Client Responsibilities
Midwives and their clients share in the responsibility of pregnancy, birth and postpartum
care. A birth in an out-of-hospital setting implies a level of responsibility for
health care that may not be found in the hospital. A thorough commitment from the
client and her family is necessary to ensure the safety and well being of mother
and baby. Most clients seeking a birth at home or in a birth center accept responsibility
for their health, sharing information about changes in their pregnancy and matters
that may affect their pregnancy and birth. It is important to maintain communication
in order to respond to the particular needs a pregnant client may have during this
special time in her life.
A client who demonstrates an appropriate level of responsibility:
- Will work with the midwife to change or improve diet and health habits, if needed.
- Will agree to additional screening, tests, or physician visits if needed due to family,
medical, or obstetrical history.
- Will adhere to her appointment schedule, changing times only when necessary and with
suitable notification..
- Will discuss and abide by a financial agreement.
- Will make a commitment to learn about her body, the changes that occur during pregnancy,
and the birth process.
- Will agree to a transport of transfer of care, if necessary, after all aspects of
the situation are considered and discussed.
- Will respect the scheduling difficulties of a midwife’s professional and personal
life.
- Will try not to put unnecessary demands on the midwife’s time and energy by requesting
services that fall outside of the midwife’s “Normal Care” and scope of practice.