IMPORTANT As of Sept. 1, 2020, College of Midwives of BC amalgamated with the BC College of Nursing Professionals to become the BC College of Nurses and Midwives (BCCNM). The new BCCNM website is under construction and will be launched in late Fall 2020.

​In the interim, visitors can still retrieve information about midwifery regulation from the CMBC website or nursing regulation from the BCCNP website. Although the content on both websites may refer to CMBC or BCCNP respectively, it is the most current information on nursing and midwifery regulation. We appreciate your patience while we work towards launching the new BCCNM website and updating all our documents to reflect our new BCCNM name and brand.

Alternate Practice Arrangements

Alternate Practice Arrangements (APAs) are carefully monitored and transparent perinatal care arrangements that offer midwifery care outside the standard model. These arrangements typically have approved exemptions to the Standards of Practice,typically Standard 1.3 (midwife as primary care provider), Standard 6.1 (comprehensive care through all trimesters, labour, birth and postpartum), Standard 6.4 (continuity of care provider, no more than four care providers) and/or Standard 7.2 (providing care in all settings). Care provided must adhere to the Midwives Regulations and Bylaws for the College of Midwives of BC and be approved by the Approval Panel of the CMBC Quality Assurance (QA) Committee.

APAs are established based on community, client and/or provider need. This may include but is not limited to serving a population of clients with unique social and/or medical requirements, and/or sustainable practice amongst midwives and/or other perinatal care providers.

For more information and requirements for APAs, please review the Policy on Alternate Practice Arrangements.