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91ƵTragic outcomes91Ƶ: B.C. regulator warns against using unauthorized midwives

Unregistered midwives linked to reports of deaths, says B.C. College of Nurses and Midwives

The B.C. College of Nurses and Midwives says it91Ƶs received multiple reports of tragic outcomes, including death, from British Columbians who chose to hire an unauthorized person to assist with their baby91Ƶs birth.

In the last year and a half, the regulatory college says it91Ƶs had 13 reports of incidents involving unregistered midwifery providers. In many cases, the college says, the baby or pregnant person was reportedly harmed and, in some, the baby died.

The college issued a public advisory on Monday (Nov. 6) to draw attention to those risks.

In B.C., people who want to practise as midwives have to complete a four-year undergraduate program and pass Canadian and provincial examinations. They then must register with the College of Nurses and Midwives.

Only those individuals are technically allowed to call themselves midwives or offer birthing services, but the college says it91Ƶs aware of people operating outside of its oversight. Those unauthorized individuals commonly advertise themselves as 91Ƶmidwives,91Ƶ 91Ƶbirth attendants,91Ƶ 91Ƶbirth keepers91Ƶ or 91Ƶtraditional midwifes,91Ƶ the college says.

91ƵThese individuals do not have the same training91Ƶ, experience, and access to life-saving medications and equipment as midwives, nor integration with hospitals for emergency care if needed, resulting in significant risks to the health and safety of birthing persons and their babies.91Ƶ

If something does go wrong with an unauthorized provider, the college says there is also no path for recourse. Those individuals don91Ƶt operate under a regulatory college, so there is no one to file complaints to. They also don91Ƶt carry malpractice insurance, meaning people can91Ƶt recover damages from them if they take them to court.

The college says people who are allowed to operate outside of its framework are doulas. Unlike midwives, doulas can91Ƶt provide clinical care, such as checking cervical dilation or delivering a baby. Their job, rather, is to provide emotional and physical support during someone91Ƶs birthing experience. Doulas often work in tandem with midwives.

The college says pregnant people can easily check whether someone is an authorized midwife by searching for them on the regulator91Ƶs online registry. There are 387 authorized and practising midwives in B.C.

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