Affinity Health Clinic is proud to be a satellite  clinic for St. Jacobs Midwives’ Janessa Otto, RM, BHSc (Hon. Midwifery) and Jessica Richardson, RM, BHSc (Midwifery) 

To begin your midwifery care with Janessa and Jessica please call the St. Jacobs main clinic office at 519-664-2542.  http://www.stjacobsmidwives.on.ca

Registered Midwives are health professionals who provide primary care to women and their babies during pregnancy, labour, birth, and the postpartum period. Midwives provide the complete course of low-risk prenatal, intrapartum, and postnatal care including physical examinations, screening and diagnostic tests, the assessment of risk and abnormal conditionas, ande the conduct of normal vaginal deliveries. Midwives work in collaboration with other health professionals and consult with or refer to other medical specialists as appropriate. The midwifery model of care promotes normal birth, enables women to make informed choices, and provides continuity of care and support throughout the childbearing experience. Midwives attend births in hospitals, birth centres and at home. (copied from Canadian Association of Midwives)

There is no direct cost to midwifery clients for care at home or in the hospital—midwifery is covered by OHIP. You do not need a doctor’s referral for our services.

At Affinity Health Clinic, most of our health professionals used midwives during their pregnancies and births at home and in the hospital.  We trust that using a midwife will be a positive experience for you and your family.



Janessa Otto, RM, BHSc (Hon. Midwifery) began her midwifery career with the Niagara Midwives after graduating with honours from the Midwifery Education Program at Laurentian University. She grew up in New Hamburg, ON and is very excited to be back in her home community to work with the St. Jacobs Midwives. While studying midwifery, she completed clinical placements in Kitchener, Welland, and St. Jacobs as well as Benin (West Africa). Janessa feels very privileged to be invited into the birth experiences of her clients and their families.


Jessica Richardson, RM, BHSc (Midwifery) is a Hamilton native and graduate of the McMaster Midwifery Education Program. She launched into her midwifery journey as a student with St. Jacobs Midwives and has been practicing in a bustling urban, full-scope practice in the GTA since graduating. Jessica is thrilled to return to the community where her career began. Pregnancy and birth have always been a fascinating subject to Jessica. Her passion for women’s health was realized during her prior studies at McMaster University. Jessica is astounded again and again at the power of women and the natural process of birth. When not practising as a midwife, Jessica is immersed in life with her family and friends. She feels privileged to be part of such a monumental time in a family’s life.



Can I have a midwife and a doctor?

You can have either a midwife or a doctor. Midwives, obstetricians and family physicians are all considered primary caregivers. A primary caregiver takes sole responsibility for your care. To have two caregivers is viewed as a duplication of health care services.

How often do I see a midwife?

Visits to a midwifery practice occur on a regular basis during which time midwives provide clinical examinations, counseling and education. Appointments are 30 minutes. The appointment schedule follows the standard care model. Prenatal visits are once a month for the first 28 weeks, every two weeks until 36 weeks, and then once a week until your baby is born. Midwives are on-call for emergencies 24 hours a day. Midwives work collaboratively in group practices. A woman receives care from a small number of midwives.

What kind of testing can a midwife order?

There are several tests that a midwife can order. For example, a midwife can arrange for appropriate ultrasound and genetic screening, blood tests and urinalysis, and newborn screening tests.

Is there a charge for midwifery care?

There is no fee charged for midwifery care for permanent Ontario residents. Midwifery care, including prenatal, birth and post-partum care, is paid for by the Ontario Ministry of Health. If you do not have a valid Ontario Health Card or you need clarification of permanent residency, please call the office.


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