Home Birth Funding

Midwifery practices receive funding to cover the costs of planned and actual home births. The Funding Agreement states that “the purpose of this disbursement is to ensure that all expenses related to a home birth are covered and that there is no financial burden placed on the client for choosing a home birth.”

Although intended to cover those supplies and medications that would have been provided by the hospital or birth centre if the client had given birth there, there is no specific list of what is included in the funding. It is up to practice groups to determine what supplies they provide at no cost to clients and what expenses (if any) are not funded. Practice groups should keep in mind that it would be a breach of the Funding Agreement and professional ethics as set out by the college to charge clients for a funded expense (e.g., intrapartum antibiotic prophylaxis). 

In making the determination what is covered, practices should consider what their local hospital or birth centre provides (e.g., maternity pads, diapers) as well as midwifery norms (e.g., not funding birth pool rental if the practice does not own a birth pool; ambulance transport fees). At the time the funding was negotiated, the AOM and Ontario Midwifery Program specifically considered the expenses associated with pharmaceuticals, blue pads, a peri bottle, a plastic bed sheet, and reprocessing instruments, among other things.