AOM Clinical Practice Guidelines

Since 1999, the AOM has produced evidence-based clinical practice guidelines (CPGs) consistent with the midwifery philosophy of care that reflect the values of the AOM, including informed choice, client as the primary decision-maker, choice of birthplace, and appropriate use of technology.

AOM CPGs are developed using the Values-Based Approach to CPG Development, a document that outlines the selection process for CPG topics, use of evidence, and development of recommendations.



No. 16: Group B Streptococcus: Postpartum Management of the Neonate (2014)
This CPG provides a critical review of the research literature on the management of Group B Streptococcus during the neonatal period.


No. 15: Hypertensive Disorders of Pregnancy (2012)
This CPG provides a critical review of the research literature on the screening, diagnosis and management of hypertensive disorders of pregnancy within the context of provision of midwifery care in Ontario.


No. 14: Vaginal Birth after Previous Low-segment Caesarean Section (2011)
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.


No. 13: Management of Prelabour Rupture of Membranes at Term (2010)
This CPG provides a critical review of the research literature on the management of prelabour rupture of membranes at term gestation.


No. 12: The Management of Women with a High or Low Body Mass Index (2010)
This CPG provides a critical review of the research literature on the management of uncomplicated pregnancy in clients who have a pre-pregnancy body mass index less than 18.5 or greater than or equal to 30.


No. 11: Group B Streptococcus: Prevention and Management in Labour (2010)
This CPG provides a critical review of the research literature on the management of Group B Streptococcus during labour.


No. 10: Management of the Uncomplicated Pregnancy Beyond 41+0 Weeks' Gestation (2010)
This CPG provides a critical review of the research literature for clients reaching 41+0 weeks’ gestation and beyond in an uncomplicated pregnancy and offers recommendations regarding management options.

CPGs from 1999 to 2006:

No. 9: Prevention and Management of Postpartum Hemorrhage

No. 8: Parvovirus B19 Infection in Pregnancy

No. 7: Screening for Gestational Diabetes

No. 2: Physical Assessment of the Well Woman

No. 1: Physical Assessment of the Newborn


The following CPGs are no longer in use:

No. 6: Antenatal Fetal Assessment
No. 5: Vaginal Birth After One Previous Low-Segment Caesarean Section (Replaced by No. 14)
No. 4: Guideline for Monitoring Blood Pressure in Pregnancy (Replaced by No. 15)

For access to these documents, please contact Anna Meuser, clinical practice guidelines manager at anna.meuser@aom.on.ca or 416-425-9974 x2242.

CPG summaries and other resources for CPG use


Group B Streptococcus: Postpartum Management of the Neonate (2014)



CPG Summary: Group B Streptococcus: Postpartum Management of the Neonate (2014) offers convenient access to some of the most essential content of the full CPG. For a complete analysis of the research relevant to the midwife's management of Group B Streptococcus in the postpartum period, along with citations, readers are encouraged to refer to the full guideline.


The GRADE Approach to CPG Development
Group B Streptococcus: Postpartum Management of the Neonate is the first AOM CPG developed using the GRADE methodology for guideline development. This supplement describes the GRADE methodology and offers guidance on interpreting recommendations made using GRADE.
Online Appendix: GRADE Tables
Three of the research questions developed to guide the CPG Group B Streptococcus: Postpartum Management of the Neonate addressed clinical findings that could be summarized in GRADE quality evidence and summary of findings tables.


Hypertensive Disorders of Pregnancy (2012)


CPG Summary: Hypertensive Disorders of Pregnancy (2012) offers convenient access to some of the most essential content of the above clinical practice guideline. For a complete analysis of the research relevant to HDP and midwifery practice along with citations, readers are encouraged to refer to the full guideline.

Other AOM Professional Guidelines

     No. 3 - Practice Guide to Peer Review - updated and incorporated into Management of Critical Occurrences (May 2009)

Other Professional Guidelines

     Intrapartum care: care of healthy women and their babies during childbirth
     National Institute for Health and Clinical Excellence (NICE), UK

     Canadian Disclosure Guidelines
     Canadian Patient Safety Institute (CPSI)

     Should you wish to provide the AOM with any feedback regarding this web site, please email the AOM at admin@aom.on.ca.