Archive of Practice Guidelines 
 ~ Documents all pre-date 2006 CCM Standard of Care 

Informed Consent

Part Two ~ 
Technical Bulletins

Generally-Accepted Practices / characteristics of clinical competency for professionals 
 (part One), including samples of  informed consent for home-based birth services 
& informed decline of standardized maternity care 
most recent edit 1/23/04

Instructions for Review and Feedback

Background Information & On-line Resources for the 
"Generally-Accepted Practice / Characteristics of Clinical Competencies",
 included in the hard-copy "Blue Book"

Coalition for Improving Maternity Services "Consensus Statement"
CIMS Mother-Friendly Childbirth Initiative  

Alison Osborn Standards
duties and guidelines of Practice for community-based midwifery
 -- acknowledged by Administrative Law Judge 
in precedent-setting 
California case

Maternity Center Association "Maternity-Wise" resources
The Rights of Childbearing Women


  Generally Accepted Practice / characteristics of clinical competency
Part One ~ Standard of Care Guidelines ~ 1a to 3d
for review by professionals, childbearing women and consumer advocates

2nd Draft,  including samples of  informed consent for 
home-based birth services  & informed 
decline of standardized maternity care  (3a thru 3d) 
A - Letter of explanation for Expert Reviewers 
B - Specific Instructions
If you are licensed in California, Please read the Expert Reviewer letter and instructions
before reading and commenting on the Characteristics of Competencies below

Boxed Subdirectories for1a -e, 2a, & 3a - d 

1a   Overview of Foundational Principles, pertinent  background material from the Maternity Center Association on the Rights of Childbearing Women  and Evidenced-Based Maternity Care 1b College of Midwives' British Columbia Guidelines Continued

9. Criteria for Client Selection and preliminary Consultation; Indications for Discussion, Consultation and Transfer of Care during the antepartal, intrapartum / neonatal & postpartum

10a. Criteria for LMs Attending Special Circumstances Birth/ Moderate Risk Labor at Home:  10b. Parental Waiver for VBAC

1c Outline of Principles of Mother-Friendly Maternity Care
-- outline contains Legal and Ethical Principles of informed consent/refusal  -- a background document for the "Criteria for Client Selection" (1b /part 9)

1b  Guidelines adapted from the College of Midwives of British Columbia, Canada (10-part)
Midwifery Model of Care
2. Philosophy of Care 
3. Standards of Practice 
4. Code of Ethics
5. Informed Choice Policy
6. Competencies for 
Licensed Midwives

Statement on Home Birth 
with Supportive Citations
Medical Interface & Emergency Transport from 
Home to Hospital

1d Laboratory and other Screening and  Diagnostic Testing, pre-June 2002 GBS protocol -- (needs to be updated); also former ACOG & Stanford protocols


1e  Guideline for Postnatal Management following mild to moderate difficulties during birth at home

Legal issues   2a Midwife Incident Report forms for the CCM membership

Informed Consent  / Special Circumstance Decline  

3a Informed Consent for Home Labor and Birth

3b Informed Refusal of Standardized Care &/or Mfry/Mx protocols - Home-based Birth Services

3d  Samples of Special Circumstance Informed Consent  

3c Group B Streptococcal Infections ~ Client Information and Consent Form  
    (to be replaced on Feb 03)


Please Note: These are only SAMPLES of consent forms used by others and not meant to be used in their current form. Midwives are encouraged to utilize those aspects of the legal theory 
and specific language appropriate to the individual circumstances of the pregnancy, 
parents and modified to be consistent with any pertinent state laws.  

Part Two -- Technical Bulletins, Risk Reduction 
And Clinical Practice Recommendations, Peer-Reviewed journal Articles of Note

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