Midwives Informed Choice And Disclosure Statement - Texas Department Of Licensing And Regulation

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MIDWIVES INFORMED CHOICE AND DISCLOSURE STATEMENT
According to Texas Law, Texas Occupations Code Ch. 203, the Licensed Midwife is required to disclose in oral
and written form to a prospective client the limitations of the skills and practices of the midwife. The Informed
Choice and Disclosure Statement meets these legal requirements. Each midwife may also expand the document
into a more extensive information choice agreement reflecting details of her/his practice.
A. In accordance with the Texas Midwifery Act, the midwife:
1. Assists only with normal childbirth except in an emergency situation that poses an immediate threat to the
life of the mother or newborn.
2. Encourages each client to seek prenatal, postpartum, and newborn care if not offered as part of the midwife's
service.
3. Advises each client to seek medical care if the client develops signs or symptoms of a complication related
to pregnancy.
4. Does not use forceps or surgical instruments for any procedure other than cutting the umbilical cord or
providing emergency first aid during delivery.
5. Does not remove the placenta by invasive techniques.
6. Does not advance or retard labor or delivery by using medicines or mechanical devices.
7. Does not administer a prescription drug except under the supervision of a physician licensed by the State of
Texas, with the exception of oxygen and state approved prophylaxis to prevent blindness of the infant.
8. Does not knowingly or intentionally falsify or make false statements on a birth certificate application. (This
offense is prosecutable as a felony of the third degree).
9. Does not use professional titles other than licensed midwife or Certified Professional Midwife (CPM) if
certified by NARM.
10. Has explained to the client all the other legal requirements which are applicable to the midwife's practice;
The newborn screening law requires every newborn to receive testing for certain diseases. A midwife is
trained to do compulsory newborn screening, or has made arrangements for it to be done by an appropriate
health care facility or physician.
A newborn baby must receive eye prophylaxis within two hours of birth to prevent possible blindness from
infection.
A serology blood test for syphilis & hepatitis B is necessary during pregnancy and on admission for birth.
A serology blood test for HIV is necessary at the first prenatal visit and during the third trimester, unless the
mother objects. The result of the test is confidential, not anonymous.
Communicable diseases must be reported.
Registration is necessary for both births and deaths.

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