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This is a digital download, Not a physically printed item

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This form is designed for a quick and seamless intrapartum or postpartum transfer of the birthing person or baby. In the moment when your assistant or student needs to activate EMS, this form is ready with all pertinent data for a smooth call and discussion regarding S.B.A.R. During an in-person transfer to OB triage, use this one-pager to verbally give all of the dates/times/and vitals that are needed to show up as a prepared provider and warm handoff to next level of care.

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Confidential sharing of records is protected by HIPAA, purchase and download our form to save yourself the hassle of researching and creating this form on your own, or worse yet violating HIPAA guidelines. *This is a digital download. Not a physical printed item.

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Certain states have signed into law a requirement that written consent must be given to perform a pelvic exam on a client. The law references us by statute. So depending on the state you reside in, you may have to get all your clients sign a consent for you to perform a pelvic exam. *This is a digital download. Not a physical printed item.

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RH neg pregnant people must choose whether or not to receive RhoGAM, help them make this critical choice by providing them this evidence based, informed consent document.

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Student participation is common and vital in most midwifery practices, and yet, clients should be able to consent or refuse this at the start of care. This consent form will give your clients the information for who, what, when, where, why for all student involvement in your practice. This form is especially important for any clinical act, including but not limited to phlebotomy, pelvic exams, and suturing.

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This 50 page, full-color document outlines all the details and steps of the community-based midwifery apprenticeship process in the US including chapters on appearance & conduct, confidentiality, attending births, universal precautions, postpartum care, attending emergencies, equipment, self-care, hipaa & charting, graduating, dismissal from apprenticeship, and compensation.

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Excerpt: “Ultrasound imaging of an unborn baby is achieved by projecting intense sound waves through the tissue of the abdomen and bouncing them off of the baby. The sound waves that are reflected are interpreted by a computer and displayed as an image on a screen. Your midwives can refer you to an ultrasound clinic at various times in your pregnancy for various reasons.

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Excerpt - "In approximately 6% of pregnancies, mother may develop Gestational Diabetes Mellitus or GDM. This is a condition in which blood sugar is abnormally elevated during pregnancy and generally develops because the pancreas cannot meet the extra requirements for insulin. Signs and symptoms of GDM are mild, mimic other signs of pregnancy: increased thirst, hunger, urination. GDM has been linked to higher incidence of pre-eclampsia, primary c-sections, premature birth, and shoulder dystocia"

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Choosing how to birth after c-section can be a complicated endeavor – and while your clients should feel empowered in their choice, it should be led with a true understanding of risks and benefits. Offering options where risk exists enter an agreement of respect. Help your clients make an informed decision by providing them with this evidence-based form for choosing Vaginal Birth After Cesarean out-of-the-hospital, and giving them all of the information to make an informed choice feel empowering

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Excerpt: “There are many options for prenatal testing, that is, testing that parents can choose to find out more information about their baby. This information may include estimated due date, baby’s gender, and gathering details about baby’s overall health. Some parents choose to “test for everything,” others choose just the minimum, and some parents choose to decline all testing. All pregnant women have a small chance (3-4%) of delivering a baby with a physical and/or mental birth defect."

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Water has been shown to be incredibly helpful for laboring people in pain, however there are still some actual and theoretical risks that parents and professionals need to be informed on. This informed consent allows those risks to be assessed in conjunction with the benefits so that parents can make an informed choice to use water in their labor and/or birth.

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Group B Strep stands for Beta-Hemolytic Streptococcus. This is a type of bacteria that is usually found in the lower intestines and in the vaginal canal in 10-35% of healthy adults. GBS is not the same is Group A strep which causes strep throat and other diseases. Among pregnant women, 10-35% of women will be colonized and have GBS in their vaginal canal. Most colonized women have no problems from GBS but in some cases the GBS can cause infections that can put an unborn baby at risk.

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This is a digital download. Not a physical printed item.

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The NIH 2010 VBAC study says it is safe if the time from decision to incision is less than 75 min. It is recommended clients whose location combined with the local hospital situation is outside that limit, should be informed and consent to that increased risk for distance to services. Excerpt: “If your midwives determines that your intended birth location would delay treatment beyond 75 min, you are aware of these increased risks and still plan to proceed.” © 2021 Augustine Colebrook All Rights

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Excerpt: “Currently, all babies born in hospitals are treated with erythromycin antibiotic eye ointment, unless the parents specifically refuse. 1-2 hours after the birth, a thin strip of ointment is placed in each eye. This ointment will melt and coat the eye, protecting it from infection. Eye prophylaxis is used to protect infants against conjunctivitis leading to damage of the eyes or blindness usually caused by maternal infection with gonorrhea and/or chlamydia..."

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For the 4% of babies that are still breech at term, and depending on your state law, scope of practice, skill/experience level, and timing, the options might be limited. But in case that you are trained at this skill, a Gentle Midwifery Version may be an option that can be offered to your clients. As always, choices that protect midwives come with an informed consent/refusal and good solid documentation of it!

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Help parents understand what screening options are available to them, what they mean, and what risks and benefits are involved. This informed consent document lays out all of the reasoning and steps to help them, and YOU, make decisions in the early postpartum period feel seamless and backed with evidence. This is a digital download. Not a physical printed item.

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”Vitamin K is a vital part of the blood clotting factor. A few babies, about 1 in 10,000, suffer from a deficiency of vitamin K (VKDB) and may bleed internally which is a very serious condition. The signs of VKDB is external bleeding, skin bruising, and/or blood seeping from a body opening. Should any of these signs occur your health care provider should be contacted immediately!..."

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“Here at [ insert practice name] we care deeply about you and your health throughout pregnancy. Midwifery care and community birth are excellent choices for [women/people] with low-risk pregnancies. We consider the information provided by these standard pregnancy lab test to be vitally important in ensuring that your pregnancy is low-risk and appropriate for midwifery care. This document is meant to provide you with the information needed so that you can decide if this testing is right for you..