Revised: June 11, 2018
1.1 Drugs which may be independently prescribed, ordered and administered by a midwife.
The following standards, limits and conditions apply to the schedule of drugs and substances which midwives are able to independently prescribe, order and administer in the community, hospital or other sites of midwifery practice. This list is inclusive. Midwives may not independently prescribe, order or administer any other drugs or substances unless, on the advice of the College’s Multidisciplinary Standards of Practice Committee, these standards are amended consistent with the Schedule A and B of the Midwives Regulation or the government amends the Schedules to the Midwives Regulation.
These Standards provide indications, routes of administration and upper dosage limits where appropriate, for drugs which may be prescribed, ordered or administered by midwives. Following these Standards is mandatory for all registered midwives.
Management decisions on clinical data should be based on local dosage and administration where these differ from those provided in this standard.
- Amoxicillin (Amoxil®, Polymox®, Trimox®)
- Cephalexin (Keflex®)
- Nitrofurantoin (Macrobid®; Macrodantin®)
- Cefixime (Suprax®)
- Clotrimazole (Canesten®)
- Miconazole (Monistat®)
- Nystatin (Nilstat®, Mycostatin®)
- APNO (All Purpose Nipple Ointment) – mupirocin, betamethasone, miconazole
- Triamcinolone (Kenacomb®) – neomycin sulfate – nystatin – gramicidin
- Doxylamine succinate – pyridoxine hydrochloride (Diclectin®)
- Dimenhydrinate (Gravol®)
- Metoclopramide (Maxeran®, Apo-Metoclop®)
- Ranitidine (Zantac®, Apo-Ranitidine®, Novo-Ranidine®, Nu-Ranit®)
- Flu and Seasonal Influenza Vaccine
- Hepatitis B vaccine (HyperHep®, BayHep®, Infanrix hexa®)
- Measles / Mumps / Rubella (MMR) Vaccine
- TDaP Vaccine (Adacel®)
For Hormonal Contraception, please refer to the Standards, Limits and Conditions for Prescribing, Ordering and Administering Contraceptives.
2.1 Drugs which may be independently prescribed, ordered and administered by a midwife with specialized practice certification or which may be administered after consulting with and on the order of a physician.
For Controlled Substances for use in prodromal and active labour and for use in the early postpartum period, please refer to the Standards, Limits and Conditions for Prescribing, Ordering and Administering Controlled Substances.
For antibiotic treatment of Sexually Transmitted Infections, please refer to the Standards, Limits and Conditions for Prescribing, Ordering and Administering Drugs for Sexually Transmitted Infections.
Midwives Regulation, Schedules A and B – Issued: September 15, 1997
Bylaws for the College of Midwives of BC – Revised: April 26, 2000
Standard Fifteen – Revised: September 5, 2002
Revised: September 5, 2002
Revised: February 24, 2003
Revised: May 20, 2004
Revised: October 14, 2004
Revised: December 13, 2004
Revised: July 28, 2005
Revised: November 27, 2006
Revised: July 12, 2007
Revised: November 20, 2007
Revised: February 23, 2009
Revised: June 15, 2009
Revised: October 5, 2009
Revised: October 22, 2009
Revised: November 6, 2009
Revised: December 7, 2009
Revised: June 27, 2011
Revised: December 12, 2011
Revised: March 5, 2012
Revised: June 18, 2012
Revised: September 10, 2012
Revised: December 10, 2012
Revised: June 24, 2013
Revised: September 23, 2013
Revised: March 17, 2014
Revised: September 29, 2014
Revised: March 9, 2015
Revised: June 22, 2015
Revised: June 6, 2016
Revised: September 26, 2016
Revised: March 6, 2017
Revised: June 13, 2017
Revised: December 11, 2017
Revised: March 5, 2018
Revised: June 11, 2018