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Midwifery

Overview

BORN Ontario has long-standing partnerships with provincial midwifery organizations, midwifery practices, midwifery-led Birth Centres, and midwives to support data entry and use for client care and outcomes. Together, we ensure that midwives across Ontario have the tools, resources, and support needed to contribute high-quality data to the BORN Information System (BIS) and use these data to improve and facilitate care, meet professional reporting requirements, advance the profession through research and data use, and inform policy. 

BORN’s key provincial midwifery partnerships include the Association of Ontario Midwives (AOM), the College of Midwives of Ontario (CMO), the Ontario Midwifery Program (OMP), and the Midwifery Education Programs (MEP). 

Why This Matters

Midwives provide essential, personalized care to families across Ontario. By supporting midwives in using the BORN Information System (BIS), this partnership ensures that midwifery work is accurately captured, acknowledged, and used to improve health outcomes. High-quality midwifery data helps tell the story of midwifery care, supports advocacy, and strengthens the case for midwifery-led models that prioritize informed choice, continuity of care, choice of birthplace and equity. 

Scope and Participation

 

 

Scope: Ontario’s Midwifery Practice Groups (MPGs), the Ottawa Birth and Wellness Centre (OBWC), and Expanded Midwifery Care Models (EMCMs). 

Focus Areas: Data quality, place of birth, postpartum screening, billing transparency, consultations and transfers of care, demand for midwifery services, and equity in care. 

Participation: 89+ Midwifery Practice Groups, various EMCMs, the Ottawa Birth and Wellness Centre, and 1,050 Registered Midwives across Ontario 

Partner Roles

BORN Ontario: Provides infrastructure, training, and support for midwifery data entry and reporting; develops tools and enhancements based on user feedback; facilitates access to clinical reports, custom data requests, and data use for midwifery research. 

Association of Ontario Midwives (AOM): Advocates for midwives and midwifery care; co-develops educational resources and campaigns; supports midwives in navigating the BIS and interpreting data. Uses BORN data for Clinical Practice Guidelines and Clinical Position Statements. 

College of Midwives of Ontario (CMO): Regulates the midwifery profession and provides an annual assessment and registration program for internationally trained midwives. BORN supports midwives by providing a report of total births attended, by place of birth, and role of the midwife (primary or second) for their yearly reporting requirements to the CMO. 

Ontario Midwifery Program (OMP): This Ministry of Health Midwifery Program is responsible for allocating midwifery services to communities across the province. Midwifery care is a government-funded program to Ontario residents, which includes pregnancy, birth and postpartum care up to six weeks after birth. 

Midwifery Education Program (MEP): The Toronto Metropolitan University is a collaborative program with McMaster University and leads to a Bachelor of Health Sciences (B.H,Sc) in Midwifery, preparing graduates for licensure by the College of Midwives of Ontario.  

Midwifery Practices: Midwives enter client data into the BIS, lead quality improvement initiatives, and use BORN data for clinical and operational decision-making. 

Indigenous Midwifery Programs (IMPs): There are 14+ IMPs funded by the OMP across the province to provide culturally appropriate care to families and communities. This care includes Indigenous cultural knowledge and practices and supports efforts to return birth to Indigenous communities.  

Impact and Benefits

3 siblings - 2 children and a newborn - snuggling on bed

For Clients

  • More coordinated and efficient care through improved data systems 

  • Enhanced privacy and security of health information 

  • Greater recognition of midwifery-led care models that support informed choice, choice of birthplace and personalized care 

For Midwives

  • More streamlined data entry workflows, reducing burden of provider-led data entry 

  • Educational resources and templates to support accurate and efficient BIS use 

  • Access to BORN midwifery clinical reports and custom data requests for quality improvement, self-reflection, informed choice discussions, applications for new practices or expansions, research and advocacy 

For Healthcare

  • High-quality midwifery data that informs provincial planning and policy 

  • Enhanced visibility of midwifery outcomes and practices across care settings 

  • Support for equity-focused care and informed decision-making 

Feature Story

BORN is proud to play a small part in supporting the important decolonizing work of returning birth to communities. 

Did You Know...

Midwives attend approximately 20% of births in Ontario 

There are 37 Expanded Midwifery Care Models (EMCMs) across the province situated in a variety of health settings, such as Hospitals, Community Health Centres, Family Health Teams and in the community, and funded by the Ministry of Health. 

Midwives working at EMCMs leverage their skills and knowledge to practice beyond the traditional midwifery ‘course of care’ model, to meet identified community needs. Work may involve expanded scope and/or providing episodic care to marginalized populations. 
 
Eleven (11) EMCMs currently provide insights into client care by contributing data to BORN’s Registry. We continue to onboard more EMCMs and look to extending data collection to facilitate program evaluations. 

EMCMs in the News! 

 

Stay Informed

  • Visit the AOM website for updates and advocacy resources 

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