Women who are covered by a Medical Service Plan do not have to pay for midwifery services in British Columbia. You may choose between a midwife or a doctor. Midwives specialize in home births, water births, and hospital births. In British Columbia, if you see a midwife you will not see a physician unless there are concerns or complications. Most births are normal and there are no complications. If there are complications, midwives can consult or transfer care to a physician. Midwives provide safe and expert care to healthy women and newborns.