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Implementing the Professional Standards

Setting and maintaining high professional standards is fundamental to public protection and public confidence in the midwifery profession. We need to ensure that the College of Midwives of Ontario standards of practice clearly set out the high standards we expect of all midwives. This led us to develop the new Professional Standards for Midwives (Professional Standards) which were approved by Council on March 21st, 2018. They came into effect on June 1, 2018.

The public interest is at the core of everything we do, and our principles-based approach to the standards is designed to benefit midwifery clients, the greater public, and the profession as a whole.

With the implementation of the Professional Standards, the College has changed from more prescriptive standards to a principles-based approach that defines the fundamental ethical and professional standards that the College expects all practices and individual midwives to meet.

While we anticipate that the change to the new, more principles-based Professional Standards will not have a major impact on the way that midwives practise, it is incumbent on each member to ensure compliance as of June 1, 2018. Some new standards have been introduced, and practice owners have additional responsibilities. Midwives must work in accordance with the principles and standards set out in the Professional Standards, as a failure to maintain a standard of practice of the profession may amount to professional misconduct.

You can read the Professional Standards here.

Please review the Question and Answer section of our site below, and send in any questions you may have about the new Professional Standards. We’ll share some of the answers here to provide guidance to all midwives implementing the standards. If you have a question to share please email in to and we’ll get back in touch as soon as possible.

Questions and Answers

How much will the way I practise midwifery change?

Are there new standards midwives must adhere to?

I am a practice owner, what are my additional responsibilities in the new Professional Standards?

Which standards have been rescinded?

I had an Alternate Practice Arrangement (APA) Type 2 with the College and used a second birth attendant who is not a midwife. What will change now that the minimum standard allows all midwives to use second birth attendants?

Why was the Vaginal Birth After Caesarean Section (VBAC) and Choice of Birthplace position statement revised?

I work only in a hospital, how am I expected to provide choice of birthplace?

Do the Professional Standards impact interprofessional collaboration?