College of Midwives of Manitoba
IEP section link

Registering as a Midwife in Manitoba

Routes to Registration as a Midwife in Manitoba

In Manitoba, Canada, the Legislation regulating the profession of midwifery requires that a person must be registered with the College of Midwives of Manitoba to practice midwifery. There are three routes to registration:

  1. Graduation from a midwifery education program that is approved by the College
  2. Completion of an approved assessment or bridging program for internationally educated midwives.
  3. Registration with another Canadian midwifery regulatory body.

Practicing Midwifery in Manitoba

The practice of midwifery in Manitoba may be very different from the way that midwives from other jurisdictions are used to practicing.

The Manitoba Model of Care

Midwifery practice in Manitoba is different from practice in many other countries. It includes:

  1. Primary care: Midwives are autonomous, primary health care providers whom clients may choose as their first point of entry to the maternity care system. They carry a caseload of women who they see throughout their care and only refer to other caregivers, such as obstetricians, according to a detailed list of indications for consultation. They do not work under supervision of a physician, as is the case in some regions of the world. In accordance with the Midwifery Regulation, midwives may order and interpret diagnostic and laboratory tests, may perform minor surgical and invasive procedures, and may prescribe and administer appropriate medications.

  2. Evidence-based practice: Midwives in Manitoba are expected to read and interpret current research on maternity care and incorporate appropriate findings into the care that they offer.

  3. Informed choice: Midwives provide information to enable women to make their own decisions about their care rather than acting as the authority and making such decisions themselves.

  4. Continuity of care: Midwives work in small groups and provide all care within a continuity of care model seeing each woman in their care from early pregnancy to 6 weeks postpartum so that the woman has a chance to get to know each midwife who might attend her in labour. At least one midwife in the group is available on a 24-hour on-call basis (usually call is shared between two to four midwives so they can have time off-call).

  5. Choice of birth setting: Manitoba midwives must provide healthy, low-risk women with a choice of giving birth at home or in the hospital. Midwives have privileges at their local hospital where they work with support from obstetrical nurses and, when indicated, with other health professionals. At home births they usually work in teams of two midwives. They generally have an office/clinic where they provide prenatal and postnatal care. Early postnatal visits usually take place in the client's home. Manitoba midwives must be competent and comfortable working in both hospital and out-of-hospital settings.

In Manitoba:

  • Midwives are primary caregivers. This means that midwives have full legal responsibility for their clients and are not supervised by a physician or obstetrician.
  • Midwives provide complete antepartum, intrapartum and postpartum care to the mother and newborn to six weeks postpartum. Under normal circumstances, a midwifery client and her newborn would not see any other health care practitioner during this time.
  • Midwives must attend both out-of-hospital and hospital births. All midwives must hold admitting privileges in at least one hospital and perform a minimum number of out-of-hospital and hospital births per 2 or 5-year period. Fulfilling these requirements is mandatory for continued registration.
  • Most midwives work in group practices. Each practice group of midwives is required to provide continuity of care to their clients by providing 24-hour on-call service. This means that every midwife works on 24-hour call for lengthy periods of time. They do not work shifts.
  • All midwives are required to provide full service to their clients. This means that midwives never work only in one area of client care, such an antepartum or intrapartum care.
  • Midwives are required to provide clients with full information regarding their care to assist them in making decisions about their pregnancy and birth.
  • Midwives are, among other things, responsible for performing I.V. administration and venipuncture, prescribing, episiotomy, suturing, physical assessment, well-woman gynaecological exams and complete newborn assessment. They are responsible for ordering and interpreting all routine laboratory tests and screening procedures.

Health Services Delivery in Manitoba

Manitoba is divided into 5 health service regions known as Regional Health Authorities (RHAs) that together serve the entire Manitoba population. Each RHA is responsible for ensuring that all residents of the region have fair and equitable access to necessary health services. (For more information on RHAs and a regional map, go to their website at www.gov.mb.ca/health/rha/index.html.)

The majority of health services are provided at no cost to Manitobans. Midwifery is a publicly funded service, which means that a Manitoba woman may seek maternity care from a midwife just as she might from a family physician or an obstetrician.

Most Manitoba midwives are employees of RHAs and, as such, are included in the liability insurance of their employer. Currently midwifery services are available in 4 of the 5 RHAs. The midwifery legislation requires midwives to work in both the out-of-hospital setting and the hospital setting.

How Midwifery Positions Are Funded

The provincial government provides funding to the Regional Health Authorities (RHAs) for midwifery positions. This means that a position may, or may not, be available in the area in which you wish to practice and you may be required to relocate in order to work. From time to time, all the funded midwifery positions may be filled.

Although most midwives are employees of Regional Health Authorities, it may be possible for midwives to work in private practice. This means you may set up your own practice in the location of your choice.

Manitoba Health does not cover midwifery care provided under this model, which means that women must pay for these services themselves.

Further information about midwifery practice in Manitoba and Canada may be found through the following organizations:

Government of Manitoba (MB Health)
Manitoba Association of Midwives (e-mail)
Canadian Midwifery Regulators Consortium
Canadian Association of Midwives

Back to top

Graduates of CMM approved midwifery education program

Education programs are approved by the CMM when it completes an extensive program assessment process that determines that the program meets CMM education standards and policies. Approved program graduates must meet both the entry-level competencies and the clinical experience requirements as set out in the Midwifery Regulation, and must have written and passed the Canadian Midwifery Registration Exam.

All current CMM approved programs are Canadian four-year direct-entry education programs leading to a university degree. All programs offer clinical experience working in a model of practice that is the same or very similar to the model in Manitoba. Graduates from approved programs from outside of Manitoba may be required complete a self-study and orientation specific to midwifery practice in Manitoba. Click here to see the Education Principles supported by the College of Midwives of Manitoba

Formal Programs of study that are currently acceptable to the College include:

  1. Bachelor of Midwifery Program at University College of the North (program offered in Winnipeg)

  2. Ontario Midwifery Education Program

    McMaster University (Hamilton) , Laurentian University (Sudbury), and Ryerson University (Toronto).

  3. British Columbia Midwifery Education Program at University of British Columbia in Vancouver

  4. Mount Royal University

  5. In addition to the approved educational programs listed above, there is a program at Université du Québec à Trois Rivières This program is offered in French only.

Back to top

Midwives registered with another Canadian midwifery regulatory body

Inter-provincial Reciprocity

(applicants from other Canadian jurisdictions where midwifery is regulated)

The Agreement on Internal Trade ("AIT") was signed by the government of Canada and the provincial and territorial governments in 1994. It is a written agreement intended to make it easier for people, investments and services to move across Canada. Chapter 7 of the AIT, the Labour Mobility Chapter, says that a qualified worker in one province must be granted access to similar employment opportunities in another Canadian jurisdiction. Changes to the AIT were approved in January 2009, to take effect as of August 1, 2009. Those changes require all Canadian jurisdictions to accept workers in regulated professions from other Canadian jurisdictions without additional material training requirements. There are some exceptions to that general rule, discussed below, but essentially if a midwife in good standing from a province where midwifery is regulated is applying to become a midwife in Manitoba, the AIT provides that the midwife must be accepted in Manitoba.

For more information please contact the Registrar of the College of Midwives of Manitoba at registrar@midwives.mb.ca or (204)783-4520

Exceptions, as mentioned above include but are not limited to: the right to require a fee upon application and registration; the right to require a midwife to complete a local jurisprudence course; the right to refuse registration to a midwife who is not of good standing or where there is evidence of bad character; or the right to refuse registration where the midwife has terms, conditions and limitations that are not generally used in Manitoba. Midwives from certain provinces may be subject to additional requirements. Specifics regarding these exceptions are available at the following website:
http://www.gov.mb.ca/jec/lmi/labourmobility/index.html

If an applicant for registration in Manitoba is refused registration because she does not meet one of the non-exemptible registration requirements, that applicant is entitled to contact the official labour mobility contact in their home province for assistance.

Application for Registration Package

1. Application for Registration - Practising (PDF)
2. Application Guidelines (PDF)
3. Application Checklist (PDF)
4. Fee Schedule for Initial Application and Registration as a Practising Midwife (PDF)
5. Professional Reference Form

Back to top