Community Midwives of Kingston

Please read our Informed Choice Document that describes the care you will receive at CMK

Before the baby is born

Adequate prenatal care is required for all women preparing for birth. This is a safeguard for your health, and offers you the opportunity to learn about changes your body goes through as pregnancy advances. Monitoring of blood pressure, urinalysis, weight, fetal growth and fetal heart patterns are included in prenatal care. We will see you once monthly up to your 28th week, then every two weeks until your 36th week, then weekly until your baby is born. A home visit in the last trimester may be included in this schedule of care. Prenatal visits are 30-45 minutes in length. You will alternate between your primary midwives. We will need to see you often so that we may become well acquainted with you and your baby in advance of labour. We will then be better able to recognize signs that deviate from normal for you and your baby. We provide prenatal care in our clinic. We attend labour and birth at home and in the hospital. For one of your prenatal appointments, especially if you are planning a homebirth your midwife may visit your home to become familiar with the location, to meet others who are expected to be present at the labour or birth, and to answer any questions that anyone attending the birth may have.

 

During labour and birth

We attend labour and birth at home and in the hospital. We have hospital privileges at Kingston Health Science Centre.  Midwifery care for planned hospital births includes monitoring labour at home; transfer to the hospital later in active labour; and early discharge from the hospital (usually 3 to 4 hours after the birth), if the mother chooses.  A woman or newborn may require a longer stay in hospital for continued monitoring in the postpartum.

During labour, our care includes the assessment of labour progress, monitoring the mother's vital signs, fetal position and heart rate. We also offer labour and emotional support, information and guidance to the woman and her family. The second midwife attends from the latter part of the first stage of labour until after the baby is born and the placenta is delivered.

There may be times, due to illness, vacations or the occurrence of simultaneous births, when two midwives will not be available to attend the birth. At a hospital birth, the second birth attendant will be a labour and delivery nurse. If you are planning a home birth and a second midwife is not available, you may be asked to move to the hospital for the birth, or in urgent situations, an ambulance may be called for extra help.

Screening Tests and Diagnostic Procedures

Routine prenatal labwork will be ordered by your midwife. Ultrasound scans, genetic screening and other specialized tests and procedures can be ordered or facilitated for you as needed.

Complementary Therapies

The midwives in the practice occasionally recommend complementary therapies such as chiropractic care, massage therapy, acupuncture, herbal medicine or homeopathic remedies. We only recommend practices that we are familiar and comfortable with using in pregnancy and breastfeeding, and always follow the principles of Informed Choice when offering any suggestions for your care.

After the baby is born

We make at least three postnatal visits to your home (more as needed) in the first 10 days after delivery (usually ondays 1, 3, 5, 7-10). Should any problem arise, we are always available by pager. Between two weeks and the final six-week appointment you will have one or two more clinic visits.  With midwifery care, expert care comes to you and is always available by phone. Midwives are very knowledgeable about breastfeeding and can often help women avoid difficulties and deal with any that arise. Midwives will consult with community breastfeeding support and information services such as the La Leche League, the Public Health Unit, Lactation Consultants, Family Physicians, and /or Pediatricians, if further needs arise.

 

About Midwifery (College of Midwives of Ontario)

 

 

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