The Midwives’ Clinic of East York-Don Mills is a partnership of midwives who attend births at home, Michael Garron Hospital and the Toronto Birth Centre in the Toronto area. We are registered with the College of Midwives of Ontario and adhere to all standards and requirements set by this governing body. Our midwives are members of the Association of Ontario Midwives who provide us with continuing education, public information and community outreach. We are also a teaching practice and work with students on an ongoing basis.
We specifically serve the diverse communities of East York, Thorncliffe Park, Don Mills, and East Scarborough. Our catchment area is Steeles Ave south to Lake Ontario and east to Port Union Rd. and west to Kipling Ave. We do take clients beyond this catchment area as long as it is within the Greater Toronto Area. We have midwives who speak English, Urdu, Persian, Dari, Farsi, French and Spanish. Our administrators speak English, Greek, Amharic, Urdu, Hindi, Marathi, Gujarati, Bengali, and some French.
Our hospital admitting privileges are with Michael Garron Hospital. For each of our clients we offer a complete course of care including regular prenatal care, labour and birth – either in hospital, birth centre or home setting, and six weeks of postpartum follow-up for both the client and the newborn.
If during this course of care there are clinical issues which are outside of our scope of practice, we will consult with the appropriate specialist. For any non-pregnancy related medical issues, clients are expected to seek care with their other health care providers.
Our Care Model
There are two different ways that the midwives at TMC work. They either work in pairs or in pods.
Pair model: In the pair model you will be assigned two midwives. Usually you will meet your Coordinating Midwife for the first few appointments to coordinate tests, to review your medical history and to do any exams that you require. After this you will go back and forth for the remainder of the pregnancy so that you know both of your midwives well. They will share responsibility for your care and our plan is that one of your two midwives will be available to you whenever you need care. Your two midwives will keep up to date with how your pregnancy is progressing and any needs and concerns you may be experiencing. Whichever one is on call when you go into labour will be the primary midwife at your birth. In the six weeks following the birth of your baby, you and your baby will be cared for by your two midwives. We try very hard to assign our clients to midwives who will not be on holidays near to their due dates, but occasionally a due date may change, and a third midwife may become involved. If this happens then your midwife will discuss this with you and you will have a chance to meet the third midwife.
Pod model: In the pod model you are assigned to a Coordinating Midwife and a second and third midwife. You will usually meet with your Coordinating Midwife for the first few appointments to coordinate tests, to review your medical history and to do any exams that you require. The pod model allows our midwives to have more time off a year to focus on other work in the midwifery community or to spend time with their families. The pod midwives work in a rotation; they work for two months and then take a month off so that there is always two midwives looking after the pod’s group of clients. The on-call midwives will keep up to date with how your pregnancy is progressing and any needs and concerns you my be experiencing. During your pregnancy you will mostly meet with your coordinating midwife and your second midwife. You will have a chance to meet the third midwife in the pod once or twice depending on when your due date is or any specific needs you may have. Whichever one is on call when you go into labour will be the primary midwife at your birth. Depending on when you have your baby in the pod rotation you will be cared for by one, two or all three of your midwives in the six weeks after you have your baby.
When you come to see your midwife in clinic, she is usually off call. Your other midwife is on call and will attend births and do home visits. Occasionally, midwives will need to do some clinic while they are still on call. If you have an appointment that is booked while your midwife is on call, that appointment maybe cancelled if your midwife is at a birth. You will be called to reschedule your visit as soon as possible. We appreciate your patience and understanding in these situations!
All of our midwives carry pagers to facilitate quick and personal care to our clients. You will be instructed to page your coordinating midwife if any urgent concerns arise during pregnancy, labour and postpartum. One of the midwives from your pair or pod will call you back to address your concerns. When you have a student involved in your care you may also be given the student’s pager number. Your midwives will instruct you when to page the midwife directly and when to page your student midwife.