Clinical Practice Guidelines

The AOM produces evidence-based clinical practice guidelines (CPGs) consistent with the midwifery philosophy of care, including informed choice, client as the primary decision-maker, choice of birthplace, and appropriate use of technology. CPGs summarize research and are seen as a key way to facilitate evidence-based practice, especially when making decisions about health care.

The AOM uses the internationally-recognized GRADE methodology to critically appraise the evidence ensuring that the recommendations in the CPG can be trusted by our members. For more information on how AOM CPGs are developed, please review our Values-Based Approach to CPG Development document, which outlines the selection process for CPG topics, use of evidence, and development of recommendations.

Learn more about how CPGs are different from practice protocols and how AOM's CPGs strengthen midwifery in Ontario.

Click here to find out if there are vacancies on the CPG Committee.

Questions or comments? Contact Emma Anderson.

UPDATED: Antepartum, Intrapartum and Postpartum Management of Group B Streptococcus Opens in a new tab

2022

This CPG provides a critical review of the research literature on the management of Group B Streptococcus.

Note: This CPG updates and replaces Group B Streptococcus: Postpartum Management of the Neonate (2014) and Group B Streptococcus: Prevention and Management in Labour (2010). 

Additional resources include:

Antepartum, Intrapartum and Postpartum Management of Group B Streptococcus Summary

Antepartum, Intrapartum and Postpartum Management of Group B Streptococcus GRADE Tables

 

UPDATED: Vaginal Birth After Previous Low-Segment Caesarean Section Opens in a new tab

2021

This CPG provides a critical review of the research literature on the management of uncomplicated pregnancy in clients who have had a previous low-segment caesarean section.

Note: This CPG was originally released in 2011 and updated in 2021. 

Additional resources include:

Accouchement Vaginal Après Césarienne Transversale Basse (French Clinical Practice Guideline)

Vaginal Birth After Previous Low-Segment Caesarean Section GRADE Tables 

UPDATED: Management of the Uncomplicated Pregnancy Beyond 41+0 Weeks' Gestation Opens in a new tab

2021

This CPG provides a critical review of the research literature for clients with uncomplicated pregnancies reaching 41+0 weeks’ gestation and beyond, and offers recommendations regarding management options.

Additional resources include:

Management of Uncomplicated Pregnancies Beyond 41+0 weeks' gestation CPG Summary

Management of Uncomplicated Pregnancies Beyond 41+0 weeks' gestation GRADE Tables