Pregnant women have the choice of one primary care provider throughout pregnancy and birth. You may choose an obstetrician, a family physician or a midwife. Our healthcare system will not pay for two primary care providers, so you must choose to have a midwife or a doctor, but not both. Clients of midwives have access to everything that patients of doctors can access, including genetic testing, laboratory testing, ultrasounds, pain medications in labour, and referrals to specialists. If at any point in your pregnancy a referral to a physician were indicated, your midwife would consult with a doctor while continuing to provide complete maternity care services.