INFORMED CONSENT

Born To Be Loved Birth ~  Faith Morie CPM LM

~  Informed Choice and Disclosure Statement  ~

Faith Elizabeth Morie CPM LM
11617 South Mulberry Court   Jenks, OK  74037
withfaithnothingisimpossible@gmail.com  ~  Phone:  (918) 284-3609  ~  Fax: (855) 701-3163

 

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Philosophy and Scope of Practice

 

Care is given from the perspective that childbirth is one of the natural functions of the woman’s body, and that in most cases her body is capable of birthing without medical intervention or augmentation. 

 

In choosing homebirth, the mother has a higher level of involvement in her care, but also a higher level of responsibility.  Throughout your care your midwife will thoroughly inform you of your status, risk levels and options, discussing the pros and cons of each decision, and making an individualized care plan with you.

 

Comprehensive Midwifery Care Includes:

  • Preventative prenatal care including basic physical assessment and vitals, assessing fetal growth and heart tones, along with time for client questions and midwife counsel and recommendations.  Visits typically begin between 8-12 weeks, including appointments every four weeks until 28 weeks, every two weeks until 36 weeks and weekly until delivery.

  • In office lab testing, nutritional counseling, exercise recommendations, risk assessment, ultrasound referral.

  • A prenatal home visit at 34 weeks to ensure knowing where you live, and that adequate preparations have been made for birth.

  • Labor, birth and newborn care preparation and education including a one day Childbirth Class taught by your midwife

  • Labor support including monitoring vitals of mother and baby, managing the birth of the baby and placenta, newborn exam, and postpartum monitoring of condition of mother and baby until stable.

  • Emergency preparedness including CPR and NNR certifications, suctioning equipment, oxygen, resuscitation equipment, medications for hemorrhage, IV fluids, transfer plan and protocol, as well as numbing medication and suturing supplies.

  • Newborn options including Vitamin K, Erythromycin Eye Ointment, and Newborn Screen testing.

  • Postpartum care including a home visit at 2-3 days, followed by office visits at approximately 2 weeks, 4 weeks and 6 weeks to check both mother and baby.

  • Breastfeeding support and family planning consultation

  • 24/7 phone support

  • Filing birth certificate and social security

 

Midwifery care does not include:

  • Fees for lab work, ultrasound, chiropractic care, hospital care

  • The cost of supplements and vitamins

  • Birth supply kit (client orders directly)

  • RhoGam injection (needed for negative blood types only)

 

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Midwifery In Oklahoma

 

Certified Professional Midwives are not regulated by the state of Oklahoma.  The state is aware of us, and the state requires us to file birth certificates and metabolic newborn screens, but they have not had any reason to put specific laws and regulations in place.  Midwives in Oklahoma are also not required or expected to carry malpractice insurance.

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Termination and Transfer of Care Policy and Procedures for
Emergencies, Non-Emergencies and Client Disregard of Recommendations


Even with great prenatal care along with attentive, responsible care during labor and birth, complications can still arise.  By signing this consent form you affirm that you understand that complications may require transport to a hospital and could lead to permanent injury or death for you and your child.

 

Studies have repeatedly shown that for women with normal, healthy, uncomplicated pregnancies, planned homebirth with a skilled birth attendant is as safe or safer than hospital birth, and that circumstances requiring transfer of care or transport in labor are unusual -  affecting fewer than ten percent of the women cared for by midwives.

However, no matter where you choose to birth, there are rare, but potential risks, and it could possibly save a mom or baby’s lives to have an operating room and surgeon immediately available, although giving birth in a hospital doesn’t automatically guarantee an immediate cesarean.  The American College of Obstetricians and Gynecologists recommend that no more than 30 minutes should elapse from “decision to incision”.  Most homes are near enough to a hospital to facilitate a transfer in this time frame.  Also, the majority of transfers are non emergency and will be done via private vehicle, but there may be times an ambulance is used.

Depending on if circumstances are immediately life-threatening or not, termination and/or transfer of care can include, but is not limited to: referral to another midwife, referral to a doctor, accompanying mother and/or baby to the hospital, or activating EMS services.  The ultimate goal of the midwife is that the mother and baby are both safe and healthy at all times and that no risks or emergency circumstances are allowed to continue unattended and/or unnecessarily.

 

Equipment that will be at your birth to handle potential complications at home or to supplement en route to the hospital include: oxygen for both mother and baby, neonatal resuscitation equipment, equipment for suctioning baby in case of meconium, herbs and medication to treat hemorrhage, and suture material for repair of lacerations. 

 

There is not a specific designated physician to transfer care to should a hospital birth become a requirement.  During pregnancy a transfer plan is arranged between client and midwife for emergency and non-emergency situations, documenting the closest hospital along with client’s preferred hospital, as well as the midwife’s recommendations.  As a CPM, your midwife does not have privileges to practice in any hospital and cannot act as your primary health care provider in a hospital setting.  However, she will always come with you if a transfer occurs and will stay with you through the whole experience to facilitate a smooth transition of care with the medical staff, and to provide support and counsel to the client.

 

Some of the potential risks during pregnancy which could risk you out of a homebirth include, but are not limited to: preeclampsia, hypertension, insulin-dependent diabetes, intrauterine growth restriction (IUGR), premature labor, premature rupture of membranes (PROM), extreme anemia, and stillbirth/intrauterine fetal demise (IUFD).  Complications which could arise during labor and birth include: maternal exhaustion, infection, prolonged rupture of membranes, fetal distress, significant meconium, prolapsed cord, active STDs, shoulder dystocia, hemorrhage, placenta previa, placental abruption, retained placenta, severe lacerations, baby with respiratory distress or congenital anomalies and stillbirth.

 

As a midwife, we highly value the autonomy of the client, and expect client involvement in all decision making.  However there may be times when the midwife must transfer care even against the client’s wishes or consent.  This may include/but is not limited to: life threatening situations, repeated or significant non compliance of client, lack of honesty from client and/or non working relationship between midwife and client.  Transfer may include but is not limited to: activating EMS, contacting CPS, advising client to continue care with other health care providers as indicated by circumstances.

 

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On Call Availability

 

24/7 Emergency Availability: Your midwife is available for emergency care 24/7.  Should any concern arise in pregnancy, or when labor commences, directly contact your midwife via her cellphone and she will respond. 

 

Business Hours: 9-5, M-F: Any non-emergency questions or conversations are to be reserved for business hours unless your midwife contacts your first.

 

Off Call Instances: Your midwife reserves the right to take up to 48 hours off call per month.  This option is rarely claimed by your midwife, but on occasion it may be necessary for her to commit to an event, in which case, any labors that begin or end during this time would be covered by another CPM.  Usually any situation requiring your midwife to be off call in this manner would only last a few hours.

 

When your midwife plans a longer vacation, she does so enough in advance that you will be notified at the onset of care in order to give you the opportunity to make a decision as to whether or not you desire to continue care with the strong possibility that your midwife may be gone and you will deliver with a back-up midwife, or to seek out a different midwife altogether.

 

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Concerns and Complaints

 

Should the client have a concern or a complaint about the care she receives from her midwife, it is hoped that the client would immediately discuss the situation with her midwife so that a resolution to the problem may be decided between them.

 

In the event that a conflict arises that is not being resolved, you are encouraged to contact the local midwifery peer groups.  The Midwifery Society of Oklahoma (MSO) 5750 E 31st, Tulsa, OK 74135, and the Oklahoma Midwives Alliance (OMA) 2121 W Main, Norman, OK.                                      

 

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Midwife’s Training, Qualifications and Statistics

 

Faith Morie CPM LM, was trained in midwifery from October, 2004 – June, 2007.  Academically she studied and graduated through the Association of Texas Midwives’ Midwifery Training Program.  Clinically she apprenticed under sixteen midwives, attending both home births and births at free-standing birth centers.

 

In 2009 Faith traveled to Israel to volunteer as a midwife.  While there, she worked with a home birth practice, as well as in Labor and Delivery at a Jerusalem hospital.  Upon returning to the USA, Faith started her private practice, Born To Be Loved Birth, in the beginning of 2010.  Faith has also traveled overseas to deliver babies in Brazil and England, as well as returning to Israel.

 

Faith is a Certified Professional Midwife (CPM), nationally certified by the North American Registry of Midwives (NARM).  She is also a Licensed Midwife (LM) with the State of Texas.

 

Faith is trained and certified in CPR (2016-2018) and NNR (Neo-Natal Resuscitation) (2016-2018), which is renewed every two years.  Faith began practicing midwifery in 2007.  She has attended ~300 births, of which a total of ~430 have been as Primary Caregiver.

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Acknowledgement of Informed Choice and Discloser Statement
for Born To Be Loved Birth; Faith Morie CPM LM

As a client desiring care with Born To Be Loved Birth, Faith Morie CPM LM, I realize the following are required aspects of care:

  1. Four Basic Supplements

  2. Adherence to Prenatal Schedule
    (appointments every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, from 36 weeks on – weekly until delivery)

  3. Childbirth Class Attendance (one Saturday for 7 hours; date will be given a few months in advance)

  4. Standard Lab Work

  5. Strive to eat a whole foods diet and to exercise regularly

  6. Provide copies of medical records for any previous care received during current pregnancy

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Possible additional requirements:

  1. Additional supplements

  2. Chiropractic care

  3. Additional lab work

  4. Ultrasound(s)

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As a VBA(M)C client, I understand that there are additional required aspects of care:

  1. Essential Oil Incision Blend

  2. Incision Scar Self Massages

  3. Chiropractic Care with an approved chiropractor (see Recommended Practitioners) from at least 24 weeks of pregnancy until delivery

  4. Provide surgical reports of previous cesarean delivery(s)

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- My care involves, but is not limited to, the policies and requirements listed above.  I also understand that there may be additional requirements that my midwife adds to my care plan depending on possible pregnancy complications or situations that may arise while I am under her care.  I am committing to follow these requirements, and I understand that they to help ensure the best possibility of having a safe and healthy pregnancy, labor, birth and postpartum for both myself and my baby.

 

- I fully understand my responsibility for my baby’s and my own health and well being, and I accept responsibility to do everything necessary to maintain a healthy, normal, low-risk pregnancy, birth and postpartum experience.

 

- I am fully aware that if anything connected with myself of my baby’s health and/or care exceeds the scope of my midwife, I am fully prepared to seek additional/other medical/transfer care as recommended by my midwife.  In the event of this transfer of care, I am fully prepared to help facilitate and comply with it.

 

- I have read the above information and Faith Morie CPM LM, has discussed and satisfied any questions or concerns that I have.
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Mother   ________________________________________________________________       Date  __________________
 

Father   ________________________________________________________________        Date  __________________
 

Midwife  ________________________________________________________________       Date  __________________

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© 2016 by Faith Morie, CPM, LM