Weekly Checklist

You have a Positive Pregnancy Test

Calculate your Due Date

Due date Calculator – PregnancyInfo.ca

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.

Pregnancy Tests – PregnancyInfo.ca

Midwifery Care – AOM 

Routine Prenatal Care – Prenatal Education Ontario 

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.

Resource Library – Pregnancy and Infant Loss Network 

Peer Support Programs – Pregnancy and Infant Loss Network  

Local Circes of Support Group – Pregnancy and Infant Loss Network

Finding your way to Family Support Group – Local


8 weeks

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 Ultrasound

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.

Routine Ultrasound – PregnancyInfo.ca

Ultrasound in Early Pregnancy: Dating Scan – Women’s & Newborn Health Westmead Hospital

Fetal Ultrasound – My Health Alberta

Helpful Supplies

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.

Helpful Supplies

Pregnancy and Breastfeeding Pocket Guide – CHU Ste. Justine

Download a Pregnancy App


10 Weeks 

Spinning Babies

Start balancing your body for a more comfortable pregnancy and easier birth!

Daily Activities for an Easier Childbirth – Spinning Babies

Weekly Activities Self-Care Activities for Body Balance – Spinning Babies 

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.

Benefits of Massage – American Pregnancy Association 


11 weeks

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.

What is Prenatal Screening? – Prenatal Screening Ontario

A Guide to Understanding Prenatal Screening Tests – Genetics Education Canada

Cell-Free DNA Prenatal Screening (AKA Non-Invasive Prenatal Testing) – Genetics Education Canada

Prenatal Genetic Screening – PregnancyInfo.ca

Pelvic Balance

11 Weeks Pregnant: Why Pelvic Balance Matters – Spinning Babies 

12 weeks 

Healthy Living

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.

2019 Canadian Guideline for Physical Activity throughout Pregnancy – CSEP:SOGC

Healthy eating when pregnant and breastfeeding – Canada’s Food Guide

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.

The District of Thunder Bay Child Care Registry. One Application. One List.

Child Care Centres – The City of Thunder Bay


14 Weeks

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.

Benefits of a Doula – DONA

Evidence on Doulas – Evidence Based Birth

Doulas – PregnancyInfo.ca

Local Doulas – Maternity Care Midwives


18 Weeks

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.

Detailed Anatomy Ultrasound – Prenatal Screening Ontario

Routine Ultrasound – PregnancyInfo.ca

Fetal Ultrasound – My Health Alberta

Learning About Fetal Ultrasound Results – My Health Alberta

Ultrasound Scan: Your 18 to 20 Week Scan – Mater Mother’s Hospital

19 Weeks Pregnant: Sex of Baby (or Itty Bitty Baby Parts) – Spinning Babies

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!

Click to access spinningbabies_daily_pelvic_floor_exercises.pdf

20 Weeks

Fetal Movement

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.


You (Still) Don’t Know Squat – Nutritious Movement 


21 Weeks

TDAP Vaccine

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.

Q & A on Tdap Vaccination Against Pertussis (Whooping Cough) During Pregnancy in Canada – SOGC

Get the Whooping Cough Vaccine During Each Pregnancy – CDC

Tdap (Pertussis) Vaccine and Pregnancy – CDC

Tetanus, Diphtheria and Pertussis (Tdap) Vaccine – Mother to Baby

Tdap Vaccination in Pregnancy – CMAJ

22 Weeks

Body Work

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.

Body Work and Self-Care – Spinning Babies

Benefits of Massage – American Pregnancy Association 

Pregnancy – Canadian Chiropractic Association

Is Acupuncture Safe during Pregnancy? – West End Mama

Craniosacral Therapy in the Midwifery Model of Care – Midwifery Today

Why you might want to see an Osteopath during Pregnancy – Fit Mom

Osteopathy for Pregnant Women? Absolutely! – Force Medic


24 Weeks

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.

Gestational Diabetes – Visual Tools to Support Informed Choice

Glucose Testing: Screening for Gestational Diabetes – PregnancyInfo.ca

Gestational Diabetes Management – Canadian Diabetes Association

Gestational Diabetes Mellitus – Saskatchewan Prevention Institute

Screening for Gestational Diabetes – My Health Alberta

Know the Signs & Symptoms of Preterm Labour

Preterm Labour Signs & Symptoms – Best Start

Preterm Labour – Ontario Prenatal Education

Preterm Labour – My Health Alberta

Preterm Labor Patient Education – March of Dimes

Preterm Labour and Birth – ACOG

26 Weeks

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

28 Weeks

Client with Negative Blood Groups need Rhogam

Your midwife will give you a prescription and instructions at your prenatal care appointment.

Blood Groups and Red Cell Antibodies in Pregnancy – National Health Service

Rh Blood Groups – PregnancyInfo.ca

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

What are Hypertensive Disorders of Pregnancy? – AOM

Gestational Hypertension – PregnancyInfo.ca

Fetal Movement

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.

Fetal Movement and Kick Counts – PregnancyInfo.ca

Baby Movement Counting – BC Women’s Hospital


30 Weeks

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.

32 Weeks

Learn about Labour & Birth

Prenatal Class Options – Maternity Care Midwives

Tips for Labour Progress – Spinning Babies

Lamaze Healthy Birth Practices – Lamaze

Prenatal Classes and Preparing for Delivery – PregnancyInfo.ca

Book your Acupuncture Appointments with Local Practitioner Carrie Johnsen

Pack your Hospital Bag or Prepare your Homebirth Supplies

Hospital Bag Packing Guide – Maternity Care Midwives

Homebirth Supplies Checklist – AOM

What to Pack – PregnancyInfo.ca

Belly Mapping

The Basics of Belly Mapping: How to tell Baby’s Position – Spinning Babies


33 Weeks

Create a “Birth Plan”

Your Birth Plan – PregnancyInfo.ca

Watch The Labour and Delivery Tour

Do a Hospital “Drive By”

Hospital Parking Map

34 Weeks

Practice Comfort Measures, Relaxed Breathing, and Labour Positions

Go to our “Body Work” page to find out more. Click here!

Learn How to Breastfeed

Breastfeeding Matters: An Important Guide to Breastfeeding for Women and their Families – Best Start Ontario

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

Choosing a Child Car Seat – Ministry of Transportation

Installing a Child Car Seat or Booster Seat – Government of Canada

Safe & Secure – Ministry of Transportation 

Car Seat Laws – Kids Play Safe


35 Weeks

Group B Streptococcus Screening

Group B Streptococcus – Maternity Care Midwives

Group B Strep (GBS) in Pregnancy and Birth: What’s a Mom to Do? – Aviva Romm

Group B Streptococcus Screening – PregnancyInfo.ca

Labour Preparation

Stages of Labour Handout

Tips for Labour Progress – Spinning Babies

Pain Medications in Labour – Ontario Prenatal Education

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

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).

36 Weeks

Review When to Page

Paging Instructions –  Maternity Care Midwives

Eat Dates

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

Hand Expression of Breastmilk Video – Stanford Medical 

Antenatal Expression of Colostrum – La Leche League

Expressing your milk before your baby arrives (Antenatal expressing) – Association of Breastfeeding Mothers

Collecting Colostrum While You’re Pregnant – CFPCN


37 Weeks 

Interventions in Labour

Interventions in Labour – Ontario Prenatal Education

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.

Nipple Stimulation

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).

Sexual Intercourse

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.

38 Weeks

Newborn Medications & Screening Tests

The Vitamin K Shot in Newborns – Evidence Based Birth

Evidence on Erythromycin Eye Ointment for Newborns – Evidence Based Birth

Newborn Screening Ontario Website

Critical Congenital Heart Disease (CCHD) Screening – Newborn Screening Ontario

Your Baby’s Hearning Screen – Ontario Government

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.

39 Weeks

Learn about when your pregnancy goes past your due date (40 weeks) and induction of labour.

When your Pregnancy goes Past your Due Date – AOM

Oxytocin: To Help Start or Speed Up Your Labour – PCMCH

40 Weeks

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.