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Professional Practice Advice

The College of Midwives of Ontario provides advisory services for midwives and members of the public who have questions related to College standards, and the legislation and regulations that govern midwifery practice in Ontario. Please note that a Professional Practice Advisor cannot help you make a decision about a particular clinical situation but can help you understand how the standards, legislation and regulations relate to that situation.

The questions we receive the most are related to the midwifery scope of practice, including delegation, and access to the laboratory tests and medications required to optimize client care. We have included answers to some of the most frequently asked questions below. 

If you have questions that are not addressed or require further clarification, please contact us.

By phone: 416.640.2252 ext. 230 Toll free 1.844.640.2252 ext 230

By email

Frequently Asked Questions

Scope of Practice

What is the Midwifery Scope of Practice?

Do I have to practise to the full scope of practice?

What do I do when a client’s care is outside the midwifery scope of practice?

What kind of training do I need to take before performing a new procedure?

Can midwives perform newborn tongue tie release (frenotomy)?

Can I provide care to newborns when their mothers are not in midwifery care?

Prescribing Drugs and Ordering Laboratory Tests

What drugs can I prescribe?

Can I give free drug samples to clients?

What laboratory tests can I order?


What does it mean to work under delegation?

What do I need to have in place to work under delegation?

Can a midwife delegate a controlled act to another person?

Second Birth Attendants

Who can I work with as a second birth attendant?

What can a second birth attendant do at a birth?

Record Keeping

What does it mean to keep records that are contemporaneous, accurate, objective and legible as required by the Professional Standards for Midwives?

How long should a client’s midwifery records be kept?

What do I do when a client requests or demands care I am not comfortable providing?

Can our practice make a policy about who we take into care?

Members Registered in the Inactive Class

Can I provide labour support at my friend’s birth when I am registered in the Inactive class?