The Centre intégré de santé et de services sociaux de la Montérégie-Centre is proud to have offered midwifery services since September 2011, not to mention being home to the first birthing centre in the Montérégie region!
All the services offered by the midwives are covered by the Régie de l’assurance maladie du Québec.
The practice of midwifery is based on respect for pregnancy and childbirth as normal physiological processes and deeply meaningful events in the lives of women and families.
In Québec, midwifery has been recognized as a legal profession since 1999 and is governed by a professional order. Midwives complete four and half years of university training at the Université de Trois-Rivières.
Who are midwifery services intended for?
A midwife cares for women who:
- are healthy and having a normal pregnancy,
- want a natural birth.
In Québec, midwives follow pregnant women who would like to have a natural birth. They provide the necessary support and use a number of drug-free pain‑relief methods.
Services offered by a midwife
A midwife is a front-line health professional who provides continuous, comprehensive follow-up from the beginning of pregnancy to six weeks postpartum.
She prescribes the tests and examinations needed to ensure a healthy pregnancy: blood tests, screening tests, ultrasounds, amniocentesis, and pregnancy-related medications, as needed.
Different delivery locations
A midwife can deliver babies in several different places: the birthing centre, a woman’s home, or Hôpital du Haut-Richelieu (information below).
The law states that two midwives must always attend each birth, regardless of where the woman is delivering. During the pregnancy follow-up and postpartum period, midwives are available 24/7.
Maison de naissance du Richelieu
A birthing centre is a warm, intimate, family-friendly place where midwives perform prenatal and postnatal consultations and deliver babies.
The Maison de naissance du Richelieu opened its doors in 2012. Certified “Baby Friendly” in December 2013, the birthing centre serves the entire Montérégie region. Priority is given to women living on the territory of the CISSS de la Montérégie‑Centre.
To contact us: Maison de naissance du Richelieu
Services offered at Maison de naissance du Richelieu
Our team of ten midwives offers comprehensive pregnancy follow-up through to six weeks postpartum.
At Maison de naissance du Richelieu, you’ll:
- receive personalized prenatal follow-up from your midwife;
- attend group prenatal meetings;
- give birth in complete privacy in one of our rooms;
- receive close postpartum follow-up at home and at the birthing centre;
- participate in activities of the Parent’ailes parent committee.
Consultation with and transfer to a physician
The Regulation respecting cases requiring consultation with a physician or transfer of clinical responsibility to a physician stipulates cases that must be referred to an obstetrician-gynecologist, whether during the prenatal, perinatal or postpartum period. Midwives are trained in advanced neonatal resuscitation and obstetric emergencies.
Other delivery locations
Certain conditions apply to home births (for example, the distance between the home and the transfer hospital). For a healthy woman who is having a normal pregnancy, a home birth is just as safe as a hospital birth—a fact that has been proven by several studies. The midwives are present from the start of active labour and remain at the woman’s home for at least three hours after the birth.
Delivery at Hôpital du Haut-Richelieu
Women can also give birth with their midwives at Hôpital du Haut-Richelieu. Following the birth, mother and baby will stay at the hospital for 3-5 hours, after which they will be allowed to go home early.
Regardless of where the birth takes place, the midwife makes postpartum visits on day 1, day 3 and day 5 after the baby is born. After that, the midwife will see the mother and baby again at the birthing centre at around 2-3 weeks and 6 weeks postpartum. Additional visits are possible if necessary. In an emergency, midwives can be paged 24/7.