Updated June 17, 2026
Midwives have a responsibility to take action when they see unsafe practice or unprofessional conduct.
Taking action on concerns about practice
Fitness to practice
Each case is different and assessed on a case-by-case basis. Generally, BCCNM cannot suspend a midwife without an investigation. In extraordinary cases, BCCNM can, following a formal legal proceeding, limit or suspend a midwife's practice during an investigation. This type of action is very serious and reserved for allegations of acute concern, i.e., when a midwife's reported conduct or practice poses an imminent and significant ongoing danger to the public.
When applicable, BCCNM tries to work consensually with midwives to establish voluntary risk mitigation measures that will protect the public during the investigation period.
Common measures include the midwife agreeing to:
If a midwife will not consent to the risk mitigation measures the Inquiry Committee believes are necessary, BCCNM may proceed to seek extraordinary action. See how BCCNM resolves a complaint and professional conduct review process for more information.
The Health Professions and Occupations Act (HPOA) states no action for damages may be brought against a person for making a report in good faith where the person has a legal duty by the college to report. Midwives in all positions and settings have a legal and ethical duty to report incompetent or impaired practice, or unethical conduct of any regulated health professional.
Generally, no. Formal complaints or reports must be in writing and signed. During the Professional Conduct Review process, the reported midwife gets a copy of the complaint including the complainant's name.
If there is an immediate concern for public or personal safety, BCCNM may withhold a name or act on an anonymous complaint. More information about making a complaint.
You have a professional and ethical obligation under the HPOA to address this type of practice by any health professional. Our resource Taking action on concerns about practice will help you identify and document behaviors of concern and decide what to do.
For further guidance on understanding and applying the standards of practice, contact our team by completing the Standards Support intake form.