The World Health Organization states that midwives should be regarded as the best caregivers for those experiencing a normal healthy pregnancy. Around the world, most babies are born with the assistance of a midwife, either in hospital, at a birth center or at home. In BC 16% of babies are caught into the hands of midwives.
Midwives offer all of the provincially funded routine ultrasounds and blood tests. Visits take place at our clinic and in your home when desired and feasible. In addition to regular pregnancy checkups, we are available by pager 24/7. In labour we will do home assessments as needed and remain in attendance through active labour until mom and baby are stable and settled, usually two or three hours after the birth.
Ten Moons midwifery believes that optimal maternity care can be provided by supporting families with an interprofessional approach.
We consult doctors, nurse practitioners, obstetricians, nutritionists and other health profesionals on an as needed basis and encourage collaboration to provide comprehensive care. Our consultation guidelines can be found here.
With every birth a new family is born. We are privileged to be with you and to witness this transformative journey.
FREQUENTLY ASKED QUESTIONS
How much does midwifery care cost?
BC Ministry of Health covers the cost of midwifery care for all BC residents with a valid Care Card through the BC Medical Services Plan (Its FREE!) It is important to note that coverage is provided for only one primary health care provider for healthy pregnancies in BC, which means you get to choose whether you are followed by a doctor or a midwife. If needed, consultation with specialists are arranged. Care is transferred back to your doctor or nurse practitioner at six weeks postpartum.
*Please talk to us if you are not covered by BC medical.
What is a Midwife?
ICM International Definition of the Midwife:
A midwife is a person who has successfully completed a midwifery education programme that is duly recognized in the country where it is located and that is based on the ICM Essential Competencies for Basic Midwifery Practice and the framework of the ICM Global Standards for Midwifery Education; who as acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery and use the title ‘midwife’; and who demonstrates competency in the practice of midwifery.
Scope of Practice: The midwife is recognised as a responsible and accountable professional who works in partnership with clients to give the necessary support, care and advice during pregnancy, labour and the postpartum period, to conduct births on the midwife’s own responsibility and to provide care for the newborn and the infant. This care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance and the carrying out of emergency measures. The midwife has an important task in health counselling and education , not only for the woman, but also within the family and the community. This work should involve antenatal education and preparation for parenthood and may extend to preventative women’s health, sexual or reproductive health and child care. A midwife may practise in any setting including the home, community, hospitals, clinics or health units.
What does that really mean?
Literally it means “WITH WOMAN”
Registered Midwives in BC offer maternity care to families and their newborn babies throughout pregnancy, labour and birth (optimal and complicated), until six weeks postpartum. Midwives listen, observe, educate, guide, and care. They order and interpret tests and discuss results. They screen for physical, psychological, emotional and social health. They are with women during pregnancy, labour and birth, normal and complicated. They catch babies. They do home visits postpartum. They help with breastfeeding and adjusting to life with a new baby. They work together and with other health professionals. They practice evidence-based, client-centered maternity and newborn care and are an established part of the BC health care system. (Midwifery Association of British Columbia)
We see childbirth, although amazing, as a normal life event. You and your baby’s health is everyone’s priority. We believe this can be achieved through mutual sharing of knowledge where you are respected as an expert in your own health care. We spend as much time as needed reviewing evidenced based information so families can make informed decisions about their healthcare.
Here is the College of Midwives of BC Philosophy.
How are midwives qualified?
Midwives are specialists in pregnancy and birth. We have completed a four-year medical degree known as a ‘Bachelor of Midwifery’ in order to gain the knowledge, skills and experience to provide safe and professional midwifery care. This is then followed by a year of one on one mentored practice and professional development support. Midwives are registered with and regulated by the College of Midwives of British Columbia according to the BC Health Professions Act, the Midwives Regulation, and the CMBC Bylaws. Midwives have been regulated and legally recognized as autonomous health care practitioners in BC since 1998.
Will I have access to the same tests and prescriptions that I would have had with a doctor?
Midwives offer a complete panel of prenatal laboratory tests, genetic screening and diagnosis options, ultrasound imaging and many other tests and procedures for our clients. A midwife's scope of practice includes the use of many medications that may be indicated in pregnancy, during birth, in emergency situations, and during the postpartum period. If additional medications or testing is required, midwives consult with and refer to physicians and Nurse Practitioners as indicated for more specialized care.
Examples of tests are:
• Blood tests
• Ultrasound scans
Examples of referrals are:
• General Practitioner (Doctor)
• Social Workers
• Public Health
Your midwife is the first person to contact with questions or issues regarding your pregnancy. We are available 24hrs a day for emergencies or urgent issues, or during normal working hours for normal enquiries.
Can I have a midwife? Am I low or high risk?
Midwives can care for the majority of pregnancies, including those who have had previous caesarean sections, or who have gestational diabetes. In some cases we may do shared care with an obstetrician, for instance if you are pregnant with twins. If you are unsure, contact us, and we will be happy to discuss the safest care option for you.
How can I find out my due date?
To find out your due date you can use a pregnancy ovulation calculator such as
We can also arrange an early dating ultrasound for you.
Do I need a referral to see a midwife?
No. simply call us or fill in our intake form and we will contact you to set up an appointment.
IT’S NEVER TOO LATE TO CHOOSE A MIDWIFE!
Did you know that you can choose to have a midwife at any point throughout your pregnancy or even after the birth of your baby?
Where do Midwives attend births?
We have extensive experience with both home and hospital births, including water birth, and have privileges at Powell River General Hospital. We want to support you to birth wherever you will feel safe. Rarely complications in pregnancy can present that may require you birth outside of Powell River. We will assess your risk throughout pregnancy to determine the safest place for you to birth your baby.
How long and how many visits do you offer?
Visits are usually 30-45 minutes. Please feel welcome to book a FREE introductory appointment. All appointments are FREE paid for by your MSP, provincial health care insurance.
This is followed by:
• A comprehensive booking appointment
• Monthly visits until 28 weeks of pregnancy
• Visits every three weeks until 36 weeks of pregnancy
• Weekly visits until you have your baby
• Frequent home visits in the first two weeks postpartum
• Option of attending monthly breastfeeding group visits
• Continued visits until six weeks postpartum
The number of visits can be increased if necessary (or decreased if you wish).
We offer a combination of home and clinic visits.
Do you visit at home when I am in labour?
Yes! Unless your labour is progressing very quickly and you are planning a hospital birth, we will usually come and see you at home in early labour and decide together when to go to hospital.
What happens during appointments?
Appointments serve several purposes. They are a time for you and your midwife to get to know each other, to answer questions, for discussion about birth plans, and to check on the health of you and your baby during pregnancy.
Appointments can include:
• Information and ordering of tests and scans
• Health and wellbeing discussions for you and your baby
• Discussion about support groups available in the community
• Listening to your baby’s heart rate
• Ensuring your baby is growing well
• Determining the position your baby is in prior to birth
• Blood pressure to monitor for problems such pre-eclampsia
• Discussion about labour, birth, and postnatal options
• Referrals to other practitioners as needed
• Answering any questions or concerns
How busy are you?
At the moment we are still new in town but are hoping for a shared case load of 4-6 clients a month and believe that the best maternity care is provided by having this smaller caseload so that we can be more flexible for clients and provide higher quality care.
What is your backup support system?
Ten Moons Midwifery currently has two midwives Elisha Manson and Sheena Nordman. We share all of our clients, which means you will get to know us both very well throughout your pregnancy.
We are in the process of training second birth attendants. This means that when there is a homebirth it will be attended by the midwife on call and either the other midwife or one of the trained 2nd birth attendants. In the long run this will ensure that we have protected time off call for a sustainable work life balance.
In some circumstances, when we have no one due, we will have a family doctor cover us if we both need to be out of town. Again, this will only be if there is no one due to have their baby.
Off call: What does it mean for us and for you?
In midwifery we need to take a break just like everyone else so that we can rest and spend time with our families. We call this situation being “off call”. The midwife on call carries a pager (1 866 671 2576). Please use the pager, not our cell phones, to respect the midwife who is off call.
What is the difference between a midwife and a doula?
Doulas do not provide medical care and do not deliver babies. Midwives are trained to provide all the necessary medical care and to monitor the health and well-being of you and your baby. Doulas work as a part of the team, with a midwife or doctor and nurse. Doulas provide continuous emotional and physical support to the laboring woman and her partner family, and are a positive addition to the birth team for couples who want extra support. For more information about doulas, please see the Doulas of North America Website or the BC Doula Services Association. (Midwifery Association of British Columbia)