When to page your midwife during labour


Paging Instructions – PAGER: 416 754-5500

Please page us if you experience any of the following symptoms or any time you have urgent concerns.

When you page your midwife, please give your first and last name, your phone number, the date your baby is due and reason for paging.

If you do not hear back from your midwife in 15 minutes, page again.

If you still don’t hear back, page another midwife or call the clinic for information.

On rare occasions, our paging system is unavailable, this is usually for a short period of time. In this case, call the clinic office at 416 424-1976 for instructions or call Michael Garron Hospital maternal triage at 416 469-6580 extension 6216.


1. During Labour

When you are in labour with your first baby

  • Page if you are having regular contractions 3-4 minutes apart lasting 45-90 seconds and this pattern has been going on for more than 1 hour.
  • You can’t talk with these contractions, read a magazine or laugh.

When you are in labour and it’s not your first baby

  • Page if you are having regular contractions 5-6 minutes apart lasting 45-90 seconds.
  • You can’t talk with these contractions, read a magazine or laugh.
  • Page if contractions are very strong, even if they are not regular.

How far apart are my contractions:
Timing contractions
Midwives will want to know how long your contractions last and how far apart the contractions are. The length of a contraction is measured from the beginning of the contraction to the end of that sensation. How far apart the contractions are is measured from the start of one contraction to the start of the next contraction.

2. Page if your water breaks.

  • Pay attention to the colour, smell, and if the baby is moving normally.

3. Page if you are bleeding and it is like a period or running down your leg.

4. If you are in labour and are worried or confused, please page.