There are many factors that contribute to the safety of midwife-attended home births in Ontario.
- are regulated health professionals In Ontario, regulated health professions are governed under the Regulated Health Professions Act, 1991 (RHPA) and health profession Acts (i.e., Medicine Act, 1991). This legislative framework establishes health regulatory colleges, which regulate the professions in the public interest. Health regulatory colleges are responsible for ensuring that regulated health professionals provide health services in a safe, professional and ethical manner. This includes, among other things, setting standards of practice for the profession and investigating complaints about members of the profession and, where appropriate, disciplining them.1
The regulatory college for Ontario midwives is the College of Midwives of Ontario. Ontario Ministry of Health and Long Term Care. Regulated Health Professions [Internet]. Canada: Web; 1991.
- bring medical equipment and medications to every home birth similar to those available at hospitals that provide Level I The level of a hospital outlines: the complexity of care it can provide to birthing people and their babies the medical staff and services they must have to meet the needs of their patients care and birth centres
- have hospital privileges
- receive an education specific to attending births and responding to birth emergencies both in and outside the hospital
- engage in regular continuing competency training “Continuing competency training” refers to the minimum ongoing professional training the College of Midwives of Ontario requires of midwives in order to provide safe, responsible care throughout their career. For example, midwives must provide proof of certification in: Neonatal Resuscitation every year Emergency Skills Management every two years Cardio Pulmonary Resuscitation every two years to attend births and respond to birth emergencies both in and outside the hospital
- can quickly access specialist care (e.g. obstetrician, pediatrician) in the hospital if necessary to support the best health outcomes for you and your baby
What does the research say?
There is excellent Canadian-based researchThe AOM’s Choice of Birthplace Guideline summarizes the findings of four Canadian studies that confirm the safety of home birth. analyzing the records of more than 45,000 low risk births attended by midwives at home and in hospital.
The research showed that the same number of babies are born healthy and well regardless of where the birth was planned to take place.
Infant outcomes by planned place of birth: home and hospital*