Pregnancy care without a family doctor: what to do

Without a family doctor, who can provide prenatal care in Quebec?

In Quebec, it's sadly not unusual to find yourself without a family doctor just as you discover you're pregnant 🤰.

The system offers several effective, safe alternatives so that no mother-to-be is left without care.

You have several options:

👩‍⚕️ Care at a CLSC. A general practitioner can take you on, even if you aren't already a patient there. Every CLSC is attached to a hospital that will care for you during the birth. Prenatal care is covered by RAMQ.

Here's the list of CLSCs to contact.

🥼 Care at a GMF clinic. These are Family Medicine Group clinics. Some of them take new patients for prenatal care. To find one near you, go to the website of the CIUSSS for your area, then you can narrow the search by neighbourhood.

🧑‍⚕️ Care at a birth centre. A midwife at a birth centre can look after you if you'd prefer a more natural, personalized approach (though do note that spots are limited).

Here's the list birth centres in Montreal.

💐 Care at a private clinic. This care may be covered by your insurance and gives you access to a dedicated medical team.

The important thing is to act early: contact a clinic, a birth centre or a community organization as soon as you can so your care gets started.

child born without care from a family doctor

Did you know?

Doulas can round out your prenatal care — they offer complete support to get ready and be fully informed about the steps and stages ahead.

How do I get prenatal care started if I don't have a family doctor?

In the whirlwind of finding out you're pregnant, worrying about being "without a family doctor" is very common. I hear this question a lot at the start of my work with families. Here's what to do:

💌 Contact your local CLSC. Explain your situation: they'll assess what you need. Some CLSCs have service points dedicated to prenatal care.

🏥 Contact a family medicine group (GMF) taking new patients for pregnancy care.

🚺 Contact your region's obstetrics referral service. Several regions have centralized waiting lists to spread the available spots among doctors, midwives, referral staff and nurses.

🥼 Register with the GAMF (Guichet d'accès à un médecin de famille), mentioning that you're pregnant (it may speed things up).

🧘🏼 Consider care with a midwife by contacting the nearest birth centre. Do bear in mind that waiting lists can be long, but your request stays confidential and is handled promptly.

Pregnant without a family doctor: who do you call in an emergency?

👉 What should you do if you have contractions, bleeding, reduced fetal movement or any other worrying symptom during your pregnancy while you have no medical care in place?

Here are the options worth considering:

  • Walk-in clinics : Many clinics take minor urgent cases for pregnant women. Do mention your situation at reception.

  • CLSC or local service point : Several have teams dedicated to obstetrics and can refer you quickly depending on the situation.

  • Info-Santé 811 line : You'll be directed to the resource best suited to your state of health.

  • Hospital emergency : The moment your baby's life or your own seems to be at risk (heavy bleeding, loss of fluid, fever, sharp pain, and so on), go straight to the nearest obstetrics unit.

  • Your birth doula : Although she isn't medical staff, she can support you, reassure you, and point you toward the right services.

Keep an up-to-date contact list within reach throughout your pregnancy, including your pharmacist, local emergency numbers, and your birth doula's number if you have one.

pregnant woman who does not have a family doctor

Looking for support? Book your first discovery call.

How can birth doulas help?

The role of birth doulas has changed enormously in recent years. At Ysé Naissance, we go well beyond simple advice. Here's what we bring in practical terms:

  • Emotional support : We help you through the moments of doubt or anxiety. It makes all the difference.

  • Reliable, personalized information : On nutrition, common little complaints, the steps to take to access care, and the alternatives if local medical care is slow in coming.

  • Preparing for the birth : Hands-on workshops, relaxation exercises, natural pain-management techniques, and a walk-through of the possible scenarios given your own situation.

  • Resources and networks : Easy access to a network of experts — lactation consultants, massage therapists, perinatal specialists, nurses, and more.

baby born after prenatal care without a family doctor

Remember that every pregnancy is unique

Choosing a birth doula can make all the difference to how you experience becoming a parent.

Find all of the childbirth preparation services I offer as well as the reviews families I have supported. ⭐️⭐️⭐️⭐️⭐️

Émilie Péru, doula and perinatal naturopath at Ysé Naissance
About the author

Émilie Péru

Doula and perinatal naturopath

Émilie offers families complete, safe support based on up-to-date knowledge. She qualified as a birth attendant (member of the AQD, 2020) and perinatal naturopath, member of the ANPQ.

Over the years, she has supplemented her practice with specializations in breastfeeding, hypnosis for pregnancy and birth, physiological carrying, Spinning Babies® and support for twin births. Since 2023, she has in turn passed on her knowledge as a teacher at the school Mère et Monde, where she trains the new generation of doulas in Quebec.

Meet the team
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