Client Documents

Practice Guidelines and Informed Disclosure

This document covers most of the basics about who we are, how we practice, and more. Please review all of the pages with your husband, boyfriend, or partner and bring it with you to your first prenatal visit along with any questions that you may have.

Prenatal Profile

There are many options for prenatal testing. At your first visit we will discuss genetic screening options (if you want them) as well as this test called the prenatal profile or obstetric panel. Please review this form and have it prepared for your first visit. 

HIPPA and Privacy Statement

Your privacy is important to us. This document discloses our privacy policies and gives us the permission we need to access your protected health information the way that you want us to.

Authority To Treat

We need your permission to do the things that midwives do for you! Please review and sign this form and have it ready at your initial visit. 

Midwives Alliance of North America

MANA is an organization that is doing excellent work in studying birth outcomes, helping to keep home birth safe, and help midwives grow in their skills as providers. We are required by the state of Oregon to submit anonymous information about all of or clients for their research database. You can accept or decline this. Please read the form from MANA and have it prepared for your first visit. 

When To Call Your Midwife

Keep this document handy. You can always contact us with any questions throughout the course of your pregnancy, but here is a list of reasons we would want you to call right away. 

Additional Costs To Consider

This document does not need to be returned to us. We designed it specifically for you to help you prepare for possible expenses you may encounter throughout the course of pregnancy. 

Complications, Emergencies and Transports

Emergencies are rare in pregnancy; however, they occasionally come up and we are required by the state to give you the information on this form at the beginning of your care to ensure that we can provide you safe and excellent care in any circumstance that may arise. It is also extremely important to us that you are very well informed regarding any situation that may arise in pregnancy, birth, or postpartum. This form outlines what we do in the case of certain emergencies, and asks for your cooperation should an emergent event occur. Please read through it and have it prepared for your initial visit with any questions that you have. 

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Initial Visit Paperwork

Please have the following documents ready by your initial visit. You may print them and bring them in, or you can fill it out on the PDF form, and save it as a PDF and email it to mylegacymidwives@gmail.com

List of Most Common Tests offered In Pregnancy

Many of the tests on this list may not apply to you or your pregnancy. We have provided this list for you as a resource. There are other lab tests or ultrasounds that we may offer to you based on your individual needs. 

For Rh- Women

If you don't know your blood type, be sure to ask your midwife! If you have a negative blood type, there are a few things that you should know about. There is a medication called Rhogam that you may choose to take to reduce risk to future pregnancies. If you have a negative blood type, download and read this form. Discuss any questions you have with your midwife at the beginning of your pregnancy. She will help you determine if there are any risks for you or your pregnancy and help you make the choice that's best for you and your family. 

28-30 Weeks

The standard of care in America is that all women be screened for gestational diabetes at the end of the second trimester. We typically also offer to re check your iron at this time. Learn more by clicking the link below, and have questions ready to discuss with us at your 24-26 week visit. 

35-37 Weeks

The CDC recommends that all women be tested for a bacteria called Group B Strep at the end of pregnancy. Read the document below for more information about what it is, as well as testing and treatment options. You can discuss the risks and benefits of testing and different treatment options with your midwife at your 32-34 week prenatal visit. 

GBS Alternative Treatments

Although not approved by the CDC, this handout outlines some options for treating GBS bacteria that might be effective agains the bacteria. If you tested positive for GBS and wish to decline antibiotics for treatment, read this handout and discuss which options may be right for you with your midwife. 

36-37 Weeks BABY!!!

There are lots of options for baby too! Have you heard about vitamin K, eye prophylaxis, or the newborn screening? This form will fill you on the pros and cons of all three. Read this at the end of pregnancy and be prepared to let your midwife know your decisions around 36-37 weeks so she has time to order any kits, medications, or vitamins you may want for your baby. 

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Prenatal Testing Information

There are several options available to you for testing in pregnancy. Not all of them are listed here, but most of them are in order from the earliest tests to the latest tests. We want you to be well informed about all you options, and have time to ask any questions and do some research. Please review each handout that is relevant to you and have it prepared along with questions for your prenatal visit at the appropriate week of pregnancy. 

Legacy Midwifery

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We are serving the women of Central Oregon through affordable, excellent, skilled, and compassionate midwifery services. Our service area includes all of Central Oregon, extending to and beyond  LaPine, Sunriver, Bend, Redmond, Madras, Culver, Warm Springs, and Powell Butte.. Please contact us to see if we serve your area. 

Services include prenatal care, natural remedies for pregnancy,  labor and delivery, water birth, home birth, support for a natural birth with minimal to no interventions, postpartum care, ultrasound referrals, lab work, routine prenatal testing, childbirth preparation and classes, doula services, postpartum care for mom and baby until 8 weeks postpartum, well baby visits,  postpartum support and preparation, breastfeeding support, professional referrals, natural family planning, preconception care and preparation, nutritional support , and more.