Non-indicated Transfers of Care from Midwives to Physicians in Ontario​

Summary 

Co-Investigators + Trainees 

Eileen Hutton, Emmanuel Guindon, Cristina Mattison, Jean-Eric Tarride, Simon Deluce, Erica Elderhorst

Studies 

1

Objective: To describe the rates and indications for transfers of care from midwives to obstetricians in Ontario that are not required by the College of Midwives of Ontario and to examine variations in rates across the province 
​Method: Retrospective cohort study

2

Objective: To compare birth outcomes for midwifery clients who remain under midwifery care with those of clients who experience a non-indicated transfer to obstetrical care using 2012-14 data from the BORN perinatal registry 
​Method: ​Retrospective cohort study 

3

Objective: To compare birth outcomes for midwifery clients who remain under midwifery care with those of clients who experience a non-indicated transfer to obstetrical care using 2012-14 data from the BORN perinatal registry
​Method: ​Retrospective cohort study 

4

Objective: To examine the cost of non-indicated for transfers of care from midwives to obstetricians in Ontario using administrative health data and BORN perinatal registry data held at ICES
​Method: ​Economic analysis