MidwiferyGuidelines

This Wiki was created for Canadian Registered Midwives to upload, edit and refer to clinically relevant guidelines, algorithms and systematic reviews. This site contains content from international sources. It is your responsibility to practice according to the Scope of Practice legislated in your provincial or territorial jurisdiction.

Please contribute and share this site as you see fit!

Midwifery Clinical Practice Guidelines Wiki

How to Post

Add guidelines and tools below, please try to include the following information before the link

1. Author/Group of Authors

2. Title of Guideline

3. Date of Guideline if relevant

Some tips when selecting articles and link:

• Select documents that give clinical practice guidance such ones titled "Policy Document" "Position Paper" "Clinical Practice Guideline"

• Diagrams/algorithms/flow charts can be helpful to clinicians for quick reference

• Think about documents relevant specifically for Midwives (For information about midwives scope of practice Click here

Open access Statement

The internet allows us to share copies of our work with the public, digitally and at virtually no cost. Articles and files posted to this wiki are digital, online, free of charge and free of most copyright restrictions. Please only post articles that are open access, or original material with permission given by the authors

For information about open access in scholarly publishing visit SPARC (Scholarly Publishing and Academic Resources Coalition) SPARC Website

Antenatal Care - Uncomplicated Pregnancies

General Guidance

Antenatal Care for Uncomplicated Pregnancies - NICE External link

Low Risk Birth Quality Based Procedures - Provincial Council for Maternal Child Health Ontario External link

Maternity Care Pathway - Perinatal Services BC External link

Dating Tools

Pregnancy Dating Tool - Perinatal Services BC External link

Estimated Date of Delivery/Gestational Age on Given Date Calculators Link to Tools

Genetic Screening

Prenatal Screening for Down Syndrome Screening, Trisomy 18 and Neural Tube Defects - Perinatal Services BC External link

Trisomy 21 Risk Calculator - Perinatal Services BC External link

Nausea & Vomiting

Management of Nausea and Vomiting - SOGC External link

Physical Activity

Physical Activity throughout Pregnancy - Society of Obstetricians and Gynecologists of Canada External link

2019 Canadian Guideline on Physical Activity Throughout Pregnancy - SOGC/CSEP Consensus Panel External link

Nutrition

Vitamin D Supplementation in Pregnancy - Canadian Pediatrics Society External link

Pregnancy and Breastfeeding Food Guide - Government of Canada External link

Preconception Folic Acid and Multivitamin Supplementation for the Prevention of Neural Tube Defects - Society of Obstetricians and Gynecologists of Canada Link to Guideline

Prenatal Nutrition Guidelines for Health Professionals - Government of Canada External link

Antenatal Care - Complicated Pregnancy

Adolescent Pregnancy

Adolescent Pregnancy - Society of Obstetricians and Gynecologists of Canada External link

Adolescent Pregnancy - Canadian Pediatrics Society External link

Teenage Pregnancy - Royal Australian College of Family Physicians External link

Diabetes

Diabetes in Pregnancy Algorithm - NICE External link

Diabetes in Pregnancy - Diabetes Canada Clinical Practice Guidelines Expert Committee External link

Down Syndrome

Management of Pregnancies Diagnosed with Down Syndrome - Perinatal Services BV External link

Ectopic Pregnancy

Ecotopic Pregnancy and Miscarriage - NICE External link

Group B Streptococcus

Group B Streptococcus in the Perinatal Period - Perinatal Services BC Link to practice resource

HIV in Pregnancy

HIV in the Perinatal Period - Perinatal Services BC Link to practice resource

Canadian HIV Pregnancy Planning Guidelines - Society of Obstetricans and Gynecologists of Canada External link

Hypertension

2018 Guideline for Management of Hypertension in Pregnancy - Hypertension Canada External link

BCRP Obstetric Guideline Hypertension in Pregnancy (2006) External link

Obesity

Obesity in pregnancy (2010) - SOGC External link

Vaginal Birth After Cesarean (VBAC)

Birth After Previous Caesarean Birth - Royal College of Obstetricians and Gynecologists (2015) Link to Guideline

VBAC and Choice of Birthplace - College of Midwives of Ontario Position Statement (2018) External link

First Nations

Background Information

Aboriginal Maternal Health in British Columbia Link to fact sheet

Sexual and Reproductive Health & Access to Services, First Nations, Inuit & Metis in Canada Link to Joint Policy Statement

Returning Birth to Remote Communities

Returning Birth to Aboriginal Rural and Remote Communities - Society of Obstetricians and Gynecologists of Canada External link

Aboriginal Midwifery

Understanding the Work of an Aboriginal Midwife - National Aboriginal Council of Midwives Pamphlet

National Aboriginal Council of Midwives Link to website

Racism in Healthcare

Health and Healthcare Implications of Systemic Racism on Indigenous People in Canada - College of Family Physicians of Canada, Indigenous Health Working Group External link Healing Racism in Canadian Healthcare - Y Boyer (2017) Link to article

Labour and Delivery

Supporting Physiologic Birth

Management of Spontaneous Labour at Term - Society of Obstetricians and Gynecologists of Canada External link

Supporting Healthy and Normal Physiologic Childbirth - ACNM/MANA/NACPM (2012) Link to position paper

Out of Hospital Birth

Place of Birth Handbook - College of Midwives of British Columbia External link

Clinical Practice Parameters for Midwife-Led Birth Centers - College of Midwives of Ontario External link

Substance Use in Pregnancy and Lactation

Substance Use General Guidance

Substance use in Pregnancy - Society of Obstetricians and Gynecologists of Canada (2011) External link

Alcohol

Fetal Alcohol Spectrum Disorder Fact Sheet - CanFASD External link

Fetal Alcohol Spectrum Disorder Toolkit for Physicians - American Academy of Pediatrics Link to Toolkit

Cannabis

Marijuana Use During Pregnancy and Lactation - American Academy of Pediatrics (2018) External link

Cannabis Use During Pregnancy Issue Paper - CanFASD (2018) External link

Opioids

Opioid Use and Opioid Disorder in Pregnancy Committee Opinion - American College of Obstetricians and Gynecologists (2017) External link

Breastfeeding

Inducing Lactation

Protocols for Inducing Lactation and Maximizing Production (2002) - Canadian Breastfeeding Foundation External link

Tongue Tie/Lip Tie

Ankyloglossia and Breastfeeding - Canadian Pediatrics Society (2018) Link to Position Statement

Engorgement

Engorgement - Dr. Jack Newmann/Breastfeeding Inc. External link

Pumping

Electric Breastpump

Suggestions on using an Electric Breast pump - Australian Breastfeeding Association (2015) Link to Info Sheet

Newborn Care

Baby Friendly Initiative (BFI)

BFI 10 Steps and WHO Code Outcome Indicators - Breastfeeding Committee for Canada External link

Feeding/Nutrition Birth - 6 months

Nutrition Guidance for Healthy Term Infants - Canadian Pediatrics Society (2018) Link to position statement

Neonatal Resuscitation

NRP Update - Canadian Pediatric Society (2017) External link

Opthalmia Neonatorum

Management of Opthalmia Neonatorum - Perinatal Services BC External link

Immediate Postpartum Guidelines

Nursing Care Pathway - Perinatal Services BC (2015) External link

LGBTQI Health Care

Clinical Care Guidance

Tip Sheet Care for Transmasculine Spectrum Clients External link

CAM Statement on Gender Inclusivity (2015) External link

Use of Gender Inclusive Language - Canadian Midwifery Regulators Council (2016) Link to position statement

Glossary of LGBT Terms for Healthcare Teams - National LGBT Health Education Center (2016) - Link to Glossary

Colleges/Associations of Relevance to Midwifery Care Provision

Canada

Institution/Association	Province	Website
College of Midwives on Ontario	Ontario	www.cmo.on.ca
College of Midwives of British Columbia	British Columbia	www.cmbc.bc.ca
Association of Ontario Midwives	Ontario	www.ontariomidwives.ca
Society of Obstetricians and Gynecologists of Canada	Canada	www.sogc.org
Perinatal Services BC	British Columbia	www.perinatalservicesbc.ca
Ordre des Sages Femmes du Quebec	Quebec	www.osfq.org
Canadian Association of Midwives	Canada wide	www.canadianmidwives.org

International

Institution/Association	Country	Website
Royal College of Obstetricians and Gynecologists	United Kingdom	www.rcog.org.uk
National Institute for Health and Care Excellence	United Kingdom	www.nice.org.uk/
American College of Nurse Midwives	United States	www.midwife.org
Midwives Alliance of North America	United States	www.mana.org
American College of Obstetricians and Gynecologists	United States	www.acog.org