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Implementation of the Midwifery Scope of Practice and other important changes to documents

April 16, 2021

After consultations with midwives, stakeholders, and members of the public, the College has made some important changes regarding College standards of practice that will come into effect on June 1, 2021. 

The following standards of practice will be rescinded: 

  • Consultation and Transfer of Care Standard (CTCS) 
  • When a Client Chooses Care Outside Midwifery Standards of Practice 
  • Delegation, Orders and Directives 

The following guiding document will be implemented: 

  • The Midwifery Scope of Practice describes the legislative scope of practice and will replace the CTCS. The Scope of Practice was developed to provide regulatory guidance to midwives about working within the midwifery scope of practice and what to do when a client’s clinical condition or the care they require is no longer in the midwifery scope.  

The following standards and guiding documents will be amended: 

  • The Professional Standards for Midwives to: 
    • set minimum expectations for midwives after a transfer of care (standard #26) 
    • include additional standards on delegation    (standard #31) and to revise the definition of “delegation” in the Glossary of Terms 
  • The Guideline on Ending the Midwife Client Relationship to provide guidance to midwives in situations when a client chooses care that falls below a standard of the profession. 

Review these important changes and email us with any questions at 

We know that midwives will have questions about these changes, and we want to provide opportunities to ask for more information.  


Thank you to the hundreds of midwives who joined us on May 6 and May 10 for our webinars on the Standards Review. We appreciated all your thoughtful questions.

Please take this opportunity to review the Midwifery Scope of Practice document and other important changes from our Standards Review and send in any questions as you have them to