Week 2: Ontario Model of Midwifery Care Flashcards
What is the Old English meaning of midwife?
“With women”
What year was Regulated Health Professions Act?
1991
What year was the Midwifery Act?
1991
What year was the Health Care Consent Act?
1996
What are the professional organization of midwifery in Ontario?
College of Midwives of Ontario (CMO)
Association of Ontario Midwives (AOM)
College of Midwives of Ontario (CMO) main objective?
Govern midwifery in the interest of public safety
Association of Ontario Midwives (AOM) main interest?
Promotes and advocates for midwifery as an integral part of the
Ontario health care system
When was the CMO established?
1993 with the proclamation of the Regulated Health Professionals Act (1991)
and the Midwifery Act (1991)
Who runs the CMO?
council comprised of appointed members of the public and elected registered
midwives
What is the primary responsibility of the CMO?
protection of the public, specifically childbearing clients and
their infants to whom its members provide care
Who regulates the two midwife-led birth centers
CMO
in accordance with the Independent Health Facilities Act (1990)
What are the CMO 5 principles
- Professional Knowledge & Practice
- Person-Centered Care
- Leadership and Collaboration
- Integrity
- Commitment to Self-Regulation
What is the mission of the AOM?
“Advancing the clinical and
professional practice of Indigenous and
Registered midwives in Ontario”
What professional organization represents midwifery in Ontario?
Association of Ontario Midwives (AOM)
Who runs the AOM
12 member board of directors
What are the 3 tenets of the Ontario Midwifery Model
● Informed Choice
● Choice of Birthplace
● Continuity of Care
Describe informed choice
“Facilitative, informative and supportive, in a collaborative, non-authoritarian manner”
Describe the process of informed choice
● 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
What information would you include in an ICD?
● 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
Where do midwifery clients have a choice of birthing?
at home, hospital, or birth center
Describe continuity of care
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
What are some proven benefits of continuity of care
● 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
How are midwives and practices distributed?
Government funding dictates the opening of new practice groups and
the addition of funding for more midwives at existing practices
What is the organization of clinics
TOP
Partners
Associates
Locums
NR
Students
Administrative staff
What are some attributes of being a Autonomous care provider?
○ Privileges in hospital settings
○ Prescriptions
○ Midwife listed as (most responsible provider) “MRP” for pregnancy
What is the liability issue of being a primary care provider?
○ As an autonomous care provider, adequate liability insurance is required
○ Registered midwives in Ontario are covered through HIROC (Healthcare
Insurance Reciprocal of Canada)
Define Scope of practice
The parameters of what a particular profession is
allowed to do
What document outlines the midwifery scope of practice?
Midwifery Act, 1991
