Standards, Limits and Conditions for Prescribing, Ordering and Administering Contraceptives

Revised: March 4, 2019

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Under Schedule B of the Midwives Regulation, midwives with specialized training certified by the College of Midwives of BC (CMBC) may prescribe, order and administer contraceptives. Specialized practice certification in this competency area may be obtained through a course or program established or approved under the authority set out in the Bylaws for the CMBC.

These are the standards that midwives with specialized practice certification in hormonal contraceptive therapy are required to follow to independently prescribe, order and administer contraceptives, and that midwives with additional specialized practice certification in intrauterine contraception are required to follow to insert intrauterine contraception. Midwives without specialized practice certification(s) must refer their clients to an appropriate health care provider as indicated.

Midwives may only prescribe, order or administer contraceptives according to the standards, limits and conditions set out in this document and to clients under their professional care.

General Prescribing Standards

LIMITS AND CONDITIONS FOR PRESCRIBING CONTRACEPTIVES

In addition to compliance with the standards for general prescribing, midwives who prescribe and order contraceptives:

  1. Are required to obtain specialized practice certification in this area from CMBC. This can be achieved by notifying CMBC of their successful completion of the following course or equivalent: British Columbia Institute of Technology (BCIT)’s NSPN 7720 – Contraceptive Management in Reproductive Health.
  2. May prescribe, order and administer systemic, combined hormonal contraception and progestin-only contraception:
    1. in oral, injectable, transdermal and intravaginal formulations; AND
    2. for up to three months postpartum.
  3. May prescribe intrauterine contraception
    1. for up to three months postpartum.

LIMITS AND CONDITIONS FOR INSERTING INTRAUTERINE CONTRACEPTION

In addition to compliance with the standards, limits and conditions for general and contraceptive prescribing, midwives who insert intrauterine contraception: 

  1. Are required to obtain specialized practice certification in this area from CMBC. This can be achieved by notifying CMBC of their successful completion of and participation in following requirements or equivalent:
    1. British Columbia Institute of Technology (BCIT)’s NSPN 7720 – Contraceptive Management in Reproductive Health; AND
    2. SOGC’s IUC from A to Z followed by completion of CMBC’s Continuing Professional Development Reflective Exercise; AND
    3. IUC Pilot Project Training for Midwives.
  2. May insert intrauterine contraception for up to three months postpartum.
  3. Must maintain competency by inserting at least four IUCs every 24 months.