California College of Midwives
State Chapter ~ American College of Community MidwivesGenerally Accepted Standards of Practices, Policies, Protocols,
Guidelines and Minimum Practice Requirements
For California Licensed Community MidwivesConsensus version of the Standard of Care for California Licensed Midwives' November 2005
CCM Testimony Submitted for November 4th Hearing PDF copy
Proposed Language for Accompanying Regulations
Report on MBC Task Force Conclusions
Outcome of MBC Regulatory Hearing Feb 2005
Yahoo Email Archive --
Dialogue between members of CCM and CAM on Region 3 e-group
& Faith's replies Jan to May 2005 on CAmidwives Yahoo e-groupNew File CCM Standards & Guidelines ~
Sections 1 & 2 ~ PDF version referenced in MBC regulationsThis is the whole enchilada for the regulatory hearing.
Word Document of CCM Standards & Guidelines for those who can't open the above PDF file
New File Glossary of Terms for CAM reviewers ~ interpretation of legal and practice requirements
New File Marked Copies of the 12 Background Resources used to compile CCM S & G
CCM Written Testimony ~ Feb 18, 2005 Hearing MOVED from front page
MOVED from front page Click hear to read the report on April 27th Task Force
Text of Proposed MBC Regulation referencing the CCM Standards & Guidelines
MBC October 8th proposal for SB 1950 + Dr Pat Chase proposed criteria Oct 2002
New File Proposed Standards for Cal Midwives by Dr Pat Chase, MBC October 2002
Comments and feedback about the document should be addressed to info@collegeofmidwives.org
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 guidelines 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.
Click here for:
1. Print-friendly Portable Document File (PDF)
2. Regular Web pages // HTML files (easier to download if you have dial-up)
3. Newly Posted files with Content a. PDF version b. Web page/HTML version
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PDF ~ CCM Standards & Guidelines ~ Sections 1 & 2 only as referenced in proposed MBC regulations
This is the whole enchilada for the regulatory hearing.
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The following PDF files include all sections --
preface and Sections 1, 2, 3 & 4 for download one by one as specific files.This is the only subdirectory to include the files in section three and four
and the newest material about Planned Home BirthStart of Print-friendly PDF Version ~ October 2004 Version
Front Cover with Picture or Front Cover NO Picture
Original 1917 Statutory Requirements for Practice under the California Midwife's Certificate // to 1993
Definition of Physiological Management of Normal Labor & Birth
PDF ~ Section One ~ Standards of Practice, Policies, Protocols, Other Guidelines1. 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 MBC5. 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 & Birth ~ Protocols & Criteria
PDF ~ Section Two ~ Consultation, Client Selection // Minimum Practice Requirements for Antepartum, Intrapartum, Postpartum and Neonatal Care
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
6. Consultation, Referral, Transfer of Care during the Antepartum Period
8. Consultation, Referral, Transfer of Care during the Intrapartum Period
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
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 ~ Additional Clarifying Information including sample Informed consent documents, other pertinent documents
New Posting - Definition of Planned Home Birth for California LMsNew Posting - Clarifying Commentary on Intrapartum Transport
New posting A Clarifying Commentary on Fetal Monitoring Schedule
New Hampshire Midwifery Regulations (6/30/03 VBAC):
MIDWIFERY CARE WHEN PREVIOUS BIRTH WAS BY CESAREAN SECTIONExamples of Disclosure and Informed Consent for New Clients ~ midwives expected to create own version or use as templete to produced a modified version for their own use.Sample Informative Booklet -- may be communicated orally or midwives may write a similar document
"Physiological Management" -- stand-alone copy that accompanies Informative booklet
Sample New Client Antepartum Form
Sample Intrapartum Form, -- parents read & sign at 37 weeks
use web page version in the section below to enable you to modify or customize documents for personal use
To review, 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.
e Regular HTML files ( sec 3 is not ready yet in HTML format)
Original 1917 Statutory Requirements for California Certified Midwives
Definition of Physiological Management of Normal Labor and Spontaneous Birth
Section One ~ Standards of Practice, Policies, Protocols, Other Guidelines1. 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 care4. 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 & Birth ~ Protocols & Criteria
Section Two ~ Consultation, Client Selection // Minimum Practice Requirements
for Antepartum, Intrapartum, Postpartum and Neonatal Care1. 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
6. Antepartal Consultation, Referral, Transfer of Care
8. Intrapartum Consultation, Referral, Transfer of 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 PDFSection Four ~ Additional Clarifying Information including sample Informed consent documents, other pertinent documentsNewly Posted - Definition of Planned Home Birth for California LMs
Newly Posted - Clarifying Commentary on Intrapartum Transport
New posting A Clarifying Commentary on Fetal Monitoring Schedule
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
Client information for GBS Testing
Sample Intrapartum Form