

Answer 10

protection of the public, specifically childbearing clients and
their infants to whom its members provide care

Question 11

Who regulates the two midwife-led birth centers

Answer 11

CMO
in accordance with the Independent Health Facilities Act (1990)

Question 12

What are the CMO 5 principles

Answer 12

1. Professional Knowledge & Practice
2. Person-Centered Care
3. Leadership and Collaboration
4. Integrity
5. Commitment to Self-Regulation

Question 13

What is the mission of the AOM?

Answer 13

“Advancing the clinical and
professional practice of Indigenous and
Registered midwives in Ontario”

Question 14

What professional organization represents midwifery in Ontario?

Answer 14

Association of Ontario Midwives (AOM)

Question 15

Who runs the AOM

Answer 15

12 member board of directors

Question 16

What are the 3 tenets of the Ontario Midwifery Model

Answer 16

● Informed Choice
● Choice of Birthplace
● Continuity of Care

Question 17

Describe informed choice

Answer 17

“Facilitative, informative and supportive, in a collaborative, non-authoritarian manner”

Question 18

Describe the process of informed choice

Answer 18

● Requires a relationship of respect
● Involves information exchange
● Allows adequate time for decision-making
● Takes clinical experience and research into account, as well as the client’s beliefs and
preferences
● Respects the client as primary decision-maker
● Can include recommendations by the midwife
● Results in a decision by the client

Question 19

What information would you include in an ICD?

Answer 19

● Description of care proposed
● The potential benefits, risks, and alternatives
● Relevant community standards
● Relevant research evidence
● Information related to midwifery standards and scope of practice
● Recommendations from the midwife related to the client’s choices
● Implications, if any, of the client’s potential choices
● Identification of the midwife’s bias, if significant

Question 20

Where do midwifery clients have a choice of birthing?

Answer 20

at home, hospital, or birth center

Question 21

Describe continuity of care

Answer 21

Refers to the relationship developed between the client and the caregivers
throughout care.
● One midwife should be identified as the health professional responsible for
coordinating care

Question 22

What are some proven benefits of continuity of care

Answer 22

● Less likely to experience interventions (epidurals, episiotomies and
instrumental birth)
● Increased chance of SVD
● More likely to be satisfied with their care
● Less chance of preterm birth

Question 23

How are midwives and practices distributed?

Answer 23

Government funding dictates the opening of new practice groups and
the addition of funding for more midwives at existing practices

Question 24

What is the organization of clinics

Answer 24

TOP
Partners
Associates
Locums
NR
Students
Administrative staff

Question 25

What are some attributes of being a Autonomous care provider?

Answer 25

○ Privileges in hospital settings
○ Prescriptions
○ Midwife listed as (most responsible provider) “MRP” for pregnancy

Question 26

What is the liability issue of being a primary care provider?

Answer 26

○ As an autonomous care provider, adequate liability insurance is required
○ Registered midwives in Ontario are covered through HIROC (Healthcare
Insurance Reciprocal of Canada)

Question 27

Define Scope of practice

Answer 27

The parameters of what a particular profession is
allowed to do

Question 28

What document outlines the midwifery scope of practice?

Answer 28

Midwifery Act, 1991