Amendment to Standard of Practice for Midwives during Pandemic
There are extenuating circumstances (i.e. courses in NRP and obstetrical emergency skills are not currently being offered) due to the pandemic and services/training being put on hold.
Midwives remain accountable and responsible for clients in their care and their professional decisions and actions must be justifiable at all times. The College recognizes that in these challenging times midwives may not be able to meet all College standards and that there may be a need to adjust their practice to be able to provide appropriate care to their clients and newborns.

It is therefore important that if midwives cannot meet a standard of the profession, they must ensure that their clients receive the best care possible in the current circumstances and document the rationale for any decisions they make.

In some cases, midwives will know in advance that they cannot meet a particular standard. One example of this is when midwives cannot meet the Second Birth Attendant Standard because they plan to work with second birth attendants who do not have a current certificate in Neonatal Resuscitation or an obstetrical emergency skills program. In this example, midwives may apply for a waiver from these requirements of the Second Birth Attendant Standard because of extenuating circumstances (i.e. courses in NRP and obstetrical emergency skills are not currently being offered). More information on the waiver policy, including the Application for a Waiver of Standards, is available on the College’s website. Any questions about waivers can be directed to This email address is being protected from spambots. You need JavaScript enabled to view it..

Midwives should exercise professional judgment, in every situation, to provide care that is in their clients’ best interest within the limits of their competence and the midwifery scope of practice that is in line with any directive or current guidance available from Public Health, the Ministry of Health, and the hospitals of which they hold privileges at.
  • Licensure flexibility
  • Other
  • Midwives
The College of Midwives of Ontario is the regulator of midwives in the province of Ontario. We regulate more than 950 midwives practising in Ontario by ensuring that midwives meet high standards, and acting when risks are identified.
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Research Intervention - outcome data available
College of Midwives of Ontario
Canada - Ontario
Grey Literature

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