![]() ![]() In these cases, it is at your midwife’s discretion to determine the next course of action. For example, risks can include being pregnant with multiples, which licensed midwives cannot deliver. There may be other risk factors present that are not listed. Here is the form I use that is review risk status with clients considering midwifery care You may not understand everything on the list, but your midwife will obtain a complete health history and perform routine tests during the pregnancy to determine if these risk factors apply to your care. If the risks are too high, the OB will advise the client towards the appropriate care. If the OB approves, and the midwife agrees to continue care for the client given the assumed risks, the plan to continue with a homebirth may continue. Anyone with a total score of 3 or higher will need an OB’s approval to continue midwifery care. Risk factors range from 1-3 points based on severity, with one being the lowest. Assessment of risk factors is legally required for a homebirth. You may have heard it before homebirth is a good option if you are “low-risk.” But how do we determine who qualifies as low-risk? In Florida, midwives have a list of risk factors to consider with each client before being accepted into care.
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