Alberta Association of Midwives

Midwives Are Experts in Healthy Pregnancy and Birth

Registered midwives provide publicly funded primary care to you and your baby — from early pregnancy through birth and six weeks postpartum. No referral needed.

What Midwives Do

What Midwives Do

Prenatal Care

Midwives offer complete care during pregnancy, including regular appointments, ultrasounds, routine blood work and emotional support. With access to laboratories and diagnostic services, your midwife can order prenatal lab work and screenings and can prescribe certain pregnancy-related medications.

During scheduled visits, your midwife will provide physical examinations, assessments, support and information that will inform and guide you through your pregnancy. On average, appointments last 30-45 minutes long, giving you the time you need to build a strong, trusting relationship with your midwife. Prenatal visits are usually once a month for the first 28 weeks, every two weeks until 36 weeks and then once a week until your baby is born. On average, you'll see your midwife approximately 12 times before your baby is born.

Under the care of a midwife, you will not see an obstetrician for pregnancy-related care unless there are concerns or complications. If complications arise, midwives collaborate and consult with other caregivers to provide families and their babies the best possible care.

What Midwives Do

Care During Birth

Midwives are the only perinatal care providers who offer choice of birthplace meaning, in most cases, you can give birth wherever you feel most comfortable. If you are at increased risk for certain complications, giving birth in the hospital is recommended. You can also choose to deliver in a birth centre or at home or another location. Midwives bring medical equipment and a variety of comfort and pain-relief options to all out of hospital births, similar to those available in hospitals. 

No matter your setting of choice, you and your baby will be closely monitored to make sure there are no complications developing. If necessary, midwives access emergency services and collaborate with other health professionals during labour and birth. When you are close to giving birth, a second attendant will arrive to help care for you and your baby. 

What Midwives Do

Postnatal Care

After birth, your midwives will monitor and assess you and your newborn to ensure that everyone is healthy and recovering well.

Your midwives will provide postpartum care to you and your baby, including:

  • a complete physical exam of your newborn

  • routine newborn screening tests

  • physical and mental health assessments

  • parenting support and teaching

  • chest/breastfeeding support 

Once you are both considered healthy, your midwives will leave you to rest. This typically happens within four hours of giving birth. Before leaving, you will be briefed on what to expect within the next 24 hours. If you and/or your baby need closer observation or monitoring, your midwife will recommend moving to the hospital (if you aren’t already there) for extra support and care.

The day after the birth, your midwife will visit you for your first follow-up appointment. You and your newborn will continue to receive care until six weeks after birth.

If you have questions or concerns, a midwife will be available to you by phone or text at any time, day or night.

Where You Can Give Birth

Where You Can Give Birth

Hospital

In Alberta, approximately 68% of people in midwifery care plan to give birth in the hospital. Hospitals provide quick access to specialist care and increased monitoring for you and your baby. All Registered Midwives in Alberta maintain hospital privileges. If you are at increased risk for certain complications, giving birth in the hospital is recommended.

Where You Can Give Birth

Home

Midwives are the only primary care providers in Alberta who receive extensive education and training to help clients safely birth at home. 25% of Alberta midwifery clients plan to have home births. If you are experiencing a healthy, low-risk pregnancy, research has shown that a home birth is just as safe as a hospital birth for both you and your baby.

Where You Can Give Birth

Birth Centre

Birth centres in Alberta are community-based, health care facilities that offer a safe, home-like atmosphere and family-centred space to labour and birth. To give birth at a birth centre, you must be in the care of a Registered Midwife.

There are five midwifery-led birth centres in Alberta:

  1. Arbour Birth Centre, Calgary

  2. Lucina Birth Centre, Edmonton

  3. West Country Midwives Birth Suite, Rocky Mountain House

  4. Rinita Birth Centre, St. Albert

Care for Every Family

Care for Every Family

Indigenous Care

Indigenous midwives were once a cornerstone of every Indigenous community across Canada. After years of colonization and assimilation, the role of Indigenous midwives was undermined, leaving a devastating impact on the preservation of culture and maternal and newborn health outcomes.

The Alberta Association of Midwives is actively working against colonialism by taking steps to support our Indigenous members and communities, by supporting the resurgence of Indigenous midwifery and the cultural transformation needed to achieve this.

Indigenous midwives play a key role in building healthy and safe Indigenous communities in rural and urban areas. In Alberta, there are approximately 10 Indigenous midwives who are engaged in the important work of “bringing birth home” to Indigenous communities, providing culturally appropriate care that honours Indigenous peoples, languages, oral cultures, and traditions.

In addition, there are a number of non-indigenous midwives who provide care on First Nations reserves.

Care for Every Family

2SLGBTQ+ Care

The midwifery model of care in Alberta is committed to honouring and recognizing the multitude of ways in which family can be created and chosen, and respecting the right for all expectant families to receive evidence-based, safe and respectful care.

We are aligned with the Canadian Association of Midwives regarding their statement on upholding all people's rights regardless of gender or sexual identity, inclusive of transgender, non-binary, genderqueer, two-spirit, and intersex people.

There are many paths to parenthood and expansion of family. We value your journey whether it involves pregnancy, adoption, sperm or egg donation, surrogacy, multi-partner relationships, co-parenting, blended families, or becoming a single-parent by choice.

Care for Every Family

Refugee and Immigrant Care

All midwives in Alberta are searchable by community and language. If you are a refugee covered by the Interim Federal Health (IFH) Program, you do not have to pay for midwifery services.

Visit our midwife directory to search for a midwife by language, community, and/or the ability to provide care through the IFH Program. Or, you can view the IFHP providers list here.

Care for Every Family

Rural Care

For many rural Albertans, access to safe, quality perinatal care closer to home is much needed. Having to travel great distances in rural settings to deliver a baby increases the risk of adverse outcomes for the birthing person and their baby. Exposure is even higher during seasons when the weather is severe, not to mention the financial burden, unnecessary intervention, psycho-social stress, and even roadside delivery.

Unfortunately, many rural families experience multiple barriers to accessing perinatal care and midwives face many unique challenges in rural settings. Together with provincial and local governments, the Alberta Association of Midwives is working to address this issue and help strengthen perinatal care in these communities.

The Canadian Midwifery Model Of Care

01 - Primary Health Care

Midwives are autonomous primary health care providers who serve as the first point of entry into perinatal care. You do not need a referral from a doctor to have a midwife.

02 - Partnership

Midwives engage in a non-authoritarian, supportive partnership throughout care and are responsive to the unique cultural values, beliefs, needs and life experiences of each client.

03 - Continuity of Care

You will be cared for by the same single midwife or small group of midwives throughout your entire pregnancy, labour and postpartum period, fostering a relationship of familiarity and trust.

04 - Informed Choice

Recognizing each client as the primary decision-maker, midwives facilitate informed choice discussions, respecting and supporting your right to make informed decisions about your care.

05 - Birth Setting Choice

Everyone has the right to choose where they will give birth. Hospital, home, birth centre - your birth, your choice! Midwives provide the same exceptional care, no matter your choice of birth setting.

06 - Evidence-Based

The practice of midwifery is informed by research, evidence-based guidelines, clinical experience, and the unique values and needs of those in their care.

07 - Collaborative Care

Midwives are autonomous health care providers, working independently and in collaboration with other health care professionals as needed. The principles of continuity, informed choice, partnership and choice of birthplace remain essential elements of midwifery care within a collaborative practice.

The Canadian Midwifery Model Of Care

Midwifery Philosophy

The practice of midwifery is based on the understanding that pregnancy, labour and birth are profound experiences, which carry significant meaning for an individual, their family and their community.

Midwifery is grounded in the principles of health and wellbeing, recognizing that conception, pregnancy, birth and chest/breastfeeding are natural life processes. Midwifery care enhances these life experiences and provides continuity of care through a reciprocal relationship between midwives and families.

Midwifery is traditionally holistic, combining an understanding of the social, emotional, cultural, spiritual, psychological and physical aspects of a woman or other birthing person’s reproductive experience. Midwives promote wellness in parents, babies and families, both autonomously and in collaboration with other health care professionals.

Midwifery is a partnership based on mutual respect. With midwifery care, the client is the center of the childbirth experience and has great influence on their own health and wellbeing. The practice of midwifery is based on the individual and recognizes each client’s unique strengths and needs. Midwifery care promotes self-care, growth, awareness and confidence, and is provided in a manner that is flexible, creative, empowering and supportive.

Midwives actively encourage informed choice throughout the childbearing cycle by providing relevant, objective information to facilitate informed decision-making. The practice of midwifery enables individuals to develop the understanding, skills and motivation necessary to take on the responsibility for and control of their own health.

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Some may say midwives deliver babies. But we are blessed to know the truth. Midwives deliver hope, support, reassurance, patience, confidence, bravery, dreams, calm, skill, knowledge, courage, advocacy and much more. Really, midwives change the world, and the world is an infinitely better place because of them.
Jenn Armstrong

Ready to Start?

Pregnant and want a midwife? Add your name to Alberta’s wait pool — it’s free, and you can apply even if there’s no midwife currently near you.