It is my policy to counsel any client with these situations regarding the increased risk factors for both herself and her baby. I encourage the parents to make a responsible decision in conjunction with their physician, while upholding the right of the consumer to informed consent and self-determination. The intrinsic right of the parents to choose their place of birth is recognized, and within the bounds of my training and my comfort level I shall not be prohibited from aiding the clients with their choice . If unusual conditions exist an informed consent will be signed. Midwives reserve the right to withdraw care if situations arise that are unreconcilable or are outside her training and comfort level.
Women have the right to decline referral.
Again, if referral is declined, informed consent will be documented. 2- Coaching the mom. 3- Assisting the delivery. 4- Examining and assessing the newborn. 5- Managing any third stage bleeding.