You will see a midwife for prenatal visits every 4-6 weeks until 28 weeks, every 2 weeks until 36 weeks and once a week until your baby is born. Due to our on-call schedule, each midwife works only 1-2 clinic days per week. We appreciate client flexibility with regards to appointment scheduling.

Clinic appointments are typically 30 minutes in length, allowing time for clinical assessments, answering questions and providing information.

After you give birth, your midwife will provide a home visit within the first 24-28 hours and every few days for the first week. Your midwife will be on-call during this time; therefore some visits may be rescheduled.

You and your baby will then be seen approximately every 2 weeks at our clinic until 6 weeks postpartum.

Family members and support people are always welcome!

At TMC, no news is good news!
All labs are reviewed by a midwife each day to detect any abnormal results.
In the event of an abnormal lab result or ultrasound, one of your midwives will contact you as soon as possible.
If you have questions regarding results, please leave a message for your midwife at 416-424-1976.

Please check in at the front desk and use the washroom at this time if needed.
Check your weight on the scale in the washroom if you are comfortable doing so. Then let your midwife know the value during your appointment.

If something comes up in pregnancy, labour, birth or postpartum that is outside the midwifery scope of practice, your midwife will recommend a consultation or a transfer of care to the appropriate provider (often an obstetrician).  The purpose of a consultation is to receive recommendations for your care such as additional testing/monitoring. Most often, you will remain in midwifery care and your midwife will carry out the recommendations.

Though rare, some clients may require a higher level of care outside the midwifery scope. In the event your care is transferred to a physician, your midwife will offer supportive care including labour support. If the care is transferred back to the midwives in the postpartum period, they will resume normal postpartum care.

Please see http://www.cmo.on.ca/wp-content/uploads/2015/11/Standard-Consultation-and-Transfer-of-Care-Nov.-2015.pdf for Indications for Discussions, Consultations and Transfers of Care.