Generally Accepted Standards of Practices, Protocols,
Guidelines & Minimum Practice Requirements

For California Licensed Community Midwives

for Karen & Tosi  original MBC October 8th proposal for SB 1950

This version of standards, guidelines and minimum practice requirement is a stand-alone document specifically developed for California Licensed Midwives. While it is similar in many ways to the ACCM's Generally Accepted Practices, it is also distinctly different.

The ACCM standards and guidelines were originally complied in 1998 for LMs, CPMs and CNMs who were members of the ACCM group policy for professional liability insurance.  Since that time several more states have passed direct-entry licensing laws and that has generated an enlarged pool of state statues, regulations and professional association guideline to draw upon.

In addition to these added resources, the California version is also specifically designed to reflect the legal and legislative realities of the Licensed Midwifery Practice Act of 1993 and its amendments.
 

Reviewed by Clinical and Academic Advisors & Experienced Midwives

Start by printing out the title page, the bibliography, LMPA amendment (SB1479), 1917 statutes, the table of contents and the index page for Section One. Then print the remainder of the first section.

For sections two and three, start with their index pages, then print the rest of those files and compile the finished hard copy in a 3-ring notebook for handy reference.

Comments and feedback about the document should be addressed to info@collegeofmidwives.org


Click here for:

1. Print-friendly Portable Document File (PDF)

2. Regular Web pages // HTML files (easier to download if you have dial-up)

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Start of Print-friendly PDF Version ~ October 2004 Version

Front Cover with Picture

Main Title Page

Bibliography

LMPA amendment SB 1479

Original 1917 Statutory Requirements for Practice under the California Midwife's Certificate  //  to 1993

Definition of Physiological Management of Normal Labor & Birth

Table of Contents

PDF ~ Section One ~ Standards of Practice, Policies, Protocols, Other Guidelines

Index Page ~ Section One

    1. Standards of Practice, including Purpose, Definitions & General Provisions   

    2. Midwife &Client Responsibilities & Rights

    3. Client Disclosure Form ~ Required by the LMPA ~ Medical Interface, Midwifery Scope of Practice,
        Emergency Arrangements, Malpractice Insurance Disclosure, Reporting Unsatisfactory Care to MBC

    4. Record Keeping

    5.  Termination of the Midwife-Client Relationship & Withdrawal of Service

   6.  Prohibitions in the Practice of Community-based Midwifery

    7.  Professional Relationships & Responsibilities

    8.  Practice Protocols & Policies

   9. Moderate Risk Labor & BirthProtocols & Criteria

 

PDF ~ Section Two ~ Consultation, Client Selection // Minimum Practice Requirements for Antepartum, Intrapartum, Postpartum and Neonatal Care

Index Page for Section Two

    1. Criteria for Client Selection 

    2. Safe Environment for Planned Home Birth & Official Declaration of Planned Place of Birth

    3. Appropriate Equipment & Administration of Medications

    4. First Responder Emergency Care and Emergency Transport

    5. Antepartum Care

    6. Consultation, Referral, Transfer of Care during the Antepartum Period

    7. Intrapartum Care

    8. Consultation, Referral, Transfer of Care during the Intrapartum Period

    9. Postpartum Care

    10. Consultation, Referral, Transfer of Care during the Postpartum Period

    11. Neonatal Care

    12. Consultation, Referral, Transfer of Care during the Neonatal Period

    13. Assessing the Neonate, Profile of a healthy Neonate

    14. Instructions to Parents on Immediate Newborn care

                                                                                                                                                                          

PDF ~ Section Three ~ Administrative Obligation of Professional Practice

    Index Page - Section Three

    1. Biennial Reporting of Client Information

    2. Notification of Transfers involving significant morbidity or mortality

    3. Mortality / Morbidity ~ Peer Review Committee

    4. Configuration of M&M Peer Review Committee

    5. Incident Report Forms for Members of the California College of Midwives

                                                                                                                                                                          

PDF ~ Section Four ~ Sample Informed Consent documents, other pertinent documents

New Hampshire Midwifery Regulations (6/30/03 VBAC): MIDWIFERY CARE WHEN PREVIOUS BIRTH
         WAS BY CESAREAN SECTION

Examples of Disclosure and Informed Consent for New Clients ~ Sample Informative Booklet       
Sample New Client Antepartum  Form     Sample Intrapartum Form, sign at 37 weeks 
(download as web pages to modify or customize for personal use)


            e  Regular HTML files (work in progress for Karen E. and Tosi M., so far only Sec 1 & 2
                                                             -- sec 3 is not ready yet in HTML format)

Front Cover with Picture

Main Title Page

Bibliography

LMPA amendment SB 1479

Original 1917 Statutory Requirements for California Certified Midwives

Definition of Physiological Management of Normal Labor and Spontaneous Birth

Table of Contents

Section One ~ Standards of Practice, Policies, Protocols, Other Guidelines

Index Page ~ Section One

    1. Standards of Practice, including Purpose, Definitions & General Provisions   

    2. Midwife &Client Responsibilities & Rights

    3. Client Disclosure Form ~ Required by the LMPA ~ Medical Interface, Midwifery Scope of       Practice, Emergency Arrangements, Malpractice Insurance Disclosure, Reporting Unsatisfactory care

    4. Termination of the Midwife-Client Relationship & Withdrawal of Service

    5.  Record Keeping

   6.  Prohibitions in the Practice of Community-based Midwifery

    7.  Professional Relationships & Responsibilities

    8.  Practice Protocols & Policies

   9. Moderate Risk Labor & Birth ~  Protocols & Criteria

Section Two ~ Consultation, Client Selection // Minimum Practice Requirements
 for Antepartum, Intrapartum, Postpartum and Neonatal Care

Index Page - Section Two

    1. Criteria for Client Selection 

    2. Safe Environment for Planned Home Birth & Official Declaration of Planned Place of Birth

    3. Appropriate Equipment & Administration of Medications

    4. First Responder Emergency Care and Emergency Transport

    5. Antepartum Care

    6. Antepartal Consultation, Referral, Transfer of Care

    7. Intrapartum Care

    8. Intrapartum Consultation, Referral, Transfer of Care 

    9. Postpartum Care

   10. Postpartum Consultation, Referral, Transfer of Care

    11. Neonatal Care

    12. Neonatal Consultation, Referral, Transfer of Care

    13. Assessing the Neonate, Profile of a healthy Neonate

    14. Instructions on Newborn Care to Parents

Section three NOT finished yet in regular web files but same content is above in PDF

All VBAC Research published in English

Examples of Disclosure and Informed Consent for New Clients ~ download to modify or customize
Sample Informative Booklet        
Sample New Client Antepartum  Form        Sample Intrapartum Form