Midwives have many roles when on call and taking pages, even if it is daytime. We may be sleeping following being up all night, dealing with an emergency, in clinic visits, or delivering a baby. For this reason, please page for EMERGENCIES ONLY! 

Only use the pager for emergency concerns. It is not appropriate to text or email your midwife for emergencies.

Please call the office about the following: 519-637-2224

If it is time sensitive, please indicate that in your message, otherwise, we will return your call within 48 hrs. Our office hours are Monday to Thursday 9:00-4:00, and Friday 9:00-12:00. 

Examples of reasons to call the office:

  • Changing or confirming an appointment
  • Questions about upcoming tests or results
  • General questions about diet, exercise, travel, illness, prescriptions, work letter, etc.

Please Page for the following: 519-631-1510

The following are examples of reasons to page your midwife.  This is not an exhaustive list.  If you are very concerned about a clinical concern page your midwife.

During Pregnancy

  • Vaginal bleeding (spotting is normal after a vaginal exam or sex)
  • Severe abdominal pain (pain in your belly)
  • Severe headache with blurred vision, nausea and vomiting, or abdominal pain
  • Waters break- page for this as directed by your midwife. Note the colour and smell of the fluid. 
  • Decreased fetal movement after 28 weeks. Do a kick count- assess for 6 movements within 2 hours. If not meeting this minimum, please page.
  • Fever higher than 38C uncontrolled by tylenol

If you have non-pregnancy related concerns and you are less than 20 weeks, please attend the emergency department. 

If you have non-pregnancy related concerns and are greater than 20 weeks, please page first as we may need to assess you before you attend the emergency department.

Paging in Labour

  • If you are less than 37 wks and think you may be in labour, page your midwife!
  • If you are greater than 37 wks, please refer to the Early Labour Handout that you were given and any specific directions given to you by your midwives based on your personal history and situation.

Postpartum

  • You have completely saturated a maxi pad in 30 minutes or less
  • A fever of greater than 38C
  • A sore, red, painful, hot area on your breast or chest
  • Flu-like symptoms
  • Ongoing or worsening uterine tenderness
  • Vaginal discharge that smells very bad
  • Blurry vision, upper abdominal pain, or a severe headache
  • Ongoing feelings of depression, uncontrollable crying, inability to sleep or eat, extreme anxiety or anger
  • Sore, red, painful, hot area on your leg, especially your calf
  • Severe chest pain

Baby

  • Will not eat for greater than 6 hours
  • Is breathing very fast (panting) for more than 10 minutes or seems to be struggling with breathing
  • Has not peed and pooped yet by 24 hours after birth
  • Has a temperature of greater than 37.5C (99.5F) or less than 36.5C (97.5F) after wrapping or unwrapping the baby and reassessing 10 minutes later

Your Midwives are: (please enter your midwives extension) 519-631-1510

Erin Thorp Ext 1 Sarah Pellegrino Ext 6

Jill Portelance Ext 2 Jasmine Lalonde Ext 7

Natalie Piche Ext 3 Elizabeth de Jong Ext 8

Cassidy Barfett Ext 5

If you reach a midwife’s voicemail, leave a message and they will call you back shortly, often from an “Unknown number”.  You may also be forwarded to a different midwife or a student midwife’s voicemail.  Please page again if you do not hear back within 15 minutes. Page a different midwife if your call is still not returned after another 5 minutes.