What is a Midwife?

A Midwife is a trained professional who provides comprehensive care and support during pregnancy, labour, birth and the six week postpartum period to healthy women and their newborns. Midwifery care is based in the knowledge that, for most women, pregnancy and childbirth is a normal and important life event. Midwives believe that unnecessary intervention is an interruption of a normal process, however, they support the appropriate use of technology.

Midwives attend births in a variety of settings including home and hospital and are fully funded by the BC Ministry of Health. There is no cost to you. The midwife consults with, and refers to, specialists when necessary and is skilled in careful monitoring to detect abnormalities in pregnancy and birth. Midwifery involves antenatal (before the birth) education and preparation for parenthood and extends to certain areas of gynecology, family planning and child care.

In British Columbia, the title "midwife" is protected by law. Only those who have been assessed and found to meet all of the requirements for registration in BC and are registered with the College of Midwives of British Columbia may call themselves "midwife".

Luba and Deb are both registered midwives with the College of Midwives of BC. They each have been practicing midwifery in and out of BC for more than 20 years.

Philosophy of Care

The Victoria Midwifery Group's philosophy of care is based on respect for the birth process and a women's ability to give birth.

Principles:

  • birth as a normal event
  • client as the primary decision maker
  • continuity of care - the Midwives attending your birth will be known to you from your prenatal care
  • sufficient time spent providing information, counselling and educational resources
  • choice of birth place, home or hospital
  • appropriate use of technology,
  • breast is best (click here for a breastfeeding site!)

Further Information On our Philosophy

Midwifery care is based on the respect for pregnancy as a state of health, and childbirth as a normal physiologic process. Midwifery care respects the diversity of women's needs and the variety of personal and cultural meanings which women, families and communities bring to the pregnancy, birth and early parenting experience.

The maintenance and promotion of health throughout the childbearing cycle are central to midwifery care. Midwives focus on preventive care and the appropriate use of technology. Care is continuous, personalized and non-authoritarian. It responds to a woman's social, emotional, as well as physical needs.

Midwives respect the woman's right to choice of care provider and place of birth, in accordance with the standards of practice of the College of Midwives. Midwives are willing to attend a birth in a variety of settings, including birth at home. Midwives encourage the woman to actively participate in her care throughout pregnancy, birth and the postpartum period and make choices about the manner in which her care is provided.

Midwifery care includes education and counselling, enabling a woman to make informed choices. Midwives promote decision making as a shared responsibility, between the woman, her family (as defined by the woman) and her care providers. The woman is recognized as the primary decision maker.

Fundamental to midwifery care is the understanding that a woman's care providers respect and support her so that she may give birth safely, with power and dignity.

Informed Choice

Informed choice is an underlying principle of midwifery care. Women have the right to receive information and be involved in the decision making process throughout their midwifery care. In the Philosophy of Midwifery statement above, the childbearing woman is recognized as the primary decision maker. The interactive process of informed choice involves the promotion of shared responsibility between the midwife and her client. Midwives encourage and give guidance to clients wishing to seek out resources to assist them in the decision making process.

It is the responsibility of the midwife to facilitate the ongoing exchange of current knowledge in a non-authoritarian and co-operative manner, including sharing what is known and unknown about procedures, tests and medications.

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