Women's Health

Obstetrical Clinic


Our multidisciplinary team includes obstetricians, nurses, social workers, dietitians and lactation consultants. Languages spoken by our obstetrical team include French, Spanish, Polish, Italian and Gujarati.

We offer:

  • Education and care before and after your baby is born, as part of your regular appointments
  • Classes and tours to help prepare for birth and parenthood
  • Breastfeeding consultation and support (in hospital and after discharge)
  • State-of-the-art 2D and 3D ultrasound. We are a comprehensive academic centre for all aspects of fetal ultrasound
  • Nutrition counseling by registered dietitians, to help address issues such as nausea, vomiting and/or heartburn; problems with weight gain or pre-pregnancy weight; polycystic ovarian syndrome; diabetes in pregnancy
  • Support from social workers
  • Prenatal counseling and ongoing care for mothers whose babies are at risk of neonatal complications (see below)
  • We are the only obstetrical trauma unit in the Greater Toronto Area

Make an appointment

Routine prenatal care

Your first routine prenatal visit will usually be scheduled between 11-13 weeks (three months). A referral from your doctor is not required for routine appointments; however, a referral is beneficial since we often receive important information from your physician that will assist us in providing the best possible care for you and your baby. If you think you need an earlier appointment (e.g. because of medical concerns), then a referral is required from your family doctor or a walk-in clinic doctor to make sure we are booking your appointment according to your needs.

A member of our staff can assist you with an appointment by calling at 416-867-7421 or fax to 416-867-3742. Please remember to bring your health card or other health insurance for your visit.

High risk prenatal care

How to make a referral

St. Michael’s High Risk Pregnancy Clinic is a referral centre for:

  • all fetal and maternal risks,
  • conditions and complications including:
    • maternal issues such as lupus
    • renal dysfunction
    • heart problems
    • pregnancy-related issues such as infections
    • diabetes in pregnancy
    • perinatal exposure to drugs or illicit substances
    • prenatally-diagnosed fetal abnormalities

Our team includes University of Toronto maternal fetal medicine specialists and specialists in obstetric medicine, infectious diseases and fetal echocardiography. We counsel families and outline and coordinate plans for pregnancy and postnatal care.

Diabetes in Pregnancy Clinic

St Michael's Hospital offers a multidisciplinary approach to the management of diabetes in pregnancy. This includes the planning and coordination of care during pregnancy for:

  • Women with Gestational Diabetes Mellitus (GDM) – diabetes that develops during pregnancy
  • Women with Type 1 or Type 2 diabetes

Team members include:

  • endocrinologists (diabetes doctor)
  • maternal fetal medicine specialists (doctor who cares for unborn babies whose mothers have diabetes)
  • clinic nurse
  • registered dietitian (diabetes educator)
  • diabetes nurse educator
  • social worker
  • sonographer (ultrasound technician)

To access the Diabetes in Pregnancy Clinic, you need to be delivering your baby at St. Michael’s Hospital and you need a referral from your doctor or midwife.   

Social work

Social workers in our obstetrical settings are here to support you through your pregnancy and post-partum for a variety of issues such as:

  • Maternal health concerns
  • Crises in pregnancy
  • Identified mental health conditions, low mood, or anxiety
  • Adjustment to life transitions
  • Grief, loss, and bereavement
  • Parenting support
  • Adoption and surrogacy
  • Intimate and family relationships
  • Housing Supports
  • Addictions

Social workers help you address these issues by conducting assessments, providing supportive counseling, acting as a bridge to community resources by providing information and completing referrals, enhancing communication with your medical treatment team, creating a discharge plan, and helping you access innovative hospital services including the Baby Tuck Shop and Passport Program.

If you would like to see a social worker, please speak to a member of your health care team.

My Baby and Me Passport Program

St. Michael’s Hospital is committed to making your pregnancy as happy and as healthy as possible for both you and your baby.  The My Baby and Me Passport Program helps to do this by increasing access to prenatal care and community services for women who do not have stable housing.

My Baby and Me Passport Program include:

  • A portable health record.
  • Access to TTC tokens and meal vouchers.
  • Tips and tools to help you plan for your pregnancy and birth.
  • Important information about your health and baby’s development.
  • Information about local community resources.
  • A free mobile app to complement the Program available for Android users, iPhones, and Windows Phones

To find out if you are eligible for the Passport Program please speak to a member of your obstetric health care team.

How to find us

The prenatal clinic and Special Pregnancy Clinic are located in the St. Michael’s Health Centre at 61 Queen Street East, 4th floor. The St. Michael’s Health Centre is across the street from the main hospital.

Clinic hours

Monday to Friday, 8:30 a.m. – 4 p.m.

Resources