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B.C. expanding scope of practice for midwives

The province said the change will let nearly 500 midwives provide fuller pregnancy care and prescribe mifepristone for first-trimester medical abortions.

  • On Thursday, Health Minister Josie Osborne announced that B.C. will expand midwife scope of practice, authorizing them to prescribe mifepristone, the abortion pill, for first-trimester medical abortions.
  • This move makes B.C. one of just three jurisdictions in Canada to allow midwives to provide medical abortions early in pregnancy, expanding continuous care for nearly one-in-three births.
  • Nearly 500 midwives, with 80 to 95 working in rural communities, gain authority to prescribe medications for hypothyroidism and lactation suppression, and to perform early-stage ultrasounds.
  • The provincial government is collaborating with the College on regulatory changes required to implement the expanded authorities, though Osborne did not provide a firm implementation timeline.
  • Osborne emphasized the importance of this shift, contrasting B.C.'s efforts to expand reproductive autonomy with the ongoing "gutting of reproductive rights" occurring in the United States.
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Province of BC broke the news on Thursday, May 7, 2026.
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