Revised: June 3, 2019
The following standards, limits and conditions apply to the schedule of controlled substances that midwives may independently prescribe, order and administer in the community, hospital or other sites of midwifery practice. Midwives may not independently prescribe, order and administer any other controlled substance unless on the order of a medical practitioner. These standards may be amended by the College of Midwives of British Columbia’s (CMBC) Standards of Practice Committee according to Schedule A and B of the Midwives Regulation.
This document outlines standards for professional behavior, conduct and clinical practice expected of a registered midwife in British Columbia when prescribing, ordering and administering controlled substances. The controlled substances are listed by name, with set limits and conditions, aligned with the midwifery scope of practice.
Limits and Conditions for Prescribing, Ordering and Administering Controlled Substances
Midwives may only prescribe, order or administer the following controlled substances within the standards set out in this document and to clients under their professional care. The entries that follow provide general information and the limits and conditions on these controlled substances approved for use in midwifery practice.
Please note that the included summaries regarding medication suitability in pregnancy and lactation are brief. Prior to counselling a client about the benefits and risks of drug therapy, please review the detailed information in the specific references provided at the end of the document.
and in the Early Postpartum Period
- Acetaminophen with Codeine (Tylenol® with Codeine No.3)
- Acetaminophen with Oxycodone
- Hydromorphone (Dilaudid-HP®, Dilaudid®)
- Acetaminophen with Tramadol (Apo-Tramadol/Acet®, Tramacet®)
1. Formerly Guidelines for Prescribing, Ordering and Administering Drugs
2. Education (e.g. online module, workshop, course or program of study) and assessment that addresses the competencies required to prescribe narcotics and controlled drugs and/or benzodiazepines in the management of labour, birth and the postpartum period.
3. Principles of securely dispensing and managing drug inventory for prescribing narcotics and controlled drugs and/or benzodiazepines are in place for quality assurance purposes.
Approved: June 24, 2013
Revised: December 9, 2013
Revised: March 17, 2014
Revised: December 7, 2015
Revised: February 29, 2016
Revised: June 6, 2016
Revised: December 1, 2016
Revised: March 6, 2017
Revised: June 13, 2017
Revised: June 3, 2019