The Second Birth Attendant standard sets out the College’s expectations for non-midwife attendants who provide intrapartum and postpartum care in the role of a second midwife. Currently, the College’s Second Birth Attendant standard applies only to midwifery practices in Alternate Practice Arrangements (APA 2) that grants “permission” to work below the College’s Model of Care standard that requires the attendance of two midwives at every birth.