You have a Positive Pregnancy Test
Calculate your Due Date
Book your Midwifery Team ASAP
Congrats you had a positive home test! You do NOT need a referral to book with a midwife. Call our office at 344-2229 or book online at http://www.mcmidwives.ca/client-intake/. Your midwife will order any ultrasounds or bloodwork at your initial visit. Bring a list of any questions to your first appointment.
Early Pregnancy Topics – Maternity Care Midwives Learn about every from medication safety to discomforts of pregnancy!
Prenatal Vitamins and Supplements
Prenatal Vitamin Look for a multivitamin that provides 400 mcg (0.4 mg) of folic acid, vitamin B12, 27mg of iron, 200-300mg of calcium, and a minimum of 400IU of vitamin D. Examples: SmartyPants PreNatal Formula Gummies, Thorne Research Basic Prenatal, Emerald Lab Prenatal, Raise them Well Prenatal Vitamins, MamaBird Prenatal Multi+ from the Best Nest.
Vitamin D supplement Take 2,000 – 4,000 IU of vitamin D even if your prenatal vitamin contains 400 IU.
Calcium – Your prenatal vitamin plus 2-3 servings of calcium a day (about 600mg/day) will meet your calcium needs for pregnancy. If you diet is low in calcium, add at least 1g calcium supplement to your diet.
DHA If your prenatal vitamin does not contain 800 milligrams of DHA, take it as a separate supplement.
Page your midwives if you feel cramping, back pain, lower abdominal pain, or experience bleeding from your vagina. It’s important to page even if you haven’t had your initial appointment yet. Click here for information on paging.
Your First Midwife Appointment
Your initial visit usually takes place between 8 and 10 weeks gestation. Your first appointment will be approximately 1 hour. Your midwife will discuss our model of care, early pregnancy topics, your pregnancy and medical history, routine tests, and genetic screening options. During regularly scheduled visits to the midwifery clinic, midwives provide physical examinations and assessments, support and information. After an informed choice discussion, your midwife will order the bloodwork, urine and ultrasound tests you are agreeable to.
Dating ultrasounds are most accurate when they happen between 7-12 weeks. Your midwife will order a dating ultrasound at your first prenatal appointment between 8-10 weeks.
Make a trip to the drug store to stock your medicine cabinet with essentials. Use the list on our website the Medication Safety Pocket Book as a guide.
Pregnancy and Breastfeeding Pocket Guide – CHU Ste. Justine
Download a Pregnancy App
Start balancing your body for a more comfortable pregnancy and easier birth!
Find a Massage Therapist
Most local registered massage therapists book 3 months in advance. If you have extended health care benefits, consider pre-booking appointments. It can be nearly impossible to get in for a massage in mid-to-late pregnancy when you need it most.
Genetic Screening before 14 Weeks
Option 1 is called enhanced first trimester screening (eFTS). It is done between approximately 11 weeks 2 days to 13 weeks 3 days gestation.
Option 2 is called non-invasive prenatal testing (NIPT). It can be done after 9 weeks gestation.
You are now in your second trimester. Your energy should start to improve and your nausea should subside. Shift your focus to a healthy diet and exercise.
Choose a Pregnancy Book or Podcast
Recommended Reading and Listening – Maternity Care Midwives On this page you’ll find a many options for reading and listening. You do not have to use them all. Read the descriptions and choose the option(s) that best suits your needs.
Apply for Childcare
Our local daycares have long waitlists. Research child care centres and start an application ASAP.
Build your Birth Team
Get your partner a copy of The Birth Partner: A Complete Guide to Childbirth for Dads, Partners, Doulas, and All Other Labor Companions by Penny Simkin.
Since the original publication of The Birth Partner, partners, friends, relatives, and doulas have relied on Penny Simkin’s guidance in caring for the new mother, from her last trimester through the early postpartum period.
Now fully revised in its fifth edition, The Birth Partner remains the definitive guide to helping a woman through labor and birth, and the essential manual to have at hand during the event. The Birth Partner includes thorough information on:
- Preparing for labor and knowing when it has begun
- Normal labor and how to help the woman every step of the way
- Epidurals and other medications for labor
- Pitocin and other means, including natural ones, to induce or speed up labor
- Non-drug techniques for easing labor pain
- Cesarean birth and complications that may require it
- Breastfeeding and newborn care
- and much more
For the partner who wishes to be truly helpful in the birthing room, this book is indispensable.
If your partner is queasy or you need additional supports, consider hiring a doula. A midwife is NOT a doula! A birth doula is a trained labour support person who provides emotional and physical support to those giving birth and their families. They are not medical professionals. Doulas are not covered by OHIP.
Anatomy Ultrasound Scan
Your anatomy scan happens between 18 and 22 weeks gestation. Your midwife will give you your requisition to schedule your appointment at your 16 week appointment.
Pelvic Floor Connection
Align and balance your pelvic floor anatomy to create a symmetrical space for your baby to move into a good birth position. Work towards mastering the pelvic floor and breath connection for an easier pushing stage!
Most birth parents begin to feel their baby move between 16 and 24 weeks of pregnancy.
Listen to Hypnobirthing Tracks
Hypnobirthing – Hypnobirthing teaches you about birth physiology, how your body works on a muscular and hormonal level, and what you can do to help make your birth easier, quicker and more comfortable. You’ll learn how your body can work comfortably allowing you to navigate your birth feeling calm and in control.
The SOGC recommends immunization in EVERY PREGNANCY between 21 and 32 weeks of gestational age. The golden window is between 27 and 32 weeks. Book your vaccine with your family doctor during that time frame.
When your body is aligned during pregnancy, the baby has more room to get into the best position for an easier birth. Consider booking with a registered massage therapist, osteopath, chiropractor, acupuncturist, and/or cranial sacral therapist.
Gestational Diabetes Screening
Your glucose screening for gestational diabetes will happen between 24 and 28 weeks. Your midwife will do your screening at your routine prenatal care appointment.
Know the Signs & Symptoms of Preterm Labour
Talk to your Partner
13 Questions to Ask Your Partner Before Giving Birth – Bad Mom Advice
Plan your Parental Leave
EI Maternity and Parental Benefits – Government of Canada
Pregnancy and Parental Leave – Government of Canada
Maternity Leave – PregnancyInfo.ca
Write or Revise your Will
Client with Negative Blood Groups need Rhogam
Your midwife will give you a prescription and instructions at your prenatal care appointment.
Drink Red Raspberry Leaf Tea
In the third trimester (28 weeks and beyond), drink 1-2 cups of red raspberry leaf tea daily. If you don’t like the flavour of the tea on it’s own, try mixing it with spearmint and rosehips.
If you’re not a tea-drinker, you can take 1.5-5 g daily in capsule or tablet form.
Know the Signs & Symptoms of High Blood Pressure
You do not need to count fetal movement everyday. Only count movements when you think your baby’s usual movements have slowed down or stopped at a time when the baby is usually active, or if your midwife has asked you to do daily movement counts.
Fill out your Hospital Pre-Admission Form
Your midwife will provide you with a Hospital Pre-Admission form at your prenatal appointment. It will ask you basic demographic information and about insurance policy information. Everyone gets a private room for labour and delivery. After birth, clients have the option for early discharge 3 hours after birth or to stay in-hospital on the Maternal-Child Unit. Postpartum clients have the choice for a private ($310/day), semi-private ($275/day) or ward room (Covered by OHIP). If you have semi-private coverage and want a private room, you will be billed for the difference in price ($35/day). Bring the completed Hospital Pre-Admission Form to your next midwifery appointment.
Learn about Labour & Birth
Pack your Hospital Bag or Prepare your Homebirth Supplies
Create a “Birth Plan”
Watch The Labour and Delivery Tour
Do a Hospital “Drive By”
Practice Comfort Measures, Relaxed Breathing, and Labour Positions
Go to our “Body Work” page to find out more. Click here!
Learn How to Breastfeed
Getting a Good Latch – The Canadian Association of Midwives
Breastfeeding Tips – La Leche League
Is my Baby Getting Enough Milk? – International Breastfeeding Centre
Breastfeeding: Starting out Right – International Breastfeeding Centre
Breastfeeding Videos – International Breastfeeding Centre
Breastfeeding Visual Guide from Birth to 3 Weeks – Best Start Ontario
Create Postpartum Stations
Consider building a basket for the bathroom, creating a nursing station , and stock a diaper caddy.
Nursing Station: Choose a comfortable chair with a side table that is close to an outlet. Plus in a nightlight. Include nursing pads, nipple balm, silverette nursing cups, burp cloths, a Haaka, a phone charger with a long cord, a water bottle, chapstick, non-perishable snacks, hand sanitizer, hand lotion, hair ties, cleaning wipes, a nursing pillow, and hydrogel heating/cooling pads.
Bathroom Basket: Peribottle (provided by the hospital), sitz bath (provided by the hospital), Tucks pads, Epsom salts, disposable pads & high-waisted underwear, cleansing wipes, stool softener, acetaminophen, and ibuprofen.
Diaper Caddy: Include a changing pad, diapers, baby wipes, diaper cream, baby lotion, clean outfit, socks, burp cloth, blanket, wash cloth, hand sanitizer, a small toy, infant probiotic, vitamin D drops, pacifier (if using), and plastic bag for garbage.
Install your Car Seat
Group B Streptococcus Screening
Download a Contraction Timing App
Any free app that is simple to use and works with your smartphone is perfect. If you want to pay for an app, we’d suggest the Freya Surge timer and virtual birth partner App ($3.99)
Perineal massage during the last month of pregnancy encourages the perineal tissue to stretch/expand more easily during birth to prevent tearing. Read more about it here (scroll to the bottom of the page).
Review When to Page
Paging Instructions – Maternity Care Midwives
At 36 weeks, eat 6-8 deglet noor dates or 3-4 Medjool dates a day to get your cervix ready for labour. Read more here.
Express and Save your Colostrum
Interventions in Labour
The Miles Circuit
The Miles Circuit This position series can help to rotate a baby. As a natural method of induction, it helps get things going if baby just needed a gentle nudge into position to set things off. Start practicing the circuit at about 37 weeks, starting with 10 minutes per position per day, adding a few minutes each day until they get to the full 90 minutes.
Acupuncture or Acupressure
At 37 weeks, consider acupuncture or acupressure. Acupuncture involves the insertion of fine needles into specific points of the body while acupressure involves using the thumbs or fingers to apply pressure to specific points. They can be used to soften and thin the cervix and to induce labour. Local practitioner Wei Huang or Carrie Johnsen offers acupuncture for induction. Read more here.
At 37 weeks, begin nipple stimulation. It releases oxytocin and causes uterine contractions. Read more here.
Manual: Try to mimic the latch of the baby. Apply traction and a pulling/rolling motion to the nipples together (or separately but one after the other) for 15-30 minutes, 2-3 times per day. Having your partner perform the manual stimulation increase the force and thus improve the effective.
Double electric pump: for a total of an hour in this sequence – pump 20 mins, rest 10 mins, pump 10 mins, rest 10 mins, pump 10 mins.
Single Pump – Pump for 15 mins on each breast and to switch between your breasts consistently. Pump 4 times total (twice per side).
Sex 2-3 times a day, for 2-3 days in a row may promote labour at term. This protocol assumes a heterosexual cis-gendered couple. Sexual intercourse is considered safe in pregnancy if your waters haven’t broken and you do not have a low-lying placenta. Orgasm and nipple stimulation contribute to the effectiveness of sex to encourage labour. Read more here.
Newborn Medications & Screening Tests
The Vitamin K Shot in Newborns – Evidence Based Birth
Evidence on Erythromycin Eye Ointment for Newborns – Evidence Based Birth
Vitamin D Supplementation – Canadian Paediatric Society
Stretch & Sweeps
Your midwife will offer a vaginal exam and “Stretch and Sweep” at your routine prenatal appintment. During a stretch and sweep, your midwife will use sterile gloves and lubricant. Then they will put two fingers into the vagina to examine and stretch the cervix. Next they will sweep their fingers around the inside of the cervix to separate the bag of waters from the lower part of the uterus. Your midwife can only do a “Stretch and Sweep” if your cervix is open. Sweeping causes your body to release prostaglandins, softening the cervix and strengthening oxytocin-induced uterine contractions. Read more here.
Evening Primrose Oil
Take one vaginal capsule of evening primrose oil 1,000 daily. Take it at night and wear a liner to bed to minimize the mess. The gel capsule will melt with your body heat and some oil may leak from your vagina. You can buy capsules at in the vitamin/supplement section of drug stores or health food stores. Read more here.
Learn about when your pregnancy goes past your due date (40 weeks) and induction of labour.
The “Midwife’s Brew”
Ask your midwife about the recipe for the “Midwife’s Brew” or “Labour concoction.” Your midwife may recommend trying it to promote labour if your cervix is ready. Read more here.