California College of Midwives
State Chapter ~ American College of Community Midwives

Generally Accepted Standards of Practices, Policies, Protocols, 
Guidelines and Minimum Practice Requirements

For California Licensed Community Midwives

 Consensus 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-group

   New File  CCM Standards & Guidelines
Sections 1 & 2 ~ PDF version referenced in MBC regulations

  This 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.

==============================================================================================

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 Birth

Start of Print-friendly PDF Version ~ October 2004 Version

Front Cover with Picture    or  Front Cover NO Picture

Main Title Page

Table of Contents

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
 

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 ~ Additional Clarifying Information including sample Informed consent documents, other pertinent documents

New Posting - Definition of Planned Home Birth for California LMs

New 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 SECTION

Examples 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)

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
Section Four ~ Additional Clarifying Information including sample Informed consent documents, other pertinent documents

Newly 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