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There are three rare situations in which a patient would qualify for medical exemption from the COVID-19 vaccine:

1.     Severe allergic reaction (i.e., anaphylaxis) to a previous dose of a COVID-19 mRNA vaccine, as confirmed by an allergist


2.     An allergy to a component (PEG (Polyethylene glycol), Tromethamine and Polysorbate), of the COVID-19 vaccine, as confirmed by an allergist


3.     Myocarditis or pericarditis after a first dose of an mRNA vaccine – as a precautionary measure, the second dose of the series should be deferred in individuals who experience myocarditis or pericarditis following a first dose of an mRNA vaccine as confirmed by a physician, until more information is available.


***The physicians at Grandview will be writing COVID-19 vaccination medical exemption notes based on the criteria laid out by the College of Physicians and Surgeons of Ontario.  The CPSO advises that your physician is not able to provide a letter to exempt you from a COVID vaccine on the basis of any religious or personal beliefs, or for any medical condition not listed above.***

Prenatal Care

Prenatal care can help keep you and your baby healthy.  As soon as you discover you are pregnant, call Grandview Medical Centre to make an appointment to see one of our Nurse Clinicians.

Our Nurse Clinicians will do an initial pregnancy assessment and follow you in the early stages of your pregnancy.  They will also arrange a referral to an obstetrician.

If you wish to see a midwife, you are able to refer yourself.  Contact below: 

Cambridge Midwives
22 George Street North
Cambridge, Ontario N1S 2M8
Phone: 519-624-9708

Guelph Midwives
176 Wyndham Street North
Guelph, Ontario N1H 8N9
Phone: 519-823-9785             

Kitchener Waterloo Midwifery Associates
900 King Street West
Kitchener, Ontario N2G 1G5
Phone: 519-569-8679

Born Midwives
205-766 Hespeler Road
Cambridge, ON



If you are thinking about becoming pregnant you should be taking care of yourself now.

Begin to take 1 mg of folic acid daily.

Women with no personal health risks, planned pregnancy and good compliance require a multivitamin with folic acid for at least 2-3 months before conception and throughout pregnancy.

Women with compromised health or those with a previous child in the family with neural tube defect require multivitamins with 5 mg of folic acid.  Check with your Doctor or Nurse Clinician prior to becoming pregnant if you think you may need the higher dose.  

Quit smoking and encourage your partner to quit as well.

Abstain from alcohol and the use of recreational drugs as well as herbal medications.  

Review any current prescription or over the counter medications with our Clinical Pharmacist, Nurse Clinician or Physician.  You can also contact Motherisk  for drug information or call 1 - 416-813-6780

Follow the Canada Food Guide recommendations for healthful nutrition in pregnancy or see one of our Dietitians for nutrition advice.  

Early Signs and Symptoms of Pregnancy:

Tender Breasts:  can occur as early as 2 weeks after conception.  Breasts can feel tender, tingly or sore, as well as fuller and heavier


Slight Bleeding or Cramping:  Occurs in some women.  Usually about 10- 14 days after fertilization.  Bleeding is very spottier and lighter in colour than a normal period and does not last long.  Cramps are similar to menstrual cramps.

Nausea:   Can occur as early as 2 weeks after conception


Mood Swings

If you think that you are pregnant, do a home pregnancy test.  These are most reliable (up to 99% accurate) if done 1 week after missed period.  If this is positive and you wish to have it confirmed, call and ask you doctor to order an urine pregnancy test.  If this is positive, make an appointment to see your Physician or Nurse Clinician within 6 - 8 weeks.  

Regular Clinic Hours

Mon - Fri   8:00 am - 5:00 pm

Urgent Matters Only

Mon - Fri   5:00 pm - 8:00 pm
Sat            8:00 am - 2:00 pm


Regular Clinic Hours

Mon - Fri   8:00 am - 5:00 pm

Urgent Matters Only

Mon - Fri   5:00 pm - 8:00 pm
Sat           8:00 am - 2:00 pm