MRCNS approves (APA’s) for Registered Midwives in Nova Scotia

20 Sep 2022

After a robust public consultation process which included our members, other health regulators, healthcare providers and the public the Midwifery Regulatory Council has approved Alternative Practice Arrangements.

APA’s are carefully monitored and transparent perinatal care arrangements that offer midwifery care outside the standard model. They are subject to the Regulations, Bylaws of the Midwifery Regulatory Council of Nova Scotia, and all Standards of Practice, excluding Standards 6.1, which outlines comprehensive midwifery care throughout pregnancy, labour, birth and the postpartum period.

The Alternate Practice Arrangement policy and process was developed to support interprofessional care models and in response to requests from midwives for flexibility in the delivery of midwifery care. It is intended to support those midwives who have innovative proposals to contribute to the health care needs of their community, or who require flexible practise options to remain in the profession.

Midwives in good standing with MRCNS are now eligible to apply for and practise in a APA.

APAs will be established based on community and client need and in collaboration with providers, including but not limited to: serving a population of clients with unique social and/or medical requirements, sustainable practice amongst midwives and the provision of the full scope of practice of midwifery care to the public who may not normally benefit.

The MRCNS would like those who contributed their feedback in this process.

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The Midwifery Regulatory Council of Nova Scotia was established in 2009 to govern the profession of midwifery in the province. The mandate and
legislated duty of the Midwifery Regulatory Council of Nova Scotia is to
serve and protect the public interest by regulating the practice of midwifery. The Council registers qualified, competent midwives to provide
safe, high quality care to women and their families in Nova Scotia. The
Council is mandated to protect the public by ensuring that all registrants
engaged in clinical midwifery practice are safe, competent, and ethical

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